OJG Form Employer Info Employer Legal Name (required) Company Website CRA Business Number — 9 digits (required) Year Business Registered (required) Type of Business (required) [radio* business-type "Private" "Not-for-Profit" "First Nations"] Industry / Sector (required) Total Employees — Company-Wide (required) Total Employees — This Location (required) Address Unit # (if applicable) Street Number & Name (required) City / Town (required) Province (required) OntarioAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundlandNova ScotiaPEIQuebecSaskatchewan Postal Code (required) Closest Major Intersection (required) Contact Person Full Name (required) Job Title (required) Phone Number (required) Email Address (required) Workplace Safety Insurance Does your company have WSIB coverage? (required) [radio* wsib "Yes — WSIB" "Yes — Alternative Insurance" "No"] Employee Info Fill in details for each employee to be trained. Employee 1 Full Name Phone Email Position / Job Title Hourly Rate Weekly Hours Post-Training Rate Employee 2 Full Name Phone Email Position / Job Title Hourly Rate Weekly Hours Post-Training Rate Employee 3 Full Name Phone Email Position / Job Title Hourly Rate Weekly Hours Post-Training Rate Employee 4 Full Name Phone Email Position / Job Title Hourly Rate Weekly Hours Post-Training Rate Employee 5 Full Name Phone Email Position / Job Title Hourly Rate Weekly Hours Post-Training Rate Are all trainees existing employees? (required) [radio* existing-employees "Yes — all current staff" "No — some are new hires"] If new hires, how many?
