First Nations and Inuit Summer Work Experience Program. Program Guidelines

First Nations and Inuit Summer Work Experience Program Program Guidelines

First Nations and Inuit Summer Work Experience Program 1. Background The First Nations and Inuit Summer Work Experience Program is one of two programs administered by Indian and Northern Affairs Canada (INAC) under the First Nations and Inuit Youth Employment Strategy (FNIYES). The FNIYES, with a national annual budget of $26.5 million, is a component of the Government of Canada s Youth Employment Strategy. The national annual budget for INAC s Summer Work Experience Program is $8 million. 2. Objectives The Program has the following objectives: To help youth acquire skills by providing wage subsidies for their summer work experience. To assist First Nations and Inuit secondary and post-secondary students to prepare for future entry into the labour market by helping them to obtain summer employment. To enable First Nations and Inuit youth to earn wages to help finance their post-secondary education. These objectives are consistent with, and support the overall objectives of the Government of Canada s YES Summer Work Experience Program. 3. Key Activities Support work experience opportunities during the summer months for First Nations and lnuit secondary and post-secondary students. 4. Eligible Recipients First Nations and Inuit governments and organizations may submit proposals. 5. Eligible Participants First Nations and Inuit secondary and post-secondary students aged 15 to 30 ordinarily resident on-reserve or in recognized communities or on community lands who were registered as full-time students during the preceding academic year and who intend to return to school on a full-time basis in the next academic year. 1

6. Eligible Proposals Proposals must: Be in accordance with these Program guidelines. Be gender-balanced. Outline the activities that support any or all of the above objectives. Demonstrate that the activities will provide assistance only to eligible participants. Provide an estimate of eligible costs to be incurred, including any share to be borne by partners. Outline the results to be achieved. NOTE : Placement must provide a minimum of 80 hours of work. 7. Wage Rates The delivery agency will determine the wage rate for participants which must be at or above the applicable provincial / territorial minimum wage. 8. Maximum Program Contributions The non-profit sector is eligible to receive a contribution of up to 100% of the applicable wage, plus mandatory employment-related costs (MERC), while the private sector is eligible to receive up to 50% of the applicable wage only. NOTE: Where a participant with disabilities is hired, all employers are eligible to apply for 100% of the wage. A maximum contribution of $3,000 per participant may be available, on an actual cost basis, for special equipment and facilities to accommodate the student s needs. 9. Proposal Outline The proposal template (DCI #686116) can be found at www.ainc-inac.gc.ca/edu/ep/ys or in the FNIYES Program book. 10. Review and Approval Process The INAC regional office or the First Nations or Inuit organization managing the program will review and approve proposals. 11. Funding Arrangements Funding will be distributed to eligible recipients according to INAC s funding authorities. 2

12. Eligible Costs Wage rate (not less than provincial/territorial minimum hourly wage rate). Other mandatory employment-related costs (MERC), including the gross employee share of CPP, QPP, EI, vacation pay, WCB/CSST (Quebec), and where applicable, health insurance premiums. If applicable, administrative costs are not to exceed 10% of the total cost of the contribution. Actual cost for special equipment and facilities to accommodate the needs of a disabled individual up to a maximum of $3,000, if applicable. NOTE: Eligible costs do not include infrastructure, and equipment purchases. 13. Reporting Requirements The Summer Work Experience Program Report (DCI #434352) is required by September 15. Regional Organizations that administer the Program on INAC s behalf are to submit this Report by October 30. If the Program Report is not submitted within 30 days of the above applicable date, the recipient will not be eligible for funding in the following fiscal year. Data Collection Tool for Community Use ONLY: SUMMER WORK EXPERIENCE PROGRAM YOUTH EVALUATION This form is to be used to gather information and feedback from the youth who participate in the Summer Work Experience program to gather the data needed by the First Nation / Community to report on the performance indicators that will demonstrate that program objectives are being met. The individual Youth Evaluations are NOT to be submitted to INAC, but kept at the community level for the next evaluation. 3

FIRST NATIONS AND INUIT YOUTH EMPLOYMENT STRATEGY SUMMER WORK EXPERIENCE PROGRAM PROPOSAL PROTECTED A The information you provide in this document is collected under the authority of Treasury Board s policy on Transfer Payments for the purpose of delivering Youth Employment Strategy programs and services. Information on individuals is used by Indian and Northern Affairs Canada Education employees who need to know the information in order to respond to your request and / or the program requirements. We share the information you give us with the department of Human Resources and Social Development. The personal information will be kept for a period of 5 years and will then be transferred to Library and Archives Canada. Individuals have the right to the protection of and access to their personal information under the Privacy Act http://laws.justice.gc.ca/en/showdoc/cs/p-21. The information collected is described under the Personal Information Bank INA PPU 604 which is detailed at www.infosource.gc.ca. Section 1: Identification First Nation, Inuit Community or Organization Name Contact Given Name Title / Position Contact Family Name Address Telephone Fax Email Section 2: Objectives and Activities Proposed Objectives (Check all that apply) Support skills acquisition through wage subsidies for summer work experience Support First Nations and Inuit youth to earn wages for post-secondary financing Promote Science and Technology as an educational and / or career choice Enhance employability skills Promote the benefits of education Anticipated Number of Participants Total Males Females Disabled Number in Secondary School Number in Post-Secondary School Anticipated Number of Participants by Age Range 15 19 years old 20-24 years old 25-29 years old 30 Anticipated Summer Work Experience Placements (Attach additional sheets as required) Job Title and Description Name of Potential Employer Duration of Placement Location of Placement Outcomes / Results to be Achieved 4

Section 3: Proposed Budget PROTECTED A Provide a proposed budget for each summer work experience placement and the total requested for all work experience placements. Project Costs Amount Requested from INAC Participant wages (total hours X wage rate per hour) Mandatory employment related costs r (e.g. employee share of CPP, QPP, EI, WCB/CSST, vacation) Costs associated with workers compensation Actual cost for special equipment and facilities to accommodate the needs of a disabled participant Administrative Costs (not to exceed 10% of total budget) Other (explain) Total $ $ The information provided is accurate to the best of my knowledge. Amount Expected from Other Sources Explanation Given Name Family Name Title Date (YYYYMMDD) 5

FIRST NATIONS AND INUIT YOUTH EMPLOYMENT STRATEGY SUMMER WORK EXPERIENCE PROGRAM PROPOSAL DCI Number / Fiscal Year: 686116 (2009-2010) Purpose: First Nations, Inuit Communities and other organizations seeking funds under the Summer Work Experience program must submit a proposal in accordance with program guidelines to their INAC regional office or to the First Nations or Inuit organization managing the program. Reporting Period: For the coming fiscal year ending March 31 st Due Date: Contact Regional Office / Regional Managing Organization Helpful Hints: How to obtain forms: You may take a copy of the form from the Recipient Reporting Guide CD provided to band administration; or You may download the form from the Recipient Reporting Guide website at http://www.ainc-inac.gc.ca/ dci/dcilog_e.asp. To log in to the on-line Guide, click on this link or copy the link into your computer s internet browser. When the home page is displayed, select your province / territory and then type in the password which is the same as the province / territory selected. How to complete the form: Print the form and fill it in by hand or complete electronically and save. How to submit completed reports to INAC: Fax, mail or email the report to your INAC Regional Office How to check the status of the report submitted: FNITP users may check the status of the submission and acceptance in the FNITP system. For further information on how to access FNITP, please contact your regional office. Contact your INAC Funding Services Officer for further information. Required Supporting Documents: none Program Documentation: Education Program Information: http://www.ainc-inac.gc.ca/edu/index-eng.asp and / or on Recipient Reporting Guide CD. Program Authority / Applicable Legislation: T.B. Minute #830377 Department of Indian Affairs and Northern Development s Youth Employment Strategy Initiatives. Field Definitions: Field Section 1: Identification First Nation, Inuit Community or Organization Name Contact Given Name Contact Family Name Title / Position Address Definition The official and legal name of a given First Nation or Inuit community or organization. The given name of the person to be contacted about any questions related to the proposal. The family name of the person to be contacted about any questions related to the proposal. The title of the person to be contacted about any questions related to the proposal. The mailing address of the program contact. 6

Telephone Fax Email Section 2: Objectives and Activities Proposed Objectives Anticipated Number of Participants Anticipated Summer Work Experience Placements The telephone number of the program contact. The fax number of the program contact. The email address of the program contact. Check all that apply from the list provided. Indicate the total number of participants anticipated for Summer Work Experience placements being planned and indicate the breakdown of participants in the following categories: Number of males Number of females Number of disabled Number in secondary school Number in post-secondary school Number by age range (15-19, 20-24, 25-29, and 30 years old) For each potential summer work experience placement, indicate: The job title and description of the work placement, The name of the employer, The duration of the placement, The location of the placement, The outcomes / results to be achieved Section 3: Proposed Budget Provide a proposed budget for each summer work experience placement and the total requested for all work experience placements. Amount Requested from INAC Indicate the amount requested from INAC by type of eligible expense for Summer Work Experience placements. Amount Expected from Other Sources Indicate any funds expected from other sources by type of eligible expense. Explanation Provide any explanations required to describe the amounts requested or to explain how you arrived at the amount shown. Total Provide the total amount requested from INAC and the total amount funds expected from other sources. Approval Block Given Name, Family Name, Title, Date The name and title of the person attesting that the information provided is accurate to the best of the person s knowledge and the date on which the accuracy of the information was acknowledged, in the format of YYYYMMDD. Privacy Statement: The information you provide in this document is collected under the authority of Treasury Board s policy on Transfer Payments for the purpose of delivering Youth Employment Strategy programs and services. Information on individuals is used by Indian and Northern Affairs Canada Education employees who need to know the information in order to respond to your request and / or the program requirements. We share the information you give us with the department of Human Resources and Social Development. The personal information will be kept for a period of 5 years and will then be transferred to Library and Archives Canada. Individuals have the right to the protection of and access to their personal information under the Privacy Act http://laws.justice.gc.ca/en/showdoc/cs/p-21. The information collected is described under the Personal Information Bank INA PPU 604 which is detailed at www.infosource.gc.ca. 7

FIRST NATIONS AND INUIT YOUTH EMPLOYMENT STRATEGY SUMMER WORK EXPERIENCE PROGRAM YOUTH EVALUATION PROTECTED A The information you provide in this document is collected under the authority of Treasury Board s policy on Transfer Payments for the purpose of delivering Youth Employment Strategy programs and services. Information on individuals is used by Indian and Northern Affairs Canada Education employees who need to know the information in order to respond to your request and / or the program requirements. We share the information you give us with the department of Human Resources and Social Development. The personal information will be kept for a period of 5 years and will then be transferred to Library and Archives Canada. Individuals have the right to the protection of and access to their personal information under the Privacy Act http://laws.justice.gc.ca/en/showdoc/cs/p-21. The information collected is described under the Personal Information Bank INA PPU 604 which is detailed at www.infosource.gc.ca. 1. Personal Profile 1.1 Given Name 1.2 Family Name 1.3 Permanent Address 1.4 Telephone 1.6 First Nation / Community Name 1.7 Gender: Male Female 1.8 How old are you? 1.5 Email (optional) 1.9 Do you have a disability? Yes No 1.10 What level of study were you in prior to participating in the program? Secondary Post-Secondary 1.11 Start Date of Employment (YYYYMMDD) 1.12 End Date of Employment (YYYYMMDD) 1.13 Name of Employer 1.14 Job Position Title 1.15 Number of Weeks Worked 1.16 Did you complete the program? Yes No 1.17 If you did not complete the program, indicate why: Did not like the job placement Found a better job Family responsibilities Moved Other 2. Skills and Knowledge Gained 2.1 What employability skills do you feel you developed during this summer work experience? Check all that apply. Communication Adaptability Continuous Learning Managing information Working safely Working with others Using numbers Demonstrating positive attitudes and behaviours Being responsible Thinking and solving problems Participating in projects and tasks Computer / technology skills Traditional skills (plants, medicines, spirituality, artisan, fishing, hunting, etc) 2.2 Did you receive a certificate as a result of the summer work experience? (e.g. First Aid, Waste Management, Health and Safety, etc) No Yes (specify type): 8

3. Personal Reflection PROTECTED A 3.1 What were your goals prior to this summer work experience? Check all that apply. Gain experience to advance my career Gain experience to advance my studies Gain experience to better understand my career options Needed the money to help me stay in school Indicate how you rate your summer work experience in the following areas: 3.2 Do you feel more employable as a result of your work experience? Absolutely Somewhat Not at all 3.3 Are you more aware of the benefits of completing your education? Absolutely Somewhat Not at all 3.4 Are you more aware of the different types of jobs are available? Absolutely Somewhat Not at all 3.5 Are you more aware of the type of work you would like to do? Absolutely Somewhat Not at all 3.6 Overall, how satisfied are you with your summer work experience? Absolutely Somewhat Not at all 4. Success Stories / Suggestions 4.1 What were the most positive aspect(s) of your summer work experience? Other 4.2 What could be done to improve your summer work experience and / or the program? I agree to let Indian and Northern Affairs Canada use the information in this report for evaluation and promotional purposes. Given Name Family Name Signature Date (YYYYMMDD) 9

FIRST NATIONS AND INUIT YOUTH EMPLOYMENT STRATEGY SUMMER WORK EXPERIENCE PROGRAM YOUTH EVALUATION Purpose: This form is to be used to gather information and feedback from the youth who participate in the Summer Work Experience program to gather the data needed by the First Nation / Community to report on the performance indicators that will demonstrate that program objectives are being met. Reporting Period: For the previous fiscal year ending March 31 st Due Date: September 15 th Instructions: This form is to be completed by each student who participates in the program and kept on file with the recipient. Helpful Hints: How to obtain forms: You may take a copy of the form from the Recipient Reporting Guide CD provided to the recipient administration; or You may download the form from the Recipient Reporting Guide website at http://www.ainc-inac.gc.ca/ dci/dcilog_e.asp. To log in to the on-line Guide, click on this link or copy the link into your computer s internet browser. When the home page is displayed, select your province/territory and then type in the password which is the same as the province/territory selected. How to complete the form: Print the form and fill it in by hand. Contact your INAC Funding Services Officer for further information. Required Supporting Documents: None Program Documentation: Education Program Information: http://www.ainc-inac.gc.ca/edu/index-eng.asp and / or on Recipient Reporting Guide CD. Program Authority / Applicable Legislation: T.B. Minute #830377 Department of Indian Affairs and Northern Development s Youth Employment Strategy Initiatives. Field Definitions: Field Definition 1. Personal Profile 1.1 Given Name The given name(s) of the youth participant. 1.2 Family Name The family name of the youth participant. 1.3 Permanent Address The permanent address of the youth participant which may be used to contact the youth for evaluation and / or promotional purposes. 1.4 Telephone The telephone number of the youth participant which may be used to contact the youth during the program as required and after the program for evaluation and / or promotional purposes. 1.5 Email (optional) The email address of the youth participant which may be used to contact the youth during the program as required and after the program for evaluation and / or promotional purposes. 1.6 First Nation / Community Name The name of the First Nation or community that is administering the program. 1.7 Gender The gender of the youth participant. 1.8 How old are you? The current age of the youth participant. 10

1.9 Do you have a disability? Yes if the youth participant self-identifies with a physical and / or learning disability. Otherwise, No. 1.10 What level of study were you in prior to participating in the program? Indication of whether the student was in secondary or post-secondary school prior to participating in the program. 1.11 Start Date of Employment The start date for the summer work experience. 1.12 End Date of Employment The last day worked at the summer work experience. 1.13 Name of Employer The name of the employer for whom the youth participant worked. 1.14 Job Position Title The title and / or short description of the job position the youth participant held. 1.15 Number of Weeks Worked The number of weeks worked by the youth during the summer work experience. 1.16 Did you complete the program? Yes if the youth participant worked until the anticipated end date of the summer work experience. No if the youth terminated the summer work experience before the anticipated end date. 1.17 If you did not complete the program, indicate why. 2. Skills and Knowledge Gained 2.1 What employability skills do you feel you developed during this summer work experience? Check all that apply. 2.2 Did you receive a certificate as a result of the summer work experience? Indication of the reason why the youth participant did not complete the program. Indication of the employability skills developed during the summer work experience. Yes if the student received a certificate as a result of the summer work experience, e.g. First Aid certificate, Waste Management Health and Safety certificate, etc. If yes, the name of the certificate is to be specified. 3. Personal Reflection 3.1 What were your goals prior to this summer work experience? Indication of the youth participants goals. Indicate how you rate your summer work experience in the following areas: 3.2 Do you feel more employable as The rating of the youth participant in answer to this question. a result of your work experience? 3.3 Are you more aware of the benefits The rating of the youth participant in answer to this question. of completing your education? 3.4 Are you more aware of The rating of the youth participant in answer to this question. the different types of jobs that are available? 3.5 Are you more aware of the type The rating of the youth participant in answer to this question. of work you would like to do? 3.6 Overall, how satisfied are you with your summer work experience? The rating of the youth participant in answer to this question. 4. Success Stories / Suggestions 4.1 What were the most positive aspects of your summer work experience? 4.2 What could be done to improve your summer work experience experience and / or the program? Approval Block Given Name, Family Name, Signature, Date A brief description by the youth about the most positive aspects of the summer work experience. A brief description by the youth of suggestions for improving the summer work experience and / or the program. The name and signature of the youth who has completed the form, attesting that the information provided is accurate to the best of the person s knowledge and the date on which the accuracy of the information was acknowledged. 11

Privacy Statement: The information you provide in this document is collected under the authority of Treasury Board s policy on Transfer Payments for the purpose of delivering Youth Employment Strategy programs and services. Information on individuals is used by Indian and Northern Affairs Canada Education employees who need to know the information in order to respond to your request and / or the program requirements. We share the information you give us with the department of Human Resources and Social Development. The personal information will be kept for a period of 5 years and will then be transferred to Library and Archives Canada. Individuals have the right to the protection of and access to their personal information under the Privacy Act http://laws.justice.gc.ca/en/showdoc/cs/p-21. The information collected is described under the Personal Information Bank INA PPU 604 which is detailed at www.infosource.gc.ca. 12

FIRST NATIONS AND INUIT YOUTH EMPLOYMENT STRATEGY SUMMER WORK EXPERIENCE PROGRAM REPORT PROTECTED A The information you provide in this document is collected under the authority of Treasury Board s policy on Transfer Payments for the purpose of delivering Youth Employment Strategy programs and services. Information on individuals is used by Indian and Northern Affairs Canada Education employees who need to know the information in order to respond to your request and / or the program requirements. We share the information you give us with the department of Human Resources and Social Development. The personal information will be kept for a period of 5 years and will then be transferred to Library and Archives Canada. Individuals have the right to the protection of and access to their personal information under the Privacy Act http://laws.justice.gc.ca/en/showdoc/cs/p-21. The information collected is described under the Personal Information Bank INA PPU 604 which is detailed at www.infosource.gc.ca. Section 1: Identification First Nation, Inuit Community or Organization Name Recipient Number Contact Given Name Contact Family Name Title / Position Address Telephone Fax Email Section 2: Results Achieved and Activities Undertaken Objectives (Check all that apply) Support skills acquisition through wage subsidies for summer work experience Support First Nations and Inuit youth to earn wages for post-secondary financing Promote Science and Technology as an educational and / or career choice Enhance employability skills Promote the benefits of education Anticipated Number of Participants Total Males Females Disabled Number in Secondary School Number in Post-Secondary School Anticipated Number of Participants by Age Range 15 19 years old 20-24 years old 25-29 years old 30 13

PROTECTED A 2.2 Summer Work Experience Placements Undertaken Job Title and Description Employer Name Contact Name Phone Number Number of weeks of work provided Total Number of Weeks of Work Provided from all Summer Work Experience Placements Number who received a certificate as a result of their summer work experience Number who did not complete their summer work experience Number who Indicated the following reasons for not completing the summer work experience Did not like the job Found a better job Moved Family Responsibilities Other Unknown Number of youth who indicated they developed the following employability skills as a result of their summer work experience Communication Adaptability Continuous Learning Managing Information Working Safely Working with Others Using Numbers Demonstrating Positive Attitudes and Behaviours Being Responsible Thinking and Solving Problems Participating in Projects and Tasks Computer / Technology Skills Traditional Skills 14

Section 3: Participant Feedback Received PROTECTED A Indicate the number of participants who responded in each category on the Youth Evaluation forms for Summer Work Experience. 3.1 Indicate the number of youth who reported having the following goals prior to their summer work experience. Gain experience to advance my career Gain experience to better understand my career options Gain experience to advance my studies Needed the money to help me stay in school Other 3.2 How did youth rate their summer work experience in terms of making them more employable? 3.3 How many youth feel more aware of the benefits of completing their education? 3.4 How many youth feel more aware of the different types of jobs that are available? 3.5 How many youth feel more aware of the type of work they would like to do? 3.6 Overall, how satisfied were youth with their summer work experience? Absolutely Somewhat Not at All Section 4: Success Stories and Best Practices 4.1 Describe the most positive aspects of the program. 4.2 Describe the biggest challenges and your suggestions for improving the program. 15

Section 5: Financial Information 5.1 Total amount spent 5.2 Total revenue from INAC 5.3 Revenue from other sources (if applicable) 5.4 Total wages and benefits paid to youth in the private sector 5.5 Total wages and benefits paid to youth in the non-profit sector 5.6 Total amount spent to support access for disabled youth (maximum $3,000 per youth) $ PROTECTED A The information provided is accurate to the best of my knowledge. Given Name Family Name Title Date (YYYYMMDD) 16

FIRST NATIONS AND INUIT YOUTH EMPLOYMENT STRATEGY SUMMER WORK EXPERIENCE PROGRAM REPORT DCI Number / Fiscal Year: 434352.FNITP (2009-2010) Purpose: This report forms part of the reporting requirements for HRSDC and is necessary to support accountability, ongoing performance measurement and program review. Reporting Period: Annually, for the previous fiscal year ending March 31 st Due Date: September 15 th Helpful Hints: How to obtain forms: You may take a copy of the form from the Recipient Reporting Guide CD provided to band administration; or You may download the form from the Recipient Reporting Guide website at http://www.ainc-inac.gc.ca/ dci/dcilog_e.asp. To log in to the on-line Guide, click on this link or copy the link into your computer s internet browser. When the home page is displayed, select your province / territory and then type in the password which is the same as the province / territory selected. Users of the First Nations and Inuit Transfer Payment System (FNITP) may download the form from the reporting menu in the FNITP system. For further information on how to access FNITP, please contact your regional office. How to complete the form: Print the form and fill it in by hand. How to submit completed reports to INAC: Fax or mail the report to your INAC Regional Office How to check the status of the report submitted: FNITP users may check the status of the submission and acceptance in the FNITP system. For further information on how to access FNITP, please contact your regional office. Contact your INAC Funding Services Officer for further information. Required Supporting Documents: Refer to the program s specific terms and conditions for any additional documentation to be submitted. Program Documentation: Education Program Information: http://www.ainc-inac.gc.ca/edu/index-eng.asp and / or on Recipient Reporting Guide CD. Program Authority / Applicable Legislation: T.B. Minute #830377 Department of Indian Affairs and Northern Development s Youth Employment Strategy Initiatives. Field Definitions: Field Section 1: Identification First Nation, Inuit Community or Organization Name Recipient Number Definition The official and legal name of a given First Nation or Inuit community or organization. The number assigned to the First Nation or Inuit community or organization by INAC, to a maximum of 5 digits and in the format 99999. 17

Contact Given Name The given name of the person to be contacted about any questions related to the program report. Contact Family Name The family name of the person to be contacted about any questions related to the program report. Title / Position The title of the person to be contacted about any questions related to the program report. Address The mailing address of the program contact. Telephone The telephone number of the program contact. Fax The fax number of the program contact. Email The email address of the program contact. Section 2: Results Achieved and Activities Undertaken 2.1 Outcomes Achieved Outcomes Achieved Check all that apply from the list provided. Number of Participants The total number of youth who had summer work experience placements, the total number of males, total number of females, and the number of youth who indicated they have a physical and / or learning disability. Source: Questions 1.7 and 1.9 on the Summer Work Experience Program Youth Evaluations Number in Secondary and Post-Secondary School The total number of students who were registered as full-time students during the preceding academic year and who intend to return to school on a full-time basis in the academic year that follows the summer term. Secondary includes grades 9 to 12 (grades 7-11 in Quebec). Post-secondary includes attendance at an accredited post-secondary institution. The total of the two categories should equal the Total Number of Participants. Source: Question 1.10 on the Summer Work Experience Program Youth Evaluations Number of Participants by Age Range The total number of students who fall within each age range: 15-19, 20-24, 25-29, and 30. The total of all age categories should equal the Total Number of Participants. Source: Question 1.8 on the Summer Work Experience Program Youth Evaluations 2.2 Summer Work Experience Placements Undertaken List of summer work experience placements undertaken Total number of weeks of work provided from all summer work experience placements Number who received a certificate as a result of their summer work experience Number who did not complete their summer work experience For each work experience, the job title, employer name, contact name and phone number of the contact person at the employer s office as well as the number of weeks of work provided. Attach a separate sheet if more space is needed. Source: Question 1.13, 1.14, and 1.15 on the Summer Work Experience Program Youth Evaluations The total number of weeks worked by all participants (placements must provide a minimum of 80 hours of work). The total number of students who received a certificate as a result of their summer work experience placement. Source: Question 2.2 on the Summer Work Experience Program Youth Evaluations The total number of students who did not complete their summer work experience once started. Source: Question 1.16 on the Summer Work Experience Program Youth Evaluations. 18

Number who indicated the following reasons for not completing the summer work experience Number of youth who indicated they developed the following employability skills as a result of their summer work experience For students who did not complete their work experience placement, indication of the number who gave each of the reasons listed for not completing their placement. The total of all categories should equal the total number of youth who did not complete their summer work experience as shown in question 1.16 of the Youth Evaluation form. Source: Question 1.17 on the Summer Work Experience Program Youth Evaluations For each employability skill provided, indication of the number of students who responded on their evaluation form as having developed the skill during their summer work experience. Source: Question 2.1 on the Summer Work Experience Program Youth Evaluations Section 3: Participant Feedback Received Indication of the number of participants who responded in each category on the Youth Evaluation Forms for Summer Work Experience. 3.1 Indicate the number of youth who reported The number of youth who responded in each category. having the following goals prior to their summer Source: Question 3.1 on the Summer Work Experience work experience. Program Youth Evaluations. 3.2 How did the youth rate their summer work experience in terms of making them more employable? 3.3 How many youth feel more aware of the benefits of completing their education? 3.4 How many youth feel more aware of the different types of jobs that are available? 3.5 How many youth feel more aware of the type of work they would like to do? 3.6 Overall, how satisfied were youth with their summer work experiences? Section 4: Success Stories and Best Practices 4.1 Describe the most positive aspects of the program. 4.2 Describe the biggest challenges and your suggestions for improving the program. The number of youth who responded in each category. Source: Question 3.2 on the Summer Work Experience Program Youth Evaluations The number of youth who responded in each category. Source: Question 3.3 on the Summer Work Experience Program Youth Evaluations The number of youth who responded in each category. Source: Question 3.4 on the Summer Work Experience Program Youth Evaluations The number of youth who responded in each category. Source: Question 3.5 on the Summer Work Experience Program Youth Evaluations The number of youth who responded in each category. Source: Question 3.6 on the Summer Work Experience Program Youth Evaluations A narrative description of the most positive aspects of the program Sources: Questions 4.1 on the Summer Work Experience Program Youth Evaluation forms and other sources of information, such as feedback provided by employers and other organizations involved in the program. A narrative description of the biggest challenges and suggestions for improvement. Source: Questions 4.2 on the Summer Work Experience Program Youth Evaluations and other sources of information, such as feedback provided by employers and other organizations involved in the program. 19

Section 5: Financial Information 5.1 Total amount spent The total dollar amount spent on the activity from INAC and other funding sources. 5.2 Total revenue from INAC The total amount spent on the program that was received from INAC. 5.3 Revenue from other sources (if applicable) The total dollar amount spent on the program that came from funding sources other than INAC. This amount should equal the difference between the total amount spent and the total revenue from INAC. 5.4 Total wages and benefits paid to youth in the private sector 5.5 Total wages and benefits paid to youth in the non-profit sector 5.6 Total amount spent to support access for disabled youth Approval Block Given Name, Family Name, Title, Date The total wages and benefits paid to the private sector for students who participated in the Summer Work Experience program. The private sector is eligible to receive up to 50% of the applicable wages and benefits only. The total wages and benefits paid to the non-profit sector for students who participated in the Summer Work Experience program. The non-profit sector is eligible to receive up to 100% of the applicable wages and benefits. The total amount spent on the program to support access for youth participants with self-identified physical and / or learning disabilities (maximum $3,000 per youth participant). The name and title of the person attesting that the information provided is accurate to the best of the person s knowledge and the date on which the accuracy of the information was acknowledged, in the format of YYYYMMDD. Privacy Statement: The information you provide in this document is collected under the authority of Treasury Board s policy on Transfer Payments for the purpose of delivering Youth Employment Strategy programs and services. Information on individuals is used by Indian and Northern Affairs Canada Education employees who need to know the information in order to respond to your request and / or the program requirements. We share the information you give us with the department of Human Resources and Social Development. The personal information will be kept for a period of 5 years and will then be transferred to Library and Archives Canada. Individuals have the right to the protection of and access to their personal information under the Privacy Act http://laws.justice.gc.ca/en/showdoc/cs/p-21. The information collected is described under the Personal Information Bank INA PPU 604 which is detailed at www.infosource.gc.ca. 20