Digital Skills For Youth Application Form

Legal Name of Organization *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone *

Fax

Email *

Contact Person *

Position of Contact Person *

Major Product or Service *

Number of Employees *

Sector *

Organization Type *

Layout

Estimated Length of Employment

(Must not extend past March 31st, 2024)

Number of Weeks

Hours Per Week

Layout (copy)

Estimated Total Wage Amount

(Up to a maximum of $21,500)

Rate per Hour

Total Wage Amount

Briefly describe the role you would like your intern to fill.

If you are chosen to host an intern we will require a Job Description and Digital Skills Mentorship Plan to approve and attach to the final contract.

Job Description

Digital Skills for Youth 2023