IMPORTANT
* Do not forget the deadline: February 28, 2011

General information

Community
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Person in charge Person in charge
Name Name
Position Position
E-Mail E-Mail


Objectives and Activities Proposed

Information about the clientele
Please indicate the anticipated number of participants.
Total number of young women Total number of young men
Total number of disabled Total number of participants
Of all of anticipated participants, please indicate the number in each of the following grades:
Number in secondary school Number in post-secondary school
Please indicate the anticipated number of participants by age range.
15-19 years old 20-24 years old
25-29 years old 30 years old



Information on activities
Among the program's objectives listed below, please check all that apply.







Anticipated Student Summer Employment placements
Job title and descriptionName of potential employerDurationLocationResults to be achieved  
Add PlacementRefresh
No placement


Proposed Budget

Total Explanation
Budget allocated to your community
Participant wages (total hours multiplied by wage rate per hour)
N. B. : The FNEC allocates a minimum hourly wage of $9.50
Mandatory employment related costs
(e.g. employee share of Canada Pension Plan (CPP), Québec Pension Plan (QPP), Québec Parental Insurance Plan (QPIP), Employment Insurance (EI), CSST, vacation)
Actual cost for special equipment and facilities to accommodate the needs of a disabled participant
Administrative fees (5%)
TOTAL



I certify, as an FNEC Representative within the Band Council, that the information provided in this form is accurate.
Representative
Date
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General Comments


End of the proposal