Confirm your seat in the program Do you wish to confirm your attendance in the Skills for Hire Cyber Security Program beginning on Oct 21st, 2020?*YesNoConsent To Participate in Evaluation ActivitiesGoss Gilroy Inc. – St. John’s Office (https://www.ggi.ca/about/st-johns-office/) is evaluating the Skills For Hire Program in which you are participating. We will be assessing how the program evolves, program participants’ experience in the program, and the degree to which the program is getting the expected results, all of which will inform any needed changes going forward. As a component of the program, you will be participating in an end-of-program online focus group with one of the GGI evaluation team to discuss your experience in and with the program. This focus group will take about 90 minutes, and we will offer both a day-time and evening slot to try and accommodate your schedule. When we report on the focus group: 1.) GGI will protect your privacy and maintain confidentiality in relation to the information gathered through the focus group. We will ensure that no one can be identified from what we write: there will be no names of anyone we talk to in the report, and we will not reference individual program participants or their experiences. We also will ensure that at the outset of the focus groups there is a discussion of the importance of keeping the information discussed in the group confidential. 2.) We will be reviewing program data, but this will be at the program-level not at the individual level, and so no participant will be identified. 3.) Any information which we collect will only be stored until the end of the Skills for Hire Program in September 2021. Should you make an early exit from the program, we will reach out to you to complete a short email survey, as we are interested to know if there was anything that could have been done differently in the program to encourage you to stay. This exit survey is voluntary. Of note, GGI has been conducting evaluation and research activity since 1981 and is very aware of the issue of confidentiality of responses and data security in general. We have worked on very sensitive data in the past and have established careful controls to ensure security and confidentiality. GGI’s office building is protected by a 24-hour security service. GGI has a Facilities Security Clearance with the Federal Government. All of our evaluation team members have Federal Government security clearances. If you have any questions about the evaluation process, please contact Marie Ryan, GGI Project Manager at 709-754-2065 ext. 240 or firstname.lastname@example.org. By signing below, you indicate that you agree to participate in the end-of-program focus group for Skills for Hire. Participant Signature:*Please type your first and last name. This will be considered your "signature" for the purposes of this consent document.Date of Signature:* Date Format: YYYY slash MM slash DD Evaluation Intake InformationPlease provide details of the following.First Name:*Last Name:*Address:* Street Address City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Phone Number:*Date of Birth:* Date Format: YYYY slash MM slash DD Gender Identity:*FemaleMaleOtherPerfer not to sayPreferred Pronouns:Education DetailsPlease provide details of the following.Highest Level of Education:*Highschool / GEDSome post secondaryCollegeBachelorMastersArea of Study:*Only complete if taken post-secondary, or formal certification.Please describe any previous education experience you have in the technology sector.*Employment DetailsPlease provide details of the following.Current Employment Status:*UnemployedStudent or recent graduateEmployedEmployed and looking to up-skillEmployed and looking to change careersIf you are employed, how long have you been in your current position?Please describe your most recent employment experience (the type of role, type of organization etc).Please describe any previous employment experience you have in the technology sector.Optional Self IdentificationPlease provide details of the following.Would you like to self-identify as: Newcommer Indigenous A person with a disability LGBTQ+ Check all that apply.