Participant Contact Information

Organization

First Name

Last Name

Street Number

Apt/Unit Number

Street Name

Town/City

Province

Postal Code

Best phone number to reach you?

Email

How do you prefer to be contacted by the IFOOD360° Program?

Phone

Text

Email

Other (please specify)

If you prefer to be contacted by phone, for reasons of confidentiality, can we can leave a message at the number you have provided?

Yes

No

Please enter the 4-digit identification number from the iFood 360 information card you received.

Describing Yourself

Educational Experience

We are interested in understanding your educational experience.
Please fill out the following table with your highest level of educational experience.

School/Institution	Did you graduate?
Type
Grade School	Yes No
High School	Yes No
College	Yes No
University	Yes No
Other	Yes No

I don’t have any educational experience to list

Program Name or Area of Study (Highest Level)

Country of Institution

Are you currently a student in an educational program?

Yes

No

Are you part time or full time?

Part time

Full time

Program name/area of study

Institution Name

Have you ever taken an on-line course?

Yes

No

If yes, what online course(s)?

Add more

Work Experience and Future Goals

We are interested in understanding your current employment situation and any future employment goals. (Leave blank any sections that do not apply to your current situation)

Are you currently employed?

Yes

No

What is your current employment situation? (check one only - indicate your primary or main situation)

Employed -looking for a new job

Self-employed - working at my own business

Unemployed and looking for work

Temporarily laid-off - waiting to get called back with previous employer

Studying full-time

Not looking for work at this time

Prefer not to answer

What are the main challenges you are having in trying to find a job?

Please tell us about your current or most recent work experience:

Job title:

Main tasks and responsibilities?

Add more

What areas of training or courses are you most interested in taking at this stage?

Add more

Date: April 25, 2024