EAP Interest (New)

How did you hear about us? * Required

First Name: * Required

Last Name: * Required

Email: * Required

Password (for future login): * Required Show Password

Confirm password

Password must contain the following:
A lowercase letter
A capital (uppercase) letter
A number
Minimum 6 characters
Both passwords should match

Cell Phone: * Required

Are you a person with a self-identified disability? * Required

Are you legally entitled to work in Canada? * Required

Have you worked in the last 52 weeks? * Required

Type of Disability: * Required

Which location would you prefer to receive training and supports? (SCARBOROUGH-Kingston Rd. & Midland Ave, WESTON-Lawrence Ave West & Weston Rd or HAMILTON-James Street S & Hunter St. W) * Required


EAP Interest Please complete the registration form below to see if you are eligible for the Empowering Abilities Program. Someone will contact you within one-two business days. How did you hear about us? * Required First Name: * Required Last Name: * Required Email: * Required Password (for future login): * Required Show Password Confirm password Password must contain the following: A lowercase letter A capital (uppercase) letter A number Minimum 6 characters Both passwords should match Cell Phone: * Required Are you a person with a self-identified disability? * Required Are you legally entitled to work in Canada? * Required Have you worked in the last 52 weeks? * Required Type of Disability: * Required Which location would you prefer to receive training and supports? (SCARBOROUGH-Kingston Rd. & Midland Ave, WESTON-Lawrence Ave West & Weston Rd or HAMILTON-James Street S & Hunter St. W) * Required Please leave this checkbox blank