Required fields are marked with asterisks (*)

Rural Renewal Stream Request for Candidate Endorsement

Section 1: Business Information

What is the expiry date of your candidate’s work visa?

Legal/Corporate Name (as registered with CRA)

Operating/Trade Name (if different from legal name)

What is the registration date for your business?

Has you business been operational for at least two (2) year?

Yes

Have you submitted two consecutive tax returns to CRA in the last two years?

Yes

In your last tax return – has your gross annual revenue been more or equal to $400,000.00?

Yes

How many total employees do you have?

How many of your employees are foreign workers? (Anyone with a work visa, student visa, etc. Anyone who is not a Canadian Citizen or Permanent Resident.)

How many full-time employees do you have?

How many part-time employees you have?

What is the total hours worked by all part-time employees combined per week?

Is your business registered in a residentially zoned area (If Yes, your application will be denied)?

Yes

Section 2: Business Contact Information

Are you a consultant submitting on behalf of the employer?

Yes

Owner Information

Owner Name (First & Last)

Owner Phone Number

Owner Email Address

Confirm Email Address

Main Contact Information

Main Contact Name

Main Contact Position

Main Phone Number

Main Contact Email Address

Section 3: Position Details

Job Title (as per your job offer)

Number of Positions Available

Does the position(s) meet the requirements of the Rural Renewal Stream? (check all that apply)

Job is Full-time (Min. 30 hours per week)

Job is permanent (12 months or more)

Job is non-seasonal (year-round)

Occupation is needed in the community

Job is genuine and represents a labour market need

Job is an eligible occupation as defined by AAIP-RSS

Wage and benefits meet or exceed the lowest starting wage across all industries in Alberta

Job was posted for a minimum of two weeks with efforts to source Canadian workers

Please upload a signed copy of the job offer/letter being given to the candidate

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Allowed extensions pdf

Has the job posting been posted for more than 14 days? If no, please wait until the 14 days have passed to submit the application.

Yes

What date was the job posted?

Please provide a copy of the job posting by a URL link here, or a PDF below.

If you have a PDF copy of the job posting, please upload it here.

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Allowed extensions pdf

We will not advertise the number of positions available per job posting, and will only be posting the job as received. It will remain active until we receive a request to remove the posting. You may put the number of positions available within your ad.

I understand.

Job classification requirements and wage confirmation

Please use the links provided to complete the following three questions.

Please select the NAICS Code your position falls under.

Please provide the NOC code.

Please provide the lowest starting wage for this position across all of Alberta.

Physical Job Location

Street Address

City

Province

Postal Code

Offered wage in Canadian Dollars (CDN) per hour

Total number of hours per week

Overtime Details

Overtime rate per hour

How is overtime calculated?

Hours Per Day

Hours Per Week

Benefits (check all that apply)

Disability Insurance

Pension

Vacation (Days)

Vacation (% of gross salary)

Dental Insurance

Extended Medical Insurance

Other

Please describe in details the job duties associated with this position

Section 4: Candidate Information

Candidate Full Name (Given and Surname) as shown on passport

Candidate Citizenship

Candidate Physical Address

Candidate Phone Number

Candidate Email Address

*A valid email address is required to issue Rural Renewal Endorsement Letters. Letters are sent by the City of Cold Lake directly to successful nominees.

Section 5: Employee Eligibility Criteria

The Candidate must meet all the requirements under the AAIP- RSS Program guidelines. The requesting Candidate must meet all of the following: (check all that apply)

All required work experience minimums

All education requirements

All required language requirements

The candidate has the required settlement funds

Section 6: Employer Declaration

By submitting this document to The City of Cold Lake Rural Renewal Stream's Economic Developement department, I declare that I am authorized to sign on behalf of the company and confirm all the information provided is true, accurate, complete and that the employer:

Is located within the municipal boundaries of the City of Cold Lake.
Has considered Canadians and Permanent Residents for the subject job.
Is offering a job which is full-time (minimum 30 hours per week), non-seasonal and permanent (12 months or more).
Is offering a job which meets or exceeds the lowest starting wage for the occupation across all industries in Alberta as set out in the Alis Website.
Confirms that the majority of the job duties will be performed within the City of Cold Lake.
Is not known to be in violation of any federal, provincial or municipal legislation, bylaws or regulations.
Agrees to abide by the rules and guidelines of the City of Cold Lake Rural Renewal Stream Program Partnership.
Has reviewed and will comply with eligibility requirements under the Alberta Advantage Rural Renewal Program.
Has reviewed and confirmed the eligibility requirements under the Alberta Advantage Immigration Program with the Candidate and have verified they meet all requirements.
Will refer the candidate to the Cold Lake and District Family and Community Support Services within four weeks of arrival.
Will notify the City of Cold Lake Rural Renewal Stream Community Partnership of any changes in legal or operational status.
Understands that they are solely responsible for compliance with all relevant business licensing and compliance with City bylaws
Understands that misrepresentation could result in disqualification from the program.
Does herby WAIVE, RELEASE and FOREVER DISCHARGE the City of Cold Lake, their agents, employees, volunteers, successors, and assigns any and all persons, firms, or corporations liable or who might be claimed to be liable, whether or not herein named (the “Releasees”), from all liability, claims, demands, actions and causes of action whatsoever arising out of or related to any loss, damage or injury that may be sustained while participating in the City of Cold Lake Rural Renewal Stream Community Partnership and the Alberta Advantage Rural Renewal Program (collectively “Programs”), or while employing anyone in relation to the Programs, regardless of whether such loss or damage is caused by the negligence of the Releasees, or otherwise, and regardless of whether such liability arises in tort, contract, strict liability, or otherwise, to the fullest extent allowed by law. It is my express intent that this General Liability Release shall bind the members of my family, spouse, my heirs, assigns any personal representative, and shall be deemed as a RELEASE, DISCHARGE, and COVENANT NOT TO SUE the above named Releasees as stated above. In signing this Application, I acknowledge and represent that I have read this Release and Indemnity agreement, understand it and sign it voluntarily as my own free act and deed; no representations, statements or inducement has been made; I am at least eighteen (18) years of age and fully competent; and I execute this Application for full, adequate and complete consideration fully intending to be bound by same.

Employer Signature

Clear

Section 7: Candidate Declaration

Is the candidate in the presence of the employer at the time of declaration?

Yes

By signing this document, I declare that I:

Have legal status and am not a refugee claimant or involved in a federal removal appeal process.
Have freely accepted the offer for employment and intend to settle in the designated
community of Cold Lake, Alberta.
Have reviewed and will comply with eligibility requirements under the Alberta
Advantage Rural Renewal Program.
Understand my rights and responsibilities to comply with the Federal Immigration Act and the Alberta Advantage Immigration Program- Rural Renewal Stream and all other provincial and federal laws and legislation.
Have the required funds for settlement.
Have the required education minimums for the position.
Have the required language skills and documentation.
Will abide by the rules and guidelines of the City of Cold Lake Rural Renewal Stream Community Partnership.
Will notify the employer and City of Cold Lake Rural Renewal Stream Community Partnership of any changes in legal or application status.
Will confirm receipt of welcome resources within 6 weeks of arrival.
Understands that misrepresentation could result in disqualification from the program.
Does herby WAIVE, RELEASE and FOREVER DISCHARGE the City of Cold Lake, their agents, employees, volunteers, successors, and assigns any and all persons, firms, or corporations liable or who might be claimed to be liable, whether or not herein named (the “Releasees”), from all liability, claims, demands, actions and causes of action whatsoever arising out of or related to any loss, damage or injury that may be sustained while participating in the City of Cold Lake Rural Renewal Stream Community Partnership and the Alberta Advantage Rural Renewal Program (collectively “Programs”), or while employing anyone in relation to the Programs, regardless of whether such loss or damage is caused by the negligence of the Releasees, or otherwise, and regardless of whether such liability arises in tort, contract, strict liability, or otherwise, to the fullest extent allowed by law. It is my express intent that this General Liability Release shall bind the members of my family, spouse, my heirs, assigns any personal representative, and shall be deemed as a RELEASE, DISCHARGE, and COVENANT NOT TO SUE the above named Releasees as stated above. In signing this Application, I acknowledge and represent that I have read this Release and Indemnity agreement, understand it and sign it voluntarily as my own free act and deed; no representations, statements or inducement has been made; I am at least eighteen (18) years of age and fully competent; and I execute this Application for full, adequate and complete consideration fully intending to be bound by same.

Candidate Signature

Clear

Information on this form is collected for the sole use of the City of Cold Lake and is protected under the authority of the Protection of Privacy Act, Sec. 4 (c), which regulates the collection, use, and disclosure of personal information.

If you have any questions or concerns, please contact the ATIA Coordinator by email (legislative@coldlake.com) or phone (780) 594-4494 ext. 7915.