Form Title Here

Required fields are marked with asterisks (*)

Empowering Futures

Participant Information Form

The information you provide on this form is collected for the purposes of determining your eligibility to participate in the Empowering Futures program.

Participation in this program is voluntary. Refusal to provide information will result in you not being eligible to participate. The information you provide may be used and/or disclosed for policy analysis, research and/or evaluation purposes. However, these additional uses and/or disclosures of your personal information will not result in an administrative decision being made about you.


Documents Required:

  • Résumé of Participant
  • Proof of Post-Secondary enrollment/transcript


This Participant Information Form (also referred to as the PIF) is used to collect information to determine a participant’s eligibility for the Student Work-Integrated Learning Program and to record the results of a participant’s involvement in the program’s activity.


The Student Must

  • Be a current student registered in a post‑secondary, STEAM (science, technology, engineering, arts, mathematics) or business program in Canada
  • Be a Canadian citizen, permanent resident, or person who has been granted refugee status in Canada
  • Be legally entitled to work according to the relevant provincial legislation and regulations
  • Consent to release placement information to EHRC Canada and the Government of Canada periodically during the placement and after the end of the placement



  • The work opportunity is with an electricity employer and/or
  • The work opportunity is fulfilling a electricity job function
  • The balance of the salary is not being funded by another federal government program
  • The work placement may be part time or full time


Participant Information

This section is to be completed by the participant. A copy of the signed consent must be maintained in the contribution recipient’s files and may be verified when the project is monitored.

It is mandatory to provide the participant’s contact and personal information as identified at the beginning of this section.

The ‘Residency Status’ sections, are used to verify the participant’s eligibility for the Student Work-Integrated Learning Program.

For ‘Placement Language,’ the participant’s official language of choice must be specified.

Responding to the questions on Gender, Person with Disabilities, Indigenous Group, and New Immigrant is mandatory, and is requested for program evaluation purposes.

‘Type of Disability’ is not a mandatory box and is to be filled out on a voluntary basis as participants do not need to disclose their disability to participate in the program.

‘Member of a Visible Minority’ is not a mandatory box and is to be filled out on a voluntary basis.

New Immigrant: is a person who has moved from their country of origin (their homeland) to another country to become a citizen of that
country and has been in that country for less than 5 years.

Refugee: A person who has been forced to leave their country to escape war, persecution, or natural disaster.