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Rural Renewal Stream Employer Application Form

Section 1: Business Information

Franchise Business?
 
Has your business been operational for at least two (2) years?
 
Have you submitted two consecutive tax returns to CRA in the last two years?
 
In your last tax return, has your gross annual revenue been more or equal to $400,000.00?
 
Is your business registered to a residential address?
 

Section 1A: Consultant Information

Are you a consultant filling out the application on behalf of a local business?
 

Section 2: Business Contact Information

Section 3: Immigration Program Questionnaire - Regulatory

*Failure to provide sufficient detail will result in the your application being rejected

1) Has the Employer been documented for any violations through Alberta Health Services (AHS) in the last two (2) years
 
Has the employer received any Occupational Health & Safety complaints in the last two (2) years?
 
Is the employer in good standing with the Worker's Compensation Board of Alberta?
 
Is the employer in good standing with Immigration, Refugees and Citizenship Canada?
 
Is the employer currently in violation of any federal, provincial or municipal laws or regulations?
 

Section 3A: Immigration Program Questionnaire - Other

Does the employer have experience working with other immigration programs?
 
Would you be more interested in more training on safe and welcoming work enviornments?
 
Please describe your housing plan for the newcomer. Describe what the business will do to assist the candidate with attaining suitable and affordable housing.
 

Section 4: Position Details

Number of Positions Available
Does the position(s) meet the requirements of the Rural Renewal Stream? (check all that apply)
 
Is the job location the same as business address?
 
All jobs must be posted for a minimum of two weeks to satisfy the minimum recruitment timelines. How long has the position been advertised?
 
On what platforms has the position been advertised?
 

Section 5: Statement of Applicant

I solemnly declare all 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 Stream.
  • Will review and confirm eligibility requirements with any prospective candidates prior to issuing an offer of employment, including admissibility requirements under the Immigration and Refugee Protection Act and its Regulations.
  • 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 the foregoing General Liability 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.
I agree to the above statement
 

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.



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