Source document: https://docs-lawep.s3.us-east-2.amazonaws.com/1697646008459.pdf (Canada)
LIBRARY OF PARLIAMENT INTERNSHIP PROGRAM 2021–2022: APPLICATION FORM NAME Last: First: SPECIALIZATION Please specify your area(s) of study: Please specify your preferred area of work for this position ☐ Economics, Resources and International Affairs ☐ Legal and Social Affairs ☐ Public Education Programs ☐ Reference, Current Awareness and User Services LINGUISTIC PROFILE Preference will be given to candidates who can communicate orally in both official languages.
Candidates retained in this process may be required to undertake an evaluation of their second language oral proficiency.

In which official language(s) do you consider you have a working ability?

☐ English ☐ French ☐ Both English and French SELF-DECLARATION (OPTIONAL) The information that you provide on the self-identification questionnaire will be kept confidential.

The information will be used only for compiling aggregated statistics for employment equity and diversity initiatives.
Are you an Indigenous person (i.e., of First Nation, Inuit or Métis descent )?

☐ Yes Please provide further information, if you wish: Are you a member of a visible minority?

☐ Yes Please provide further information, if you wish: Are you a person with a disability?

☐ No ☐ No Library of Parliament Internship Program 2020–2021: Application Form Page 1  2 LIBRARY OF PARLIAMENT SELF-DECLARATION (OPTIONAL) The information that you provide on the self-identification questionnaire will be kept confidential.
The information will be used only for compiling aggregated statistics for employment equity and diversity initiatives.

☐ Yes Are you a woman?

☐ Yes WHERE DID YOU HEAR ABOUT THIS PROGRAM?

☐ GC Jobs ☐ parl.gc.ca ☐ LinkedIn ☐ No ☐ No ☐ University career centre ☐ Word of mouth ☐ Other, please specify: Footer text Page 2  2