Registration Form

Complete this form to register for the LearningHUB and then complete an intake assessment.

The collection of a Social Insurance Number (SIN) is mandatory to register with this Employment Ontario program.

Employment Ontario programs are free because of funding from the Government of Canada. The Government of Canada uses SIN information to decide if you are eligible for our program.

A note about eligibility:

Temporary SINs that begin with 9 must be current and you must be a

Refugee with an open work permit or
Refugee Claimant with an open work permit or
Permanent Resident

When you enter your SIN on page 5, it is encrypted to protect your privacy. After we enter it into the Employment Ontario Case Management System it is deleted from our records.

Attention Practitioners: Please do not register as a learner using this form. If you have further questions, please contact us.

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Personal Information

About you

name

Address

Contact Information

Status

Self Identification, Language & Income

Self Identification

Are you a person with a Disability? *

Have you self-identified as a person with a disability as defined by the Accessibility for Ontarians with Disabilities Act (AODA) and Ontario Human Rights Code? This includes persons who have:

- Any degree of physical disability, infirmity, malformation or disfigurement that is caused by bodily injury, birth defect or illness and, without limiting the generality of the foregoing, includes diabetes mellitus, epilepsy, a brain injury, any degree of paralysis, amputation, lack of physical co-ordination, blindness or visual impediment, deafness or hearing impediment, muteness or speech impediment, or physical reliance on a guide dog or other animal or on a wheelchair or other remedial appliance or device;

- A condition of mental impairment or a developmental disability;

- A learning disability, or a dysfunction in one or more of the processes involved in understanding or using symbols or spoken language;

- A mental disorder; or

- An injury or disability for which benefits were claimed or received under the insurance plan established under the Workplace Safety and Insurance Act, 1997 (“handicap”).

Language

Income

SIN Number

Notice of Collection and Consent

Your Service Provider delivers the Literacy and Basic Skills Program under an agreement with the Ministry of Labour, Training and Skills Development (Ministry) and is required to make its books and records available to the Ministry for inspection, investigation or audit. Your Service Provider is also required to report to the Ministry on:

The services it provides to you;
Your education and training progress as well as your results when you finish the program; and
Your satisfaction with the services you receive.

The Ministry will also collect relevant personal information about you from Canada if necessary to determine your eligibility for and the nature and level of Employment Insurance benefits and to monitor, assess and evaluate the effectiveness of the Literacy and Basic Skills Program.

The Ministry will use your personal information to administer and finance the Literacy and Basic Skills Program. For purposes of administering the Literacy and Basic Skills Program, client information collected on this form will be recorded, either by the Service Provider or Ministry, in the Ministry’s Employment Ontario Information System. The Employment Ontario Information System is used by the Service Provider and the Ministry to support the administration of Employment Ontario programs and services, including the Literacy and Basic Skills Program.

The Ministry may use contractors and auditors to administer and finance the Literacy and Basic Skills Program.

Administration includes:

Assessing the performance of your Service Provider – its effectiveness, efficiency and customer service results; monitoring, inspecting, investigating, auditing and enforcing your Service Provider’s compliance with its agreement with the Ministry.
Planning, evaluating and monitoring the Literacy and Basic Skills Program – this includes conducting surveys; and conducting policy and statistical analysis and research related to all aspects of the Literacy and Basic Skills Program. You may be contacted to request your voluntary participation in surveys.
Promoting the Literacy and Basic Skills Program – you may be contacted to request your voluntary participation in public relations campaigns related to the Literacy and Basic Skills Program.

The Literacy and Basic Skills Program 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 help facilitate Canada’s monitoring and assessment of the Employment Insurance Program, as required under s.3 of the Employment Insurance Act. 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 your social insurance number.

The Ministry collects your personal information in accordance with s. 38(2) of the Freedom of Information and Protection of Privacy Act, R.S.O. 1990. C. F.31, as amended, and pursuant to the LMDA, ss. 3 and 63 of the Employment Insurance Act, S.C. 1996, C.23 as amended, s.76.29 of the Employment Insurance Regulations, SOR/96-332.

For more information about the collection and use of your personal information to administer and finance Literacy and Basic Skills Program, you can contact the Manager, Employment Ontario Call Centre, in writing at the Ministry of Labour, Training and Skills Development, 33 Bloor Street East, 2nd Floor, Toronto ON M7A 2S3 or by phone at 1- 800-387-5656. For the hearing impaired, TTY is available at 1-866-533-6339.

Administration Information

E-mail address *

Each learner registering with the LearningHUB must have a personal email address included on their registration form. The LearningHUB staff relies on this form of communication to get in touch with you on a regular basis. Be sure to check your junk folder and mark messages from the LearningHUB staff as safe.

Leave this field blank

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This Employment Ontario program is funded in part by the Government of Canada and the Government of Ontario and through the Canada-Ontario Job Fund Agreement.

Registration Form

About you

name

Address

Contact Information

Status

Self Identification, Language & Income

Self Identification

Language

Income

Education, Training & Employment

Education

Training

Employment

Goal Path and Preferences

Comments

SIN Number

Administration Information