Durham Region Employment Placement

First Name:
Last Name:
Street Address:
City:
Phone Number:
Email Address:
NOTE: You must be in receipt of Ontario Works to apply!
Are you in receipt of Ontario Works?				Yes No
Do you have an Employment Supports Worker?				Yes No
Name of Employment Supports Worker? (if any)
How long have you been unemployed (in months)?

What job are you applying for? (Click here for Job List)
Copy and paste your COVER LETTER below:

Copy and paste your RESUME below: