Woman completing a Regional Municipality of Durham online form on a computer.

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Required fields are marked with asterisks (*)

Connect with an Employment Specialist within our Employment Services network

Please complete and submit the form below to be connected with an employment services provider. If you are currently working with an employment services provider but would like to seek alternative assistance, please connect with your employment specialist to discuss your options.

First Name:

Last Name

Date of Birth (dd/mm/yyyy)

Phone Number

Email address

Preferred Method of Communication

Text

Phone

Postal Code

Do you require services in the following languages:

Not Applicable

French

ASL

Additional Comments

Notice of Collection: Information collected and used will be subject to and utilized in accordance with the Municipal Freedom of Information and Protection of Privacy Act (MFIPPA). Information is kept confidential and used and/or disclosed to provide job seekers and employers services related to employment support, job development, and training. Your personal information may also be used for various administrative and/or statistical purposes. Your personal information will be disclosed to the Ministry of Labour, Immigration, Training and Skills Development (MLITSD) and its third party delivery partners for the purposes of verifying your identity, information collected on, administration, and evaluation purposes. For more information, please contact the Corporate Access and Privacy Office with the Regional Municipality of Durham by email at privacy@durham.ca or by telephone at 905-668-7711, extension 2204.