{"id":216,"date":"2024-06-23T20:07:13","date_gmt":"2024-06-23T20:07:13","guid":{"rendered":"https:\/\/www.meritontario.com\/training\/?page_id=216"},"modified":"2024-06-23T21:21:09","modified_gmt":"2024-06-23T21:21:09","slug":"sdf-ts-participant-registration","status":"publish","type":"page","link":"https:\/\/www.meritontario.com\/training\/sdf-ts-participant-registration\/","title":{"rendered":"SDF TS Participant Registration"},"content":{"rendered":"\n<p>We at Merit Ontario are honoured to offer training courses for jobs in the construction industry. When you first registered with us we acquired a few pieces of information to get you started and on your way. Now we need to complete your registration so you can take full advantage of our interactive learning programs. Filling out the form below keeps your account up to date and will only take about 5 minutes of your time.<\/p>\n\n\n\n<p>If you&#8217;ve landed on this page, but have not officially enrolled in our learning platform, you can do so by  <a href=\"https:\/\/www.meritontario.com\/training\/participant-enrollment\/\" data-type=\"URL\" data-id=\"https:\/\/www.meritontario.com\/training\/participant-enrollment\/\">clicking here<\/a> to enroll.<\/p>\n\n\n<form action=\"\" method=\"post\" id=\"6a1445bf64e8c\">\n\t<input type=\"hidden\" name=\"d0d0695db207ffd0d4d52c8052aca18a\" value=\"\" \/>\n\t<input type=\"hidden\" name=\"bfe0204b6eeeff680d081c268ebc5b93\" value=\"Thank you for completing the participant registration form.\" \/>\n\t<input type=\"hidden\" name=\"cfb485bfeaba8102df19bd810b4d615d\" value=\"Ensure the fields you entered have valid information.\" \/>\n\t<input type=\"hidden\" name=\"67b2412dbc3a903bd4cb0bc15e370f05\" value=\"basic\" \/>\n\t<input type=\"hidden\" name=\"e116502404d23df6bdefe398686a937a\" value=\"\" \/>\n\t<input type=\"hidden\" name=\"9be6a15c9bff053cc98ad96ad169a561\" value=\"\" \/>\n\t\n\t<div class=\"row\">\n\t\t<div class=\"col-md-12\">\n\t\t\t<div class=\"alert sdfts-msg-alert d-none mt-3\" data-sdfts-msg-alert role=\"alert\">\n\t\t\t\t<span class=\"sdfts-msg\" data-sdfts-msg><\/span>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\t\n\t\t\t\t\t\t<div class=\"row\">\n\t\t\t\t\t\t<div class=\"col-md-12 my-3\">\n\t\t\t\t\t\t\t<h3>Participant Details<\/h3>\n\t\t\t\t\t\t\t<hr \/>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"row\">\n\t\t\t\t\t\t<div class=\"col-md-6 mb-3\">\n\t\t\t\t\t\t\t<label for=\"8f7fa6c4d3faf1877d356af493ee46a86a1445bf64e8c\" class=\"form-label\">First Name *<\/label>\n\t\t\t\t\t\t\t<input type=\"text\" name=\"participant[8f7fa6c4d3faf1877d356af493ee46a8]\" value=\"\" class=\"form-control\" id=\"8f7fa6c4d3faf1877d356af493ee46a86a1445bf64e8c\" maxlength=\"64\"  required  placeholder=\"First Name\" \/>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"row\">\n\t\t\t\t\t\t<div class=\"col-md-6 mb-3\">\n\t\t\t\t\t\t\t<label for=\"2562dffc7a1c7b196087626dfc1f4d196a1445bf64e8c\" class=\"form-label\">Last Name *<\/label>\n\t\t\t\t\t\t\t<input type=\"text\" name=\"participant[2562dffc7a1c7b196087626dfc1f4d19]\" value=\"\" class=\"form-control\" id=\"2562dffc7a1c7b196087626dfc1f4d196a1445bf64e8c\" maxlength=\"64\"  required  placeholder=\"Last Name\" \/>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"row\">\n\t\t\t\t\t\t<div class=\"col-md-6 mb-3\">\n\t\t\t\t\t\t\t<label for=\"2a4acf5263515470700d9450c2ff8cc56a1445bf64e8c\" class=\"form-label\">Middle Initial <\/label>\n\t\t\t\t\t\t\t<input type=\"text\" name=\"participant[2a4acf5263515470700d9450c2ff8cc5]\" value=\"\" class=\"form-control\" id=\"2a4acf5263515470700d9450c2ff8cc56a1445bf64e8c\" maxlength=\"16\"    placeholder=\"Middle Initial\" \/>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"row\">\n\t\t\t\t\t\t<div class=\"col-md-6 mb-3\">\n\t\t\t\t\t\t\t<label for=\"2207087ee3ea746c1b6cb32c947043346a1445bf64e8c\" class=\"form-label\">Preferred Name <\/label>\n\t\t\t\t\t\t\t<input type=\"text\" name=\"participant[2207087ee3ea746c1b6cb32c94704334]\" value=\"\" class=\"form-control\" id=\"2207087ee3ea746c1b6cb32c947043346a1445bf64e8c\" maxlength=\"64\"    placeholder=\"Preferred Name\" \/>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"row\">\n\t\t\t\t\t\t<div class=\"col-md-6 mb-3\">\n\t\t\t\t\t\t\t<label for=\"8f9ac1f3bbf22aae1c3b958804742ded6a1445bf64e8c\" class=\"form-label\">Date of Birth *<\/label>\n\t\t\t\t\t\t\t<input type=\"date\" name=\"participant[8f9ac1f3bbf22aae1c3b958804742ded]\" value=\"\" class=\"form-control\" id=\"8f9ac1f3bbf22aae1c3b958804742ded6a1445bf64e8c\" maxlength=\"10\"  required   \/>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"row\">\n\t\t\t\t\t\t<div class=\"col-md-6 mb-3\">\n\t\t\t\t\t\t\t<label for=\"d5c244fe387fe4ee86e364adcdc3a8f96a1445bf64e8c\" class=\"form-label\">Social Insurance Number *<\/label>\n\t\t\t\t\t\t\t<input type=\"text\" name=\"participant[d5c244fe387fe4ee86e364adcdc3a8f9]\" value=\"\" class=\"form-control\" id=\"d5c244fe387fe4ee86e364adcdc3a8f96a1445bf64e8c\" maxlength=\"16\" data-pattern=\"^(\\d{3}-\\d{3}-\\d{3})|(\\d{9})$\" required  placeholder=\"123-456-789\" \/>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"row\">\n\t\t\t\t\t\t<div class=\"col-md-12 mb-3\">\n\t\t\t\t\t\t\t<p>I identify as *<\/p>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[cbf725f7169a8105a6f1b1533565a796]\" value=\"man\" id=\"cbf725f7169a8105a6f1b1533565a7961\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"cbf725f7169a8105a6f1b1533565a7961\">\n\t\t\t\t\t\t\t\tMan\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[cbf725f7169a8105a6f1b1533565a796]\" value=\"woman\" id=\"cbf725f7169a8105a6f1b1533565a7962\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"cbf725f7169a8105a6f1b1533565a7962\">\n\t\t\t\t\t\t\t\tWoman\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[cbf725f7169a8105a6f1b1533565a796]\" value=\"gender_non_binary\" id=\"cbf725f7169a8105a6f1b1533565a7963\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"cbf725f7169a8105a6f1b1533565a7963\">\n\t\t\t\t\t\t\t\tGender non-binary\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[cbf725f7169a8105a6f1b1533565a796]\" value=\"two_spirit\" id=\"cbf725f7169a8105a6f1b1533565a7964\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"cbf725f7169a8105a6f1b1533565a7964\">\n\t\t\t\t\t\t\t\tTwo-spirit\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[cbf725f7169a8105a6f1b1533565a796]\" value=\"another_gender_identity\" id=\"cbf725f7169a8105a6f1b1533565a7965\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"cbf725f7169a8105a6f1b1533565a7965\">\n\t\t\t\t\t\t\t\tAnother gender identity (Specify)\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[cbf725f7169a8105a6f1b1533565a796]\" value=\"prefer_not_to_answer\" id=\"cbf725f7169a8105a6f1b1533565a7966\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"cbf725f7169a8105a6f1b1533565a7966\">\n\t\t\t\t\t\t\t\tPrefer not to answer\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"row d-none\" data-sdf-ts-form-option-extended=\"another_gender_identity\">\n\t\t\t\t\t\t\t<div class=\"col-md-6 mb-3\">\n\t\t\t\t\t\t\t\t<input type=\"text\" name=\"participant[de16e0f4a4b862674a251a91e8d2e6d0]\" value=\"\" class=\"form-control\" id=\"de16e0f4a4b862674a251a91e8d2e6d06a1445bf64e8c\" maxlength=\"128\"    placeholder=\"Another gender identity (Specify)\" \/>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"row\">\n\t\t\t\t\t\t<div class=\"col-md-12 mb-3\">\n\t\t\t\t\t\t\t<p>Do you identify as transgender? (optional) <\/p>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[487261b12c43a101e575edbba35eb5d0]\" value=\"yes\" id=\"487261b12c43a101e575edbba35eb5d01\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"487261b12c43a101e575edbba35eb5d01\">\n\t\t\t\t\t\t\t\tYes\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[487261b12c43a101e575edbba35eb5d0]\" value=\"no\" id=\"487261b12c43a101e575edbba35eb5d02\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"487261b12c43a101e575edbba35eb5d02\">\n\t\t\t\t\t\t\t\tNo\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[487261b12c43a101e575edbba35eb5d0]\" value=\"questionning\" id=\"487261b12c43a101e575edbba35eb5d03\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"487261b12c43a101e575edbba35eb5d03\">\n\t\t\t\t\t\t\t\tQuestionning\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[487261b12c43a101e575edbba35eb5d0]\" value=\"prefer_not_to_answer\" id=\"487261b12c43a101e575edbba35eb5d04\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"487261b12c43a101e575edbba35eb5d04\">\n\t\t\t\t\t\t\t\tPrefer not to answer\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"row\">\n\t\t\t\t\t\t<div class=\"col-md-12 mb-3\">\n\t\t\t\t\t\t\t<p><em>Transgender is an umbrella term that refers to people whose gender identity, expression or behaviour is different from those typically associated with their assigned sex at birth. Identities considered to fall under this umbrella can include trans, transsexual, non-binary, gender fluid, and genderqueer \u2013 as well as many more.<\/em><\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"row\">\n\t\t\t\t\t\t<div class=\"col-md-12 mb-3\">\n\t\t\t\t\t\t\t<p>Status in Canada *<\/p>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[f7ccd4fc2a6986d4b2da67a5621ade25]\" value=\"canadian_citizen\" id=\"f7ccd4fc2a6986d4b2da67a5621ade251\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"f7ccd4fc2a6986d4b2da67a5621ade251\">\n\t\t\t\t\t\t\t\tCanadian Citizen\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[f7ccd4fc2a6986d4b2da67a5621ade25]\" value=\"permanent_resident\" id=\"f7ccd4fc2a6986d4b2da67a5621ade252\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"f7ccd4fc2a6986d4b2da67a5621ade252\">\n\t\t\t\t\t\t\t\tPermanent Resident\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[f7ccd4fc2a6986d4b2da67a5621ade25]\" value=\"naturalized_canadian_citizen\" id=\"f7ccd4fc2a6986d4b2da67a5621ade253\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"f7ccd4fc2a6986d4b2da67a5621ade253\">\n\t\t\t\t\t\t\t\tNaturalized Canadian Citizen\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[f7ccd4fc2a6986d4b2da67a5621ade25]\" value=\"protected_persons\" id=\"f7ccd4fc2a6986d4b2da67a5621ade254\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"f7ccd4fc2a6986d4b2da67a5621ade254\">\n\t\t\t\t\t\t\t\tProtected Persons\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[f7ccd4fc2a6986d4b2da67a5621ade25]\" value=\"prefer_not_to_answer\" id=\"f7ccd4fc2a6986d4b2da67a5621ade255\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"f7ccd4fc2a6986d4b2da67a5621ade255\">\n\t\t\t\t\t\t\t\tPrefer not to say\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[f7ccd4fc2a6986d4b2da67a5621ade25]\" value=\"other\" id=\"f7ccd4fc2a6986d4b2da67a5621ade256\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"f7ccd4fc2a6986d4b2da67a5621ade256\">\n\t\t\t\t\t\t\t\tOther\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"row d-none\" data-sdf-ts-form-option-extended=\"status_in_canada_other\">\n\t\t\t\t\t\t\t<div class=\"col-md-6 mb-3\">\n\t\t\t\t\t\t\t\t<input type=\"text\" name=\"participant[508f8929f2a8b7c21cfcea92e2eaf2af]\" value=\"\" class=\"form-control\" id=\"508f8929f2a8b7c21cfcea92e2eaf2af6a1445bf64e8c\" maxlength=\"128\"    placeholder=\"Other\" \/>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"row\">\n\t\t\t\t\t\t<div class=\"col-md-6 mb-3\">\n\t\t\t\t\t\t\t<label for=\"f2fbf3f946d273fa21173e7049c8d8606a1445bf64e8c\" class=\"form-label\">Country of Origin <\/label>\n\t\t\t\t\t\t\t<input type=\"text\" name=\"participant[f2fbf3f946d273fa21173e7049c8d860]\" value=\"\" class=\"form-control\" id=\"f2fbf3f946d273fa21173e7049c8d8606a1445bf64e8c\" maxlength=\"64\"    placeholder=\"Country of Origin\" \/>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"row\">\n\t\t\t\t\t\t<div class=\"col-md-6 mb-3\">\n\t\t\t\t\t\t\t<label for=\"5e73329b01c89ee0e1c83fe855dac0b96a1445bf64e8c\" class=\"form-label\">Date of Entry into Canada <\/label>\n\t\t\t\t\t\t\t<input type=\"date\" name=\"participant[5e73329b01c89ee0e1c83fe855dac0b9]\" value=\"\" class=\"form-control\" id=\"5e73329b01c89ee0e1c83fe855dac0b96a1445bf64e8c\" maxlength=\"10\"     \/>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"row\">\n\t\t\t\t\t\t<div class=\"col-md-12 mb-3\">\n\t\t\t\t\t\t\t<p>Preferred Language *<\/p>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[10af699b6c336c29433d8b044280ca23]\" value=\"english\" id=\"10af699b6c336c29433d8b044280ca231\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"10af699b6c336c29433d8b044280ca231\">\n\t\t\t\t\t\t\t\tEnglish\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[10af699b6c336c29433d8b044280ca23]\" value=\"french\" id=\"10af699b6c336c29433d8b044280ca232\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"10af699b6c336c29433d8b044280ca232\">\n\t\t\t\t\t\t\t\tFrench\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"row\">\n\t\t\t\t\t\t<div class=\"col-md-12 mb-3\">\n\t\t\t\t\t\t\t<p>Preferred Communication <\/p>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[5d073a2f4fa6c4bc380b94d8cfe4cf77]\" value=\"phone\" id=\"5d073a2f4fa6c4bc380b94d8cfe4cf771\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"5d073a2f4fa6c4bc380b94d8cfe4cf771\">\n\t\t\t\t\t\t\t\tPhone\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[5d073a2f4fa6c4bc380b94d8cfe4cf77]\" value=\"email\" id=\"5d073a2f4fa6c4bc380b94d8cfe4cf772\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"5d073a2f4fa6c4bc380b94d8cfe4cf772\">\n\t\t\t\t\t\t\t\tEmail\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[5d073a2f4fa6c4bc380b94d8cfe4cf77]\" value=\"hard_copy\" id=\"5d073a2f4fa6c4bc380b94d8cfe4cf773\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"5d073a2f4fa6c4bc380b94d8cfe4cf773\">\n\t\t\t\t\t\t\t\tHard Copy\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"row\">\n\t\t\t\t\t\t<div class=\"col-md-12 mb-3\">\n\t\t\t\t\t\t\t<p>Marital Status *<\/p>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[b8912058c4614755af7558e85290ec13]\" value=\"married\" id=\"b8912058c4614755af7558e85290ec131\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"b8912058c4614755af7558e85290ec131\">\n\t\t\t\t\t\t\t\tMarried\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[b8912058c4614755af7558e85290ec13]\" value=\"common_law\" id=\"b8912058c4614755af7558e85290ec132\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"b8912058c4614755af7558e85290ec132\">\n\t\t\t\t\t\t\t\tCommon Law\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[b8912058c4614755af7558e85290ec13]\" value=\"separated\" id=\"b8912058c4614755af7558e85290ec133\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"b8912058c4614755af7558e85290ec133\">\n\t\t\t\t\t\t\t\tSeparated\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[b8912058c4614755af7558e85290ec13]\" value=\"divorced\" id=\"b8912058c4614755af7558e85290ec134\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"b8912058c4614755af7558e85290ec134\">\n\t\t\t\t\t\t\t\tDivorced\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[b8912058c4614755af7558e85290ec13]\" value=\"widowed\" id=\"b8912058c4614755af7558e85290ec135\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"b8912058c4614755af7558e85290ec135\">\n\t\t\t\t\t\t\t\tWidowed\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[b8912058c4614755af7558e85290ec13]\" value=\"single\" id=\"b8912058c4614755af7558e85290ec136\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"b8912058c4614755af7558e85290ec136\">\n\t\t\t\t\t\t\t\tSingle\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[b8912058c4614755af7558e85290ec13]\" value=\"prefer_not_to_say\" id=\"b8912058c4614755af7558e85290ec137\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"b8912058c4614755af7558e85290ec137\">\n\t\t\t\t\t\t\t\tPrefer not to say\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"row\">\n\t\t\t\t\t\t<div class=\"col-md-12 my-3\">\n\t\t\t\t\t\t\t<h3>Participant Address and Contact Information<\/h3>\n\t\t\t\t\t\t\t<hr \/>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"row\">\n\t\t\t\t\t\t<div class=\"col-md-12 my-3\">\n\t\t\t\t\t\t\t<h5>Primary Mailing Address<\/h5>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"row\">\n\t\t\t\t\t\t<div class=\"col-md-6 mb-3\">\n\t\t\t\t\t\t\t<label for=\"0bb5b87a8005512e6e39529c473cbf796a1445bf64e8c\" class=\"form-label\">Unit Number <\/label>\n\t\t\t\t\t\t\t<input type=\"text\" name=\"participant[0bb5b87a8005512e6e39529c473cbf79]\" value=\"\" class=\"form-control\" id=\"0bb5b87a8005512e6e39529c473cbf796a1445bf64e8c\" maxlength=\"16\"    placeholder=\"Unit Number\" \/>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"row\">\n\t\t\t\t\t\t<div class=\"col-md-6 mb-3\">\n\t\t\t\t\t\t\t<label for=\"1aa5ec225a7d03e52ff14b8e7d5e37f76a1445bf64e8c\" class=\"form-label\">Street Number *<\/label>\n\t\t\t\t\t\t\t<input type=\"text\" name=\"participant[1aa5ec225a7d03e52ff14b8e7d5e37f7]\" value=\"\" class=\"form-control\" id=\"1aa5ec225a7d03e52ff14b8e7d5e37f76a1445bf64e8c\" maxlength=\"16\"  required  placeholder=\"Street Number\" \/>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"row\">\n\t\t\t\t\t\t<div class=\"col-md-6 mb-3\">\n\t\t\t\t\t\t\t<label for=\"c51f1050bc15265e6cc6df96e5de52b96a1445bf64e8c\" class=\"form-label\">Street Name *<\/label>\n\t\t\t\t\t\t\t<input type=\"text\" name=\"participant[c51f1050bc15265e6cc6df96e5de52b9]\" value=\"\" class=\"form-control\" id=\"c51f1050bc15265e6cc6df96e5de52b96a1445bf64e8c\" maxlength=\"64\"  required  placeholder=\"Street Name\" \/>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"row\">\n\t\t\t\t\t\t<div class=\"col-md-6 mb-3\">\n\t\t\t\t\t\t\t<label for=\"f3a6ea94c48231da7eb3cd2f6ae7f2516a1445bf64e8c\" class=\"form-label\">PO Box <\/label>\n\t\t\t\t\t\t\t<input type=\"text\" name=\"participant[f3a6ea94c48231da7eb3cd2f6ae7f251]\" value=\"\" class=\"form-control\" id=\"f3a6ea94c48231da7eb3cd2f6ae7f2516a1445bf64e8c\" maxlength=\"64\"    placeholder=\"PO Box\" \/>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"row\">\n\t\t\t\t\t\t<div class=\"col-md-6 mb-3\">\n\t\t\t\t\t\t\t<label for=\"d0d3563edb933c47383da07182b54f656a1445bf64e8c\" class=\"form-label\">City\/Town *<\/label>\n\t\t\t\t\t\t\t<input type=\"text\" name=\"participant[d0d3563edb933c47383da07182b54f65]\" value=\"\" class=\"form-control\" id=\"d0d3563edb933c47383da07182b54f656a1445bf64e8c\" maxlength=\"64\"  required  placeholder=\"City\/Town\" \/>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"row\">\n\t\t\t\t\t\t<div class=\"col-md-6 mb-3\">\n\t\t\t\t\t\t\t<label for=\"e32da53d99335b4770ed889d3e4de2476a1445bf64e8c\" class=\"form-label\">Province *<\/label>\n\t\t\t\t\t\t\t<input type=\"text\" name=\"participant[e32da53d99335b4770ed889d3e4de247]\" value=\"\" class=\"form-control\" id=\"e32da53d99335b4770ed889d3e4de2476a1445bf64e8c\" maxlength=\"64\"  required  placeholder=\"Province\" \/>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"row\">\n\t\t\t\t\t\t<div class=\"col-md-6 mb-3\">\n\t\t\t\t\t\t\t<label for=\"1d3e3ed3a68feca2a6e8e6d9d0a533fd6a1445bf64e8c\" class=\"form-label\">Postal Code *<\/label>\n\t\t\t\t\t\t\t<input type=\"text\" name=\"participant[1d3e3ed3a68feca2a6e8e6d9d0a533fd]\" value=\"\" class=\"form-control\" id=\"1d3e3ed3a68feca2a6e8e6d9d0a533fd6a1445bf64e8c\" maxlength=\"7\" data-pattern=\"^[AaBbCcEeGgHhJ-Nj-nPpRrSsTtVvXxYy]\\d[AaBbCcEeGgHhJ-Nj-nPpRrSsTtV-Zv-z][ -]?\\d[AaBbCcEeGgHhJ-Nj-nPpRrSsTtV-Zv-z]\\d$\" required  placeholder=\"Postal Code\" \/>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"row\">\n\t\t\t\t\t\t<div class=\"col-md-12 my-3\">\n\t\t\t\t\t\t\t<h5>Alternate Mailing Address<\/h5>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"row\">\n\t\t\t\t\t\t<div class=\"col-md-6 mb-3\">\n\t\t\t\t\t\t\t<label for=\"b49e9d9e98294887e098355a332fb3ac6a1445bf64e8c\" class=\"form-label\">Unit Number <\/label>\n\t\t\t\t\t\t\t<input type=\"text\" name=\"participant[b49e9d9e98294887e098355a332fb3ac]\" value=\"\" class=\"form-control\" id=\"b49e9d9e98294887e098355a332fb3ac6a1445bf64e8c\" maxlength=\"16\"    placeholder=\"Unit Number\" \/>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"row\">\n\t\t\t\t\t\t<div class=\"col-md-6 mb-3\">\n\t\t\t\t\t\t\t<label for=\"086f0d4e89bcfe9efe51651da495223f6a1445bf64e8c\" class=\"form-label\">Street Number <\/label>\n\t\t\t\t\t\t\t<input type=\"text\" name=\"participant[086f0d4e89bcfe9efe51651da495223f]\" value=\"\" class=\"form-control\" id=\"086f0d4e89bcfe9efe51651da495223f6a1445bf64e8c\" maxlength=\"16\"    placeholder=\"Street Number\" \/>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"row\">\n\t\t\t\t\t\t<div class=\"col-md-6 mb-3\">\n\t\t\t\t\t\t\t<label for=\"cd8da4ece5556421a6993f707095d0576a1445bf64e8c\" class=\"form-label\">Street Name <\/label>\n\t\t\t\t\t\t\t<input type=\"text\" name=\"participant[cd8da4ece5556421a6993f707095d057]\" value=\"\" class=\"form-control\" id=\"cd8da4ece5556421a6993f707095d0576a1445bf64e8c\" maxlength=\"64\"    placeholder=\"Street Name\" \/>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"row\">\n\t\t\t\t\t\t<div class=\"col-md-6 mb-3\">\n\t\t\t\t\t\t\t<label for=\"414409da1527da1a0faa6925e0847dc96a1445bf64e8c\" class=\"form-label\">PO Box <\/label>\n\t\t\t\t\t\t\t<input type=\"text\" name=\"participant[414409da1527da1a0faa6925e0847dc9]\" value=\"\" class=\"form-control\" id=\"414409da1527da1a0faa6925e0847dc96a1445bf64e8c\" maxlength=\"64\"    placeholder=\"PO Box\" \/>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"row\">\n\t\t\t\t\t\t<div class=\"col-md-6 mb-3\">\n\t\t\t\t\t\t\t<label for=\"22ef5a393477127a3812762a74be9eca6a1445bf64e8c\" class=\"form-label\">City\/Town <\/label>\n\t\t\t\t\t\t\t<input type=\"text\" name=\"participant[22ef5a393477127a3812762a74be9eca]\" value=\"\" class=\"form-control\" id=\"22ef5a393477127a3812762a74be9eca6a1445bf64e8c\" maxlength=\"64\"    placeholder=\"City\/Town\" \/>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"row\">\n\t\t\t\t\t\t<div class=\"col-md-6 mb-3\">\n\t\t\t\t\t\t\t<label for=\"fd2dddc1e04b4f4589f218f4fbb2f98c6a1445bf64e8c\" class=\"form-label\">Province <\/label>\n\t\t\t\t\t\t\t<input type=\"text\" name=\"participant[fd2dddc1e04b4f4589f218f4fbb2f98c]\" value=\"\" class=\"form-control\" id=\"fd2dddc1e04b4f4589f218f4fbb2f98c6a1445bf64e8c\" maxlength=\"64\"    placeholder=\"Province\" \/>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"row\">\n\t\t\t\t\t\t<div class=\"col-md-6 mb-3\">\n\t\t\t\t\t\t\t<label for=\"59cd4c2e454d894067b49adcc8ee42636a1445bf64e8c\" class=\"form-label\">Postal Code <\/label>\n\t\t\t\t\t\t\t<input type=\"text\" name=\"participant[59cd4c2e454d894067b49adcc8ee4263]\" value=\"\" class=\"form-control\" id=\"59cd4c2e454d894067b49adcc8ee42636a1445bf64e8c\" maxlength=\"7\" data-pattern=\"^[AaBbCcEeGgHhJ-Nj-nPpRrSsTtVvXxYy]\\d[AaBbCcEeGgHhJ-Nj-nPpRrSsTtV-Zv-z][ -]?\\d[AaBbCcEeGgHhJ-Nj-nPpRrSsTtV-Zv-z]\\d$\"   placeholder=\"Postal Code\" \/>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"row\">\n\t\t\t\t\t\t<div class=\"col-md-12 mb-3\">\n\t\t\t\t\t\t\t<p>Primary Phone Number *<\/p>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[6088ae9f3a5f79a57e7876d86939165f]\" value=\"home\" id=\"6088ae9f3a5f79a57e7876d86939165f1\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"6088ae9f3a5f79a57e7876d86939165f1\">\n\t\t\t\t\t\t\t\tHome\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[6088ae9f3a5f79a57e7876d86939165f]\" value=\"mobile\" id=\"6088ae9f3a5f79a57e7876d86939165f2\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"6088ae9f3a5f79a57e7876d86939165f2\">\n\t\t\t\t\t\t\t\tMobile\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[6088ae9f3a5f79a57e7876d86939165f]\" value=\"other\" id=\"6088ae9f3a5f79a57e7876d86939165f3\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"6088ae9f3a5f79a57e7876d86939165f3\">\n\t\t\t\t\t\t\t\tOther\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"row\">\n\t\t\t\t\t\t<div class=\"col-md-6 mb-3\">\n\t\t\t\t\t\t\t<label for=\"39f8707efcc9160ed10fc11a4dde501a6a1445bf64e8c\" class=\"form-label\">Telephone Number *<\/label>\n\t\t\t\t\t\t\t<input type=\"text\" name=\"participant[39f8707efcc9160ed10fc11a4dde501a]\" value=\"\" class=\"form-control\" id=\"39f8707efcc9160ed10fc11a4dde501a6a1445bf64e8c\" maxlength=\"20\" data-pattern=\"^[\\+]?[(]?[0-9]{3}[)]?[-\\s\\.]?[0-9]{3}[-\\s\\.]?[0-9]{4,6}$\" required  placeholder=\"Telephone Number\" \/>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"row\">\n\t\t\t\t\t\t<div class=\"col-md-12 mb-3\">\n\t\t\t\t\t\t\t<p>Alternate Phone Number <\/p>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[26eb33bfea55a8f2ee5073f69d996f41]\" value=\"home\" id=\"26eb33bfea55a8f2ee5073f69d996f411\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"26eb33bfea55a8f2ee5073f69d996f411\">\n\t\t\t\t\t\t\t\tHome\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[26eb33bfea55a8f2ee5073f69d996f41]\" value=\"mobile\" id=\"26eb33bfea55a8f2ee5073f69d996f412\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"26eb33bfea55a8f2ee5073f69d996f412\">\n\t\t\t\t\t\t\t\tMobile\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[26eb33bfea55a8f2ee5073f69d996f41]\" value=\"other\" id=\"26eb33bfea55a8f2ee5073f69d996f413\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"26eb33bfea55a8f2ee5073f69d996f413\">\n\t\t\t\t\t\t\t\tOther\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"row\">\n\t\t\t\t\t\t<div class=\"col-md-6 mb-3\">\n\t\t\t\t\t\t\t<label for=\"581165366ebef2c0f25ef90ffbb2b3146a1445bf64e8c\" class=\"form-label\">Telephone Number <\/label>\n\t\t\t\t\t\t\t<input type=\"text\" name=\"participant[581165366ebef2c0f25ef90ffbb2b314]\" value=\"\" class=\"form-control\" id=\"581165366ebef2c0f25ef90ffbb2b3146a1445bf64e8c\" maxlength=\"20\" data-pattern=\"^[\\+]?[(]?[0-9]{3}[)]?[-\\s\\.]?[0-9]{3}[-\\s\\.]?[0-9]{4,6}$\"   placeholder=\"Telephone Number\" \/>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"row\">\n\t\t\t\t\t\t<div class=\"col-md-6 mb-3\">\n\t\t\t\t\t\t\t<label for=\"517b6a31c4c313a42407f564e209f5226a1445bf64e8c\" class=\"form-label\">Email <\/label>\n\t\t\t\t\t\t\t<input type=\"email\" name=\"participant[517b6a31c4c313a42407f564e209f522]\" value=\"\" class=\"form-control\" id=\"517b6a31c4c313a42407f564e209f5226a1445bf64e8c\" maxlength=\"64\" data-pattern=\"^[a-zA-Z0-9.!#$%&#038;'*+\/=?^_`{|}~-]+@[a-zA-Z0-9-]+(?:\\.[a-zA-Z0-9-]+)*$\"    \/>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"row\">\n\t\t\t\t\t\t<div class=\"col-md-12 my-3\">\n\t\t\t\t\t\t\t<h3>Profile Information<\/h3>\n\t\t\t\t\t\t\t<hr \/>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"row\">\n\t\t\t\t\t\t<div class=\"col-md-12 mb-3\">\n\t\t\t\t\t\t\t<p>Labour force attachment *<\/p>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[43314a94328c738274e28b9e12b54b84]\" value=\"employed\" id=\"43314a94328c738274e28b9e12b54b841\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"43314a94328c738274e28b9e12b54b841\">\n\t\t\t\t\t\t\t\tEmployed\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[43314a94328c738274e28b9e12b54b84]\" value=\"self_employed\" id=\"43314a94328c738274e28b9e12b54b842\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"43314a94328c738274e28b9e12b54b842\">\n\t\t\t\t\t\t\t\tSelf-Employed\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[43314a94328c738274e28b9e12b54b84]\" value=\"employed_but_currently_on_a_leave\" id=\"43314a94328c738274e28b9e12b54b843\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"43314a94328c738274e28b9e12b54b843\">\n\t\t\t\t\t\t\t\tEmployed, but currently on a leave\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[43314a94328c738274e28b9e12b54b84]\" value=\"unemployed\" id=\"43314a94328c738274e28b9e12b54b844\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"43314a94328c738274e28b9e12b54b844\">\n\t\t\t\t\t\t\t\tUnemployed\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[43314a94328c738274e28b9e12b54b84]\" value=\"not_employed_and_looking_for_work\" id=\"43314a94328c738274e28b9e12b54b845\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"43314a94328c738274e28b9e12b54b845\">\n\t\t\t\t\t\t\t\tNot employed and looking for work\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[43314a94328c738274e28b9e12b54b84]\" value=\"not_employed_with_an_employment_offer\" id=\"43314a94328c738274e28b9e12b54b846\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"43314a94328c738274e28b9e12b54b846\">\n\t\t\t\t\t\t\t\tNot employed with an employment offer\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[43314a94328c738274e28b9e12b54b84]\" value=\"not_employed_and_not_looking_for_work\" id=\"43314a94328c738274e28b9e12b54b847\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"43314a94328c738274e28b9e12b54b847\">\n\t\t\t\t\t\t\t\tNot employed and not looking for work\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[43314a94328c738274e28b9e12b54b84]\" value=\"not_employed_and_unable_to_work\" id=\"43314a94328c738274e28b9e12b54b848\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"43314a94328c738274e28b9e12b54b848\">\n\t\t\t\t\t\t\t\tNot employed and unable to work\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[43314a94328c738274e28b9e12b54b84]\" value=\"attending_a_school_elementary_high_school_or_equivalent\" id=\"43314a94328c738274e28b9e12b54b849\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"43314a94328c738274e28b9e12b54b849\">\n\t\t\t\t\t\t\t\tAttending a school (elementary, high school or equivalent)\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[43314a94328c738274e28b9e12b54b84]\" value=\"attending_a_university\" id=\"43314a94328c738274e28b9e12b54b8410\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"43314a94328c738274e28b9e12b54b8410\">\n\t\t\t\t\t\t\t\tAttending a university\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[43314a94328c738274e28b9e12b54b84]\" value=\"attending_a_college\" id=\"43314a94328c738274e28b9e12b54b8411\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"43314a94328c738274e28b9e12b54b8411\">\n\t\t\t\t\t\t\t\tAttending a college\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[43314a94328c738274e28b9e12b54b84]\" value=\"registered_in_an_apprenticeship_program\" id=\"43314a94328c738274e28b9e12b54b8412\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"43314a94328c738274e28b9e12b54b8412\">\n\t\t\t\t\t\t\t\tRegistered in an apprenticeship program\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[43314a94328c738274e28b9e12b54b84]\" value=\"in_other_training_or_skills_development_program\" id=\"43314a94328c738274e28b9e12b54b8413\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"43314a94328c738274e28b9e12b54b8413\">\n\t\t\t\t\t\t\t\tIn other training or skills development program\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[43314a94328c738274e28b9e12b54b84]\" value=\"not_sure\" id=\"43314a94328c738274e28b9e12b54b8414\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"43314a94328c738274e28b9e12b54b8414\">\n\t\t\t\t\t\t\t\tNot sure\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[43314a94328c738274e28b9e12b54b84]\" value=\"prefer_not_to_say\" id=\"43314a94328c738274e28b9e12b54b8415\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"43314a94328c738274e28b9e12b54b8415\">\n\t\t\t\t\t\t\t\tPrefer not to say\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"row\">\n\t\t\t\t\t\t<div class=\"col-md-12 mb-3\">\n\t\t\t\t\t\t\t<p>Source of Income *<\/p>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[898079f96eb7065c1efd4b6d6c5777ef]\" value=\"employment_insurance_ei\" id=\"898079f96eb7065c1efd4b6d6c5777ef1\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"898079f96eb7065c1efd4b6d6c5777ef1\">\n\t\t\t\t\t\t\t\tEmployment Insurance (EI) *\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[898079f96eb7065c1efd4b6d6c5777ef]\" value=\"ontario_works_ow\" id=\"898079f96eb7065c1efd4b6d6c5777ef2\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"898079f96eb7065c1efd4b6d6c5777ef2\">\n\t\t\t\t\t\t\t\tOntario Works (OW)\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[898079f96eb7065c1efd4b6d6c5777ef]\" value=\"ontario_disability_support_program_odsp\" id=\"898079f96eb7065c1efd4b6d6c5777ef3\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"898079f96eb7065c1efd4b6d6c5777ef3\">\n\t\t\t\t\t\t\t\tOntario Disability Support Program (ODSP)\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[898079f96eb7065c1efd4b6d6c5777ef]\" value=\"crown_ward_extended_care_and_maintenance\" id=\"898079f96eb7065c1efd4b6d6c5777ef4\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"898079f96eb7065c1efd4b6d6c5777ef4\">\n\t\t\t\t\t\t\t\tCrown Ward Extended Care and Maintenance\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[898079f96eb7065c1efd4b6d6c5777ef]\" value=\"dependent_of_ow_odsp\" id=\"898079f96eb7065c1efd4b6d6c5777ef5\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"898079f96eb7065c1efd4b6d6c5777ef5\">\n\t\t\t\t\t\t\t\tDependent of OW\/ODSP\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[898079f96eb7065c1efd4b6d6c5777ef]\" value=\"no_income\" id=\"898079f96eb7065c1efd4b6d6c5777ef6\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"898079f96eb7065c1efd4b6d6c5777ef6\">\n\t\t\t\t\t\t\t\tNo income\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[898079f96eb7065c1efd4b6d6c5777ef]\" value=\"employed_with_employer\" id=\"898079f96eb7065c1efd4b6d6c5777ef7\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"898079f96eb7065c1efd4b6d6c5777ef7\">\n\t\t\t\t\t\t\t\tEmployed with employer\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[898079f96eb7065c1efd4b6d6c5777ef]\" value=\"self_employed\" id=\"898079f96eb7065c1efd4b6d6c5777ef8\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"898079f96eb7065c1efd4b6d6c5777ef8\">\n\t\t\t\t\t\t\t\tSelf-Employed\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[898079f96eb7065c1efd4b6d6c5777ef]\" value=\"non_ei_other\" id=\"898079f96eb7065c1efd4b6d6c5777ef9\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"898079f96eb7065c1efd4b6d6c5777ef9\">\n\t\t\t\t\t\t\t\tNon-EI (other)\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[898079f96eb7065c1efd4b6d6c5777ef]\" value=\"other\" id=\"898079f96eb7065c1efd4b6d6c5777ef10\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"898079f96eb7065c1efd4b6d6c5777ef10\">\n\t\t\t\t\t\t\t\tOther (Specify)\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"row d-none\" data-sdf-ts-form-option-extended=\"source_of_income_other\">\n\t\t\t\t\t\t\t<div class=\"col-md-6 mb-3\">\n\t\t\t\t\t\t\t\t<input type=\"text\" name=\"participant[86f7c8749db84db9dcbda9df6f853010]\" value=\"\" class=\"form-control\" id=\"86f7c8749db84db9dcbda9df6f8530106a1445bf64e8c\" maxlength=\"64\"    placeholder=\"Other (Specify)\" \/>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"row\">\n\t\t\t\t\t\t<div class=\"col-md-12 mb-3\">\n\t\t\t\t\t\t\t<p><em>*Note for individuals who selected EI: Your Social Insurance Number will be used by Canada to help monitor and assess the EI program and the Service Provider to request approval to continue to receive regular EI benefits in order to take part in training programs and other employment activities.<\/em><\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"row\">\n\t\t\t\t\t\t<div class=\"col-md-12 mb-3\">\n\t\t\t\t\t\t\t<p>Self identification <\/p>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"checkbox\" name=\"participant[114af6b72dba9b2adf4e7738b105f484]\" value=\"newcomer\" id=\"114af6b72dba9b2adf4e7738b105f4841\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"114af6b72dba9b2adf4e7738b105f4841\">\n\t\t\t\t\t\t\t\tNewcomer\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"checkbox\" name=\"participant[114af6b72dba9b2adf4e7738b105f484]\" value=\"francophone\" id=\"114af6b72dba9b2adf4e7738b105f4842\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"114af6b72dba9b2adf4e7738b105f4842\">\n\t\t\t\t\t\t\t\tFrancophone\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"checkbox\" name=\"participant[114af6b72dba9b2adf4e7738b105f484]\" value=\"first_nations\" id=\"114af6b72dba9b2adf4e7738b105f4843\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"114af6b72dba9b2adf4e7738b105f4843\">\n\t\t\t\t\t\t\t\tFirst Nations\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"checkbox\" name=\"participant[114af6b72dba9b2adf4e7738b105f484]\" value=\"racialized_person\" id=\"114af6b72dba9b2adf4e7738b105f4844\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"114af6b72dba9b2adf4e7738b105f4844\">\n\t\t\t\t\t\t\t\tRacialized Person\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"checkbox\" name=\"participant[114af6b72dba9b2adf4e7738b105f484]\" value=\"person_with_disability\" id=\"114af6b72dba9b2adf4e7738b105f4845\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"114af6b72dba9b2adf4e7738b105f4845\">\n\t\t\t\t\t\t\t\tPerson with Disability\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"checkbox\" name=\"participant[114af6b72dba9b2adf4e7738b105f484]\" value=\"metis\" id=\"114af6b72dba9b2adf4e7738b105f4846\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"114af6b72dba9b2adf4e7738b105f4846\">\n\t\t\t\t\t\t\t\tM\u00e9tis\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"checkbox\" name=\"participant[114af6b72dba9b2adf4e7738b105f484]\" value=\"veteran\" id=\"114af6b72dba9b2adf4e7738b105f4847\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"114af6b72dba9b2adf4e7738b105f4847\">\n\t\t\t\t\t\t\t\tVeteran\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"checkbox\" name=\"participant[114af6b72dba9b2adf4e7738b105f484]\" value=\"inuit\" id=\"114af6b72dba9b2adf4e7738b105f4848\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"114af6b72dba9b2adf4e7738b105f4848\">\n\t\t\t\t\t\t\t\tInuit\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"checkbox\" name=\"participant[114af6b72dba9b2adf4e7738b105f484]\" value=\"women\" id=\"114af6b72dba9b2adf4e7738b105f4849\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"114af6b72dba9b2adf4e7738b105f4849\">\n\t\t\t\t\t\t\t\tWomen\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"checkbox\" name=\"participant[114af6b72dba9b2adf4e7738b105f484]\" value=\"youth\" id=\"114af6b72dba9b2adf4e7738b105f48410\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"114af6b72dba9b2adf4e7738b105f48410\">\n\t\t\t\t\t\t\t\tYouth\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"checkbox\" name=\"participant[114af6b72dba9b2adf4e7738b105f484]\" value=\"justice_system_involved\" id=\"114af6b72dba9b2adf4e7738b105f48411\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"114af6b72dba9b2adf4e7738b105f48411\">\n\t\t\t\t\t\t\t\tJustice System Involved\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"checkbox\" name=\"participant[114af6b72dba9b2adf4e7738b105f484]\" value=\"immigrant\" id=\"114af6b72dba9b2adf4e7738b105f48412\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"114af6b72dba9b2adf4e7738b105f48412\">\n\t\t\t\t\t\t\t\tImmigrant\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"checkbox\" name=\"participant[114af6b72dba9b2adf4e7738b105f484]\" value=\"prefer_not_to_say\" id=\"114af6b72dba9b2adf4e7738b105f48413\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"114af6b72dba9b2adf4e7738b105f48413\">\n\t\t\t\t\t\t\t\tPrefer not to say\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"row\">\n\t\t\t\t\t\t<div class=\"col-md-12 my-3\">\n\t\t\t\t\t\t\t<h3>Education<\/h3>\n\t\t\t\t\t\t\t<hr \/>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"row\">\n\t\t\t\t\t\t<div class=\"col-md-12 mb-3\">\n\t\t\t\t\t\t\t<p>Indicate your Highest Level of Education\/Qualification *<\/p>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[69fe3ca8d5f3cbb9b8ad6fe5b13fd351]\" value=\"grade_0_8\" id=\"69fe3ca8d5f3cbb9b8ad6fe5b13fd3511\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"69fe3ca8d5f3cbb9b8ad6fe5b13fd3511\">\n\t\t\t\t\t\t\t\tGrade 0 &#8211; 8\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[69fe3ca8d5f3cbb9b8ad6fe5b13fd351]\" value=\"grade_9\" id=\"69fe3ca8d5f3cbb9b8ad6fe5b13fd3512\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"69fe3ca8d5f3cbb9b8ad6fe5b13fd3512\">\n\t\t\t\t\t\t\t\tGrade 9\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[69fe3ca8d5f3cbb9b8ad6fe5b13fd351]\" value=\"grade_10\" id=\"69fe3ca8d5f3cbb9b8ad6fe5b13fd3513\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"69fe3ca8d5f3cbb9b8ad6fe5b13fd3513\">\n\t\t\t\t\t\t\t\tGrade 10\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[69fe3ca8d5f3cbb9b8ad6fe5b13fd351]\" value=\"grade_11\" id=\"69fe3ca8d5f3cbb9b8ad6fe5b13fd3514\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"69fe3ca8d5f3cbb9b8ad6fe5b13fd3514\">\n\t\t\t\t\t\t\t\tGrade 11\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[69fe3ca8d5f3cbb9b8ad6fe5b13fd351]\" value=\"grade_12_or_equivalent\" id=\"69fe3ca8d5f3cbb9b8ad6fe5b13fd3515\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"69fe3ca8d5f3cbb9b8ad6fe5b13fd3515\">\n\t\t\t\t\t\t\t\tGrade 12 (or equivalent)\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[69fe3ca8d5f3cbb9b8ad6fe5b13fd351]\" value=\"OAC\" id=\"69fe3ca8d5f3cbb9b8ad6fe5b13fd3516\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"69fe3ca8d5f3cbb9b8ad6fe5b13fd3516\">\n\t\t\t\t\t\t\t\tOAC\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[69fe3ca8d5f3cbb9b8ad6fe5b13fd351]\" value=\"certificate_of_apprenticeship\" id=\"69fe3ca8d5f3cbb9b8ad6fe5b13fd3517\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"69fe3ca8d5f3cbb9b8ad6fe5b13fd3517\">\n\t\t\t\t\t\t\t\tCertificate of Apprenticeship\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[69fe3ca8d5f3cbb9b8ad6fe5b13fd351]\" value=\"journeyperson\" id=\"69fe3ca8d5f3cbb9b8ad6fe5b13fd3518\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"69fe3ca8d5f3cbb9b8ad6fe5b13fd3518\">\n\t\t\t\t\t\t\t\tJourneyperson\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[69fe3ca8d5f3cbb9b8ad6fe5b13fd351]\" value=\"certificate_diploma\" id=\"69fe3ca8d5f3cbb9b8ad6fe5b13fd3519\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"69fe3ca8d5f3cbb9b8ad6fe5b13fd3519\">\n\t\t\t\t\t\t\t\tCertificate\/Diploma\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[69fe3ca8d5f3cbb9b8ad6fe5b13fd351]\" value=\"bachelors_ degree\" id=\"69fe3ca8d5f3cbb9b8ad6fe5b13fd35110\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"69fe3ca8d5f3cbb9b8ad6fe5b13fd35110\">\n\t\t\t\t\t\t\t\tBachelor\u2019s Degree\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[69fe3ca8d5f3cbb9b8ad6fe5b13fd351]\" value=\"post_graduate\" id=\"69fe3ca8d5f3cbb9b8ad6fe5b13fd35111\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"69fe3ca8d5f3cbb9b8ad6fe5b13fd35111\">\n\t\t\t\t\t\t\t\tPost Graduate\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[69fe3ca8d5f3cbb9b8ad6fe5b13fd351]\" value=\"other\" id=\"69fe3ca8d5f3cbb9b8ad6fe5b13fd35112\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"69fe3ca8d5f3cbb9b8ad6fe5b13fd35112\">\n\t\t\t\t\t\t\t\tOther\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"row\">\n\t\t\t\t\t\t<div class=\"col-md-12 my-3\">\n\t\t\t\t\t\t\t<h3>Employment<\/h3>\n\t\t\t\t\t\t\t<hr \/>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"row\">\n\t\t\t\t\t\t<div class=\"col-md-12 mb-3\">\n\t\t\t\t\t\t\t<p>Employment Type <\/p>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[953b3ca57b17d805289353428a1c792c]\" value=\"paid\" id=\"953b3ca57b17d805289353428a1c792c1\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"953b3ca57b17d805289353428a1c792c1\">\n\t\t\t\t\t\t\t\tPaid\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[953b3ca57b17d805289353428a1c792c]\" value=\"self_employed\" id=\"953b3ca57b17d805289353428a1c792c2\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"953b3ca57b17d805289353428a1c792c2\">\n\t\t\t\t\t\t\t\tSelf-Employed\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[953b3ca57b17d805289353428a1c792c]\" value=\"unpaid\" id=\"953b3ca57b17d805289353428a1c792c3\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"953b3ca57b17d805289353428a1c792c3\">\n\t\t\t\t\t\t\t\tUnpaid\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[953b3ca57b17d805289353428a1c792c]\" value=\"volunteer\" id=\"953b3ca57b17d805289353428a1c792c4\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"953b3ca57b17d805289353428a1c792c4\">\n\t\t\t\t\t\t\t\tVolunteer\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"row\">\n\t\t\t\t\t\t<div class=\"col-md-6 mb-3\">\n\t\t\t\t\t\t\t<label for=\"4d59a39c946693f48aee01c0f5c05b6a6a1445bf64e8c\" class=\"form-label\">Name of Employer <\/label>\n\t\t\t\t\t\t\t<input type=\"text\" name=\"participant[4d59a39c946693f48aee01c0f5c05b6a]\" value=\"\" class=\"form-control\" id=\"4d59a39c946693f48aee01c0f5c05b6a6a1445bf64e8c\" maxlength=\"128\"    placeholder=\"Name of Employer\" \/>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"row\">\n\t\t\t\t\t\t<div class=\"col-md-6 mb-3\">\n\t\t\t\t\t\t\t<label for=\"66393348db39b4d2f25bce327f5f58056a1445bf64e8c\" class=\"form-label\">Job Title\/Duties <\/label>\n\t\t\t\t\t\t\t<input type=\"text\" name=\"participant[66393348db39b4d2f25bce327f5f5805]\" value=\"\" class=\"form-control\" id=\"66393348db39b4d2f25bce327f5f58056a1445bf64e8c\" maxlength=\"128\"    placeholder=\"Job Title\/Duties\" \/>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"row\">\n\t\t\t\t\t\t<div class=\"col-md-6 mb-3\">\n\t\t\t\t\t\t\t<label for=\"69fb179947d2c3d87834611b07a7997c6a1445bf64e8c\" class=\"form-label\">Employment Start Date  <\/label>\n\t\t\t\t\t\t\t<input type=\"date\" name=\"participant[69fb179947d2c3d87834611b07a7997c]\" value=\"\" class=\"form-control\" id=\"69fb179947d2c3d87834611b07a7997c6a1445bf64e8c\" maxlength=\"10\"     \/>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"row\">\n\t\t\t\t\t\t<div class=\"col-md-6 mb-3\">\n\t\t\t\t\t\t\t<label for=\"82641e2862a69076e1c9ddd3f70a23c96a1445bf64e8c\" class=\"form-label\">Employment End Date  <\/label>\n\t\t\t\t\t\t\t<input type=\"date\" name=\"participant[82641e2862a69076e1c9ddd3f70a23c9]\" value=\"\" class=\"form-control\" id=\"82641e2862a69076e1c9ddd3f70a23c96a1445bf64e8c\" maxlength=\"10\"     \/>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"row\">\n\t\t\t\t\t\t<div class=\"col-md-6 mb-3\">\n\t\t\t\t\t\t\t<label for=\"1868271461913d1c4ee4cf8cb5c1c8556a1445bf64e8c\" class=\"form-label\">Country of Employment <\/label>\n\t\t\t\t\t\t\t<input type=\"text\" name=\"participant[1868271461913d1c4ee4cf8cb5c1c855]\" value=\"\" class=\"form-control\" id=\"1868271461913d1c4ee4cf8cb5c1c8556a1445bf64e8c\" maxlength=\"64\"    placeholder=\"Country of Employment\" \/>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"row\">\n\t\t\t\t\t\t<div class=\"col-md-12 mb-3\">\n\t\t\t\t\t\t\t<p>Preferred method of reporting wage <\/p>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[e62f5ff870028413c1b36b3daa1080d1]\" value=\"hourly\" id=\"e62f5ff870028413c1b36b3daa1080d11\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"e62f5ff870028413c1b36b3daa1080d11\">\n\t\t\t\t\t\t\t\tHourly\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[e62f5ff870028413c1b36b3daa1080d1]\" value=\"weekly\" id=\"e62f5ff870028413c1b36b3daa1080d12\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"e62f5ff870028413c1b36b3daa1080d12\">\n\t\t\t\t\t\t\t\tWeekly\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[e62f5ff870028413c1b36b3daa1080d1]\" value=\"bi_weekly\" id=\"e62f5ff870028413c1b36b3daa1080d13\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"e62f5ff870028413c1b36b3daa1080d13\">\n\t\t\t\t\t\t\t\tBi-Weekly\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[e62f5ff870028413c1b36b3daa1080d1]\" value=\"monthly\" id=\"e62f5ff870028413c1b36b3daa1080d14\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"e62f5ff870028413c1b36b3daa1080d14\">\n\t\t\t\t\t\t\t\tMonthly\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form-check\">\n\t\t\t\t\t\t\t\t<input class=\"form-check-input\" type=\"radio\" name=\"participant[e62f5ff870028413c1b36b3daa1080d1]\" value=\"yearly\" id=\"e62f5ff870028413c1b36b3daa1080d15\" \/>\n\t\t\t\t\t\t\t\t<label class=\"form-check-label\" for=\"e62f5ff870028413c1b36b3daa1080d15\">\n\t\t\t\t\t\t\t\tYearly\t\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"row\">\n\t\t\t\t\t\t<div class=\"col-md-6 mb-3\">\n\t\t\t\t\t\t\t<label for=\"8b97476671c17f8ef07488e01bd25d606a1445bf64e8c\" class=\"form-label\">Wage Amount ($) *<\/label>\n\t\t\t\t\t\t\t<input type=\"text\" name=\"participant[8b97476671c17f8ef07488e01bd25d60]\" value=\"\" class=\"form-control\" id=\"8b97476671c17f8ef07488e01bd25d606a1445bf64e8c\" maxlength=\"32\"  required  placeholder=\"Wage Amount ($)\" \/>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"row\">\n\t\t\t\t\t\t<div class=\"col-md-6 mb-3\">\n\t\t\t\t\t\t\t<label for=\"b82fa089cdbcf5bcbefd6db856db7a4f6a1445bf64e8c\" class=\"form-label\">Hourly wage (including tips and commissions) ($) *<\/label>\n\t\t\t\t\t\t\t<input type=\"text\" name=\"participant[b82fa089cdbcf5bcbefd6db856db7a4f]\" value=\"\" class=\"form-control\" id=\"b82fa089cdbcf5bcbefd6db856db7a4f6a1445bf64e8c\" maxlength=\"32\"  required  placeholder=\"Hourly wage (including tips and commissions) ($)\" \/>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"row\">\n\t\t\t\t\t\t<div class=\"col-md-6 mb-3\">\n\t\t\t\t\t\t\t<label for=\"eca4eccbaf1b4dd93ca5ba2a7d6316c86a1445bf64e8c\" class=\"form-label\">Average Paid Hours per Week (excluding overtime) *<\/label>\n\t\t\t\t\t\t\t<input type=\"text\" name=\"participant[eca4eccbaf1b4dd93ca5ba2a7d6316c8]\" value=\"\" class=\"form-control\" id=\"eca4eccbaf1b4dd93ca5ba2a7d6316c86a1445bf64e8c\" maxlength=\"32\"  required  placeholder=\"Average Paid Hours per Week (excluding overtime)\" \/>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"row\">\n\t\t\t\t\t\t<div class=\"col-md-6 mb-3\">\n\t\t\t\t\t\t\t<label for=\"f54be43d8b666f24b96930aad9ae710c6a1445bf64e8c\" class=\"form-label\">Reason for Leaving <\/label>\n\t\t\t\t\t\t\t<input type=\"text\" name=\"participant[f54be43d8b666f24b96930aad9ae710c]\" value=\"\" class=\"form-control\" id=\"f54be43d8b666f24b96930aad9ae710c6a1445bf64e8c\" maxlength=\"512\"    placeholder=\"Reason for Leaving\" \/>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"row\">\n\t\t<div class=\"col-md-12 mt-3\">\n\t\t\t<div class=\"form-check\">\n\t\t\t\t<input class=\"form-check-input\" type=\"checkbox\" value=\"1\" id=\"sdf-ts-acknowledgement\" \/>\n\t\t\t\t<label class=\"form-check-label\" for=\"sdf-ts-acknowledgement\">\n\t\t\t\tI\/we acknowledge that my Service Provider has explained its use and disclosure of my personal information for its purpose. <a href=\"\" data-bs-toggle=\"modal\" data-bs-target=\"#sdf-ts-acknowledgement-text\">Click here to read it.<\/a>\n\t\t\t\t<\/label>\n\t\t\t<\/div>\n\t\t\t<div class=\"form-check\">\n\t\t\t\t<input class=\"form-check-input\" type=\"checkbox\" value=\"1\" id=\"sdf-ts-consent\" \/>\n\t\t\t\t<label class=\"form-check-label\" for=\"sdf-ts-consent\">\n\t\t\t\tI\/we give consent to the Ministry to indirectly collect, use and disclose my personal information for the purposes set out above.\n\t\t\t\t<\/label>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\t\n\t<div class=\"row\">\n\t\t<div class=\"col-auto mt-5\">\n\t\t\t<button type=\"submit\" name=\"d4bf60ee4f89edd0276c08ff2d716e52\" class=\"btn btn-danger\">Submit<\/button>\n\t\t<\/div>\n\t<\/div>\n<\/form>\n<div class=\"modal fade \" id=\"sdf-ts-acknowledgement-text\" data-bs-backdrop=\"static\" data-bs-keyboard=\"false\" tabindex=\"-1\" aria-labelledby=\"staticBackdropLabel\" aria-hidden=\"true\">\n\t<div class=\"modal-dialog modal-xl\">\n\t\t<div class=\"modal-content\">\n\t\t\t<div class=\"modal-header\">\n\t\t\t\t<h5 class=\"modal-title\" id=\"exampleModalLabel\">Notice of Collection and Consent<\/h5>\n\t\t\t\t<button type=\"button\" class=\"btn-close\" data-bs-dismiss=\"modal\" aria-label=\"Close\"><\/button>\n\t\t\t<\/div>\n\t\t\t<div class=\"modal-body\">\n\t\t\t\t<p>Organizations delivering Skills Development Fund Training Stream under a transfer payment agreement with the Ministry of Labour, Immigration, Training and Skills Development (the \u201cMinistry\u201d) are required to make its records available to the Ministry for inspection, investigation or audit.<\/p>\n\t\t\t\t<p>Partnership Agreements with Third Party Providers:<\/p>\n\t\t\t\t<p>For those organizations in a Partnership Agreement with a lead organization, please note that the lead organization has a transfer payment agreement with the Ministry. In accordance with the Partnership Agreement your information, including personal information, will be shared with the lead organization. The lead organization, in turn, will share your information, including personal information, with the Ministry. The partnership agreement requires that your organization make its records available to the lead organization. In turn, the lead organization will share your information with the Ministry for inspection, investigation, or audit, as appropriate and as necessary.<\/p>\n\t\t\t\t<p>Your organization\/the lead organization in the consortia is also required to report to the Ministry on:\n\t\t\t\t<ul>\n\t\t\t\t<li>The training\/services it tailors and provides you;<\/li>\n\t\t\t\t<li>Your employment progress and outcome over time; and<\/li>\n\t\t\t\t<li>Your satisfaction with the training\/services you receive.<\/li><\/ul><p>\t\t\t\n\t\t\t\t<p>Pursuant to this notice of collection and consent, you are consenting to the following:\n\t\t\t\t<ul>\n\t\t\t\t<li>The Ministry will also collect relevant personal information about you from the Government of Canada (Canada) if necessary. The purpose of this information is to determine your eligibility for Employment Insurance benefits, the nature and level of Employment Insurance benefits, and to monitor, assess and evaluate the effectiveness of Skills Development Fund Training Stream.<\/li>\n\t\t\t\t<li>Depending on the type of training\/services or support you receive and any incentives available to your employer to hire you, your organization or the Ministry may also collect personal information about you from your employer.<\/li><\/ul><\/p>\n\t\t\t\t<p>Use of Personal Information:<\/p>\n\t\t\t\t<p>The personal information that you provide to us via this form will be used by the Ministry for the following purposes:\n\t\t\t\t<ul>\n\t\t\t\t<li>Administration of SDF funded programs;<\/li>\n\t\t\t\t<li>The Ministry may also use the personal information that you provide on this form to reach out to you or use\n\t\t\t\tthird party contractors and auditors to reach out to you for the following purposes:<\/li>\n\t\t\t\t\n\t\t\t\t<ul>\n\t\t\t\t<li>Planning, evaluating and monitoring Skills Development Fund Training Stream &#8211; this includes conducting policy and statistical analysis and research related to all aspects of Skills Development Fund Training Stream. You may also be contacted to request your voluntary participation in surveys for Employment Ontario program development and evaluation purposes (e.g., learning about your employment progress and outcomes over time, and your satisfaction with the training\/services you receive) to improve future Ministry programs.<\/li>\n\t\t\t\t<li>Promoting Skills Development Fund Training Stream &#8211; you may be contacted to request your voluntary participation in public relations campaigns related to Skills Development Fund Training Stream.<\/li>\n\t\t\t\t<\/ul>\n\t\t\t\t<\/ul><\/p>\n\t\t\t\t<p>Disclosure of Personal Information:<\/p>\t\t\t\n\t\t\t\t<p>If you are a client of, or applying to, the Ontario Disability Support Program or Ontario Works, the Ministry will disclose your personal information to the Ministry of Children, Community and Social Services (MCCSS) for the purposes of administering employment services and managing the participation of MCCSS clients within employment support programs under the Ontario Works Act, 1997, and the Ontario Disability Support Program Act, 1997.<\/p>\n\t\t\t\t<p>The Ministry may also disclose your personal information to the Government of Canada for the purposes of complying with its obligations under federal funding agreements for the SDF.<\/p>\n\t\t\t\t<p>Skills Development Fund Training Stream is funded by the Ministry, in part with funds provided by Canada under Part II of the Employment Insurance Act. When funds are provided by Canada, the ministry is required to provide information to Canada to help monitor and assess the Employment Insurance Program, as required under s.3 of the Employment Insurance Act.<\/p>\n\t\t\t\t<p>Under the Labour Market Development Agreement between Canada and Ontario (LMDA) and the Workforce Development Agreement between Canada and Ontario (WDA), the Ministry is required to collect social insurance numbers from EI beneficiaries to request approval to continue to receive regular EI benefits in order to take part in training programs and other employment activities.<\/p>\n\t\t\t\t<p>Authority to Collect, Use and Disclose Personal Information:<\/p>\t\t\n\t\t\t\t<p>The Ministry is authorized to collect and use personal information from third party organizations that administer and provide SDF training and services and the Government of Canada for the purposes of developing and evaluating employment-related programs and services pursuant to subsection 15(1) of the Ministry of Training Colleges and Universities Act.<\/p>\n\t\t\t\t<p>The Ministry&#8217;s disclosure of personal information to the Government of Canada is in compliance with clause 42(1)(e) of FIPPA.<\/p>\n\t\t\t\t<p>The Ministry&#8217;s disclosure of personal information to third party contractors\/auditors and organizations that deliver Skills Funding Training is authorized by subsection 15(4.1) of the MTCU Act.<\/p>\n\t\t\t\t<p>The Ministry&#8217;s disclosure of personal information to MCCSS is authorized by subsection 15(4.1) of the MTCU Act.The Ministry collects your personal information pursuant to the LMDA and WDA, ss. 3 and 63 of the Employment Insurance Act, S.C. 1996, C.23 as amended, and s.76.29 of the Employment Insurance Regulations, SOR\/96-332. The Ministry will collect personal information from clients who identify as Ontario Disability Support Program or Ontario Works recipients and disclose your personal information to MCCSS in accordance with the s.71 of the Ontario Works Act, 1997, and s.53 of the Ontario Disability Support Program Act, 1997.<\/p>\n\t\t\t\t<p>For more information about the collection, use and disclosure of your personal information to administer and finance Skills Development Fund Training Stream, you can contact the Manager, Employment Ontario Call Centre, in writing at the Ministry of Labour, Immigration, Training and Skills Development, 33 Bloor Street East, 2nd Floor, Toronto, Ontario M7A 2S3 or by phone at 1-800-387-5656. For the hearing impaired, TTY is available at 1-866-533-6339.<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<script type=\"text\/javascript\">\n\t\tlet sdftsFormIdentifySelect_identify = document.querySelectorAll( 'input[name=\"participant[cbf725f7169a8105a6f1b1533565a796]\"]' );\n\t\n\tif ( sdftsFormIdentifySelect_identify ) {\n\t\tfor( let i = 0; i < sdftsFormIdentifySelect_identify.length; i++ ) {\n\t\t\tsdftsFormIdentifySelect_identify[i].addEventListener( 'change', function( ) {\n\t\t\t\tlet selectedOption\t= this.value.trim( ),\n\t\t\t\t\totherPanel\t\t= document.querySelector( '[data-sdf-ts-form-option-extended=\"another_gender_identity\"]'),\n\t\t\t\t\totherInputElem\t= document.querySelector( 'input[name=\"participant[de16e0f4a4b862674a251a91e8d2e6d0]\"]') ;\n\t\t\t\t\n\t\t\t\tif ( selectedOption == 'another_gender_identity' ) {\n\t\t\t\t\totherPanel.classList.remove( 'd-none' );\n\t\t\t\t}\n\t\t\t\telse {\n\t\t\t\t\totherPanel.classList.add( 'd-none' );\n\t\t\t\t\totherInputElem.value = '';\n\t\t\t\t}\n\t\t\t} );\n\t\t}\n\t}\n\t\tlet sdftsFormIdentifySelect_status_in_canada = document.querySelectorAll( 'input[name=\"participant[f7ccd4fc2a6986d4b2da67a5621ade25]\"]' );\n\t\n\tif ( sdftsFormIdentifySelect_status_in_canada ) {\n\t\tfor( let i = 0; i < sdftsFormIdentifySelect_status_in_canada.length; i++ ) {\n\t\t\tsdftsFormIdentifySelect_status_in_canada[i].addEventListener( 'change', function( ) {\n\t\t\t\tlet selectedOption\t= this.value.trim( ),\n\t\t\t\t\totherPanel\t\t= document.querySelector( '[data-sdf-ts-form-option-extended=\"status_in_canada_other\"]'),\n\t\t\t\t\totherInputElem\t= document.querySelector( 'input[name=\"participant[508f8929f2a8b7c21cfcea92e2eaf2af]\"]') ;\n\t\t\t\t\n\t\t\t\tif ( selectedOption == 'other' ) {\n\t\t\t\t\totherPanel.classList.remove( 'd-none' );\n\t\t\t\t}\n\t\t\t\telse {\n\t\t\t\t\totherPanel.classList.add( 'd-none' );\n\t\t\t\t\totherInputElem.value = '';\n\t\t\t\t}\n\t\t\t} );\n\t\t}\n\t}\n\t\tlet sdftsFormIdentifySelect_source_of_income = document.querySelectorAll( 'input[name=\"participant[898079f96eb7065c1efd4b6d6c5777ef]\"]' );\n\t\n\tif ( sdftsFormIdentifySelect_source_of_income ) {\n\t\tfor( let i = 0; i < sdftsFormIdentifySelect_source_of_income.length; i++ ) {\n\t\t\tsdftsFormIdentifySelect_source_of_income[i].addEventListener( 'change', function( ) {\n\t\t\t\tlet selectedOption\t= this.value.trim( ),\n\t\t\t\t\totherPanel\t\t= document.querySelector( '[data-sdf-ts-form-option-extended=\"source_of_income_other\"]'),\n\t\t\t\t\totherInputElem\t= document.querySelector( 'input[name=\"participant[86f7c8749db84db9dcbda9df6f853010]\"]') ;\n\t\t\t\t\n\t\t\t\tif ( selectedOption == 'other' ) {\n\t\t\t\t\totherPanel.classList.remove( 'd-none' );\n\t\t\t\t}\n\t\t\t\telse {\n\t\t\t\t\totherPanel.classList.add( 'd-none' );\n\t\t\t\t\totherInputElem.value = '';\n\t\t\t\t}\n\t\t\t} );\n\t\t}\n\t}\n\t\t\n<\/script>\n<script type=\"text\/javascript\">\nvar sdftsFormAcknowledgement\t= document.querySelector( '#sdf-ts-acknowledgement' ),\n\tsdftsFormConsent\t\t\t= document.querySelector( '#sdf-ts-consent' ),\n\tsdftsFormFields\t\t\t\t= {\n'first_name' : { type:'text', required: true, el: document.querySelector( '[name=\"participant[8f7fa6c4d3faf1877d356af493ee46a8]\"]' ) },\n'last_name' : { type:'text', required: true, el: document.querySelector( '[name=\"participant[2562dffc7a1c7b196087626dfc1f4d19]\"]' ) },\n'middle_initial' : { type:'text', required: false, el: document.querySelector( '[name=\"participant[2a4acf5263515470700d9450c2ff8cc5]\"]' ) },\n'preferred_name' : { type:'text', required: false, el: document.querySelector( '[name=\"participant[2207087ee3ea746c1b6cb32c94704334]\"]' ) },\n'date_of_birth' : { type:'date', required: true, el: document.querySelector( '[name=\"participant[8f9ac1f3bbf22aae1c3b958804742ded]\"]' ) },\n'social_insurance_number' : { type:'text', required: true, el: document.querySelector( '[name=\"participant[d5c244fe387fe4ee86e364adcdc3a8f9]\"]' ) },\n'identify' : { type:'radio', required: true, el: document.querySelectorAll( '[name=\"participant[cbf725f7169a8105a6f1b1533565a796]\"]' ) },\n'another_gender_identity' : { type:'text', required: false, el: document.querySelector( '[name=\"participant[de16e0f4a4b862674a251a91e8d2e6d0]\"]' ) },\n'identify_as_transgender' : { type:'radio', required: false, el: document.querySelectorAll( '[name=\"participant[487261b12c43a101e575edbba35eb5d0]\"]' ) },\n'status_in_canada' : { type:'radio', required: true, el: document.querySelectorAll( '[name=\"participant[f7ccd4fc2a6986d4b2da67a5621ade25]\"]' ) },\n'status_in_canada_other' : { type:'text', required: false, el: document.querySelector( '[name=\"participant[508f8929f2a8b7c21cfcea92e2eaf2af]\"]' ) },\n'country_of_origin' : { type:'text', required: false, el: document.querySelector( '[name=\"participant[f2fbf3f946d273fa21173e7049c8d860]\"]' ) },\n'date_of_entry_into_canada' : { 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