ESC Membership Renewal 2018-2019

Employment Sector Council (ESC)

Membership, 2019-2020

Thank you for completing your ESC Membership Form on behalf of your organization. Our strength is owed to our collective membership and your support is crucial for us to continue to provide the wide array of our services and resources for supporting your organizations, staff, client service delivery, and strengthening our community partnerships. If you have any questions, please do not hesitate to contact us: info@esc.network.

Organization Contact Information

Agency Name (exactly as you would like it to appear on our Membership List):*

Your Organization's Primary Contact:*

Position*

Email Address*

Street address*

Street address line 2

City*

Province*

ON

Postal code*

Phone number*

Twitter Handle

Secondary Organization Contact*

Position*

Email Address*

Third Organization Contact (Optional but Recommended)

Position

Email Address

To help us provide the best value for your membership, please indicate which of the following ESC services your organizaiton would support this year:

Sharing information about our organization's news, events, and services with ESC to be distributed across our networkAttending ESC's Annual General Meeting, and General Membership MeetingsSending staff to Professional Development EventsSending staff to Common Assessment Process TrainingSending staff to Labour Market Information TrainingParticipating in the Job Developers NetworkSupporting agency staff participation on ESC CommitteesSupporting ESC's participation on regional employment/workforce projects and partnerships

We would like to see additional ESC supports. Please describe:

I would like to receive the ESC e-newsletter.

Click here to sign up.

Payment Information

($450 per Organization)

Choose method of payment

Please send me an invoice and I will pay by cheque.I want to pay by PayPal with a credit card.

Option 1: Pay by Cheque

An invoice in the amount of $450.00 will be emailled to you with payment details. Please complete the contact information below and complete your registration by pressing SUBMIT.

E-mail

Contact name for payment

Date for Invoice (optional)

Option 2: Pay by Paypal with a credit card ($450.00)

You can pay immediately. Please click Credit Card Payment $450 CAD below and then press PAY BY PAYPAL.

Credit Card

Credit Card Payment$450.00CAD

Note: Paypal account as well as cheques (payable) through WIL Counselling and Training