Second Career (SC) Application Checklist for ES Service Providers

Please include a completed copy of this checklist with each SC application package

Client Name: / EO Case #:

SECTION A - Documents to be included in the SC Application Package

SC / Feepayer
SC Application For Financial Assistance (89-1889), signed and dated by the client
Employment Service Plan (ESP)
  • Should include statements about the applicant’s: Education (including highest level attained), previous participation in ministry-funded programs or services, work history, employment barriers and needs, job search efforts, occupational goal and research, summary of your discussion about the general financial feasibility of participating in SC, identified disability needs.
  • Signed and dated recommendation rationale which includesstatements about: the applicant’s eligibility and suitability, financial hardship considerations (if applicable),reason for matrix scoring exceptions (if applicable), and Family Responsibility Officearrangementwhich may preventgarnishment of SC funds (if applicable). Please also include a brief description of documents validated, as checked off in Section B below.

SC Estimate of Financial Assistance (Financial Feasibility Interview Worksheet) / N/A
CopySC Eligibility and Suitability Assessment Template printed from EOIS-CaMS / N/A
Acceptance letter from training institution on letterhead which includes: start and end dates of training, program name, breakdown of costs, tuition payment schedule, number of hours of training per week, scheduled breaks in training (if applicable), any identified disability needs and supports for persons with disabilities (PWDs) / N/A
Documentation supporting request for costs associated with dependent care, if applicable:
  • SC Dependent Care Application Form
  • SC Dependent Declaration Form (Care Provider)
  • SC Dependent Declaration Form (Other Person)
  • Evidence of history of childcare provision by a relative
  • Affidavit of Sole Support Status
/ N/A
Documentation supporting request for costs associated with training, if applicable:
  • Nature of disability and cost estimate of support(s)
/ N/A
  • Transportation
/ N/A
  • Books if not included in acceptance letter
/ N/A
  • Other personal supports
/ N/A
  • Living away from home
/ N/A
Feepayer acknowledgement (87-2937) completed / N/A
Ministry of Training, Colleges and Universities Private Career College printout(if applicable)

SECTION B – Validation of Documents

Before submitting the application package to the ministry, please ensure that you have validated all items required for the client to be accepted into their skills training program and/or employed in their field of training:

Please check if applicable / Please check if applicable
Medical Assessment / Driver’s Abstract
Criminal Record Check / Other (describe):
Immunization / Other (describe):
Vulnerable Person Checks / Other (describe):

Note: In accordance with the Freedom of Information and Protection of Privacy Act, these documents (photocopies or originals) should not be forwarded to the ministry.

Name of ES Organization Case Worker:
(Please print)

Version: January 2016