{"id":1186,"date":"2022-06-21T23:06:59","date_gmt":"2022-06-22T03:06:59","guid":{"rendered":"https:\/\/forms.csi.ca\/?page_id=1186"},"modified":"2026-09-03T10:11:05","modified_gmt":"2026-09-03T14:11:05","slug":"employment-verification-form","status":"publish","type":"page","link":"https:\/\/forms.csi.ca\/?page_id=1186","title":{"rendered":"Employment Verification Form"},"content":{"rendered":"<div class=\"wpforms-container wpforms-container-full wpforms-container-save-resume wpforms-block\" id=\"wpforms-1183\"><form id=\"wpforms-form-1183\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"1183\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F1186\" data-token=\"92cb817740a97d74e550d8f50fa290d3\" data-token-time=\"1794057899\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-1183-field_10-container\" class=\"wpforms-field wpforms-field-divider\" data-field-type=\"divider\" data-field-id=\"10\"><h3 id=\"wpforms-1183-field_10\">This form must be completed by an Authorized Representative of an CIRO Affiliated Firm.<\/h3><\/div><div id=\"wpforms-1183-field_14-container\" class=\"wpforms-field wpforms-field-html\" data-field-type=\"html\" data-field-id=\"14\"><div id=\"wpforms-1183-field_14\"><p>If the candidate is not currently employed by an CIRO affiliated firm, they must obtain confirmation of employment verification in order to obtain the 50% discount. If the candidate is currently employed by an CIRO affiance firm, confirmation is not required. <\/p><\/div><\/div><div id=\"wpforms-1183-field_12-container\" class=\"wpforms-field wpforms-field-hidden\" data-field-type=\"hidden\" data-field-id=\"12\"><input type=\"hidden\" id=\"wpforms-1183-field_12\" name=\"wpforms[fields][12]\"><\/div><div id=\"wpforms-1183-field_3-container\" class=\"wpforms-field wpforms-field-name\" data-field-type=\"name\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-1183-field_3\">Candidate\u2019s Full Name <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-1183-field_3\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][3][first]\" placeholder=\"First Name\" required><label for=\"wpforms-1183-field_3\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-1183-field_3-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][3][last]\" placeholder=\"Last Name\" required><label for=\"wpforms-1183-field_3-last\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-1183-field_11-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-type=\"checkbox\" data-field-id=\"11\"><label class=\"wpforms-field-label wpforms-label-hide\">Checkboxes<\/label><ul id=\"wpforms-1183-field_11\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-1183-field_11_1\" name=\"wpforms[fields][11][]\" value=\"By signing below I am confirming this candidate is required to re-enrol in the course to comply with CIRO Rule 2600 Part II A rewrite requirements.\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1183-field_11_1\">By signing below I am confirming this candidate is required to re-enrol in the course to comply with CIRO Rule 2600 Part II A rewrite requirements.<\/label><\/li><\/ul><\/div><div id=\"wpforms-1183-field_4-container\" class=\"wpforms-field wpforms-field-name\" data-field-type=\"name\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-1183-field_4\">Name of Authorized Representative <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1183-field_4\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][4]\" required><\/div><div id=\"wpforms-1183-field_8-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-1183-field_8\">Title of Authorized Representative <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1183-field_8\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][8]\" required><\/div><div id=\"wpforms-1183-field_7-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-1183-field_7\">CIRO Affiliated Firm Name <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1183-field_7\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][7]\" required><\/div><div id=\"wpforms-1183-field_13-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-1183-field_13\">Billing Account Code (if applicable)<\/label><input type=\"text\" id=\"wpforms-1183-field_13\" class=\"wpforms-field-medium\" name=\"wpforms[fields][13]\" ><\/div>\t\t<div id=\"wpforms-1183-field_1-container\"\n\t\t\tclass=\"wpforms-field wpforms-field-text\"\n\t\t\tdata-field-type=\"text\"\n\t\t\tdata-field-id=\"1\"\n\t\t\t>\n\t\t\t<label class=\"wpforms-field-label\" for=\"wpforms-1183-field_1\" >Affiliated Name CIRO<\/label>\n\t\t\t<input type=\"text\" id=\"wpforms-1183-field_1\" class=\"wpforms-field-medium\" name=\"wpforms[fields][1]\" >\n\t\t<\/div>\n\t\t<div id=\"wpforms-1183-field_9-container\" class=\"wpforms-field wpforms-field-email\" data-field-type=\"email\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-1183-field_9\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-1183-field_9\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][9]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-1183-field_5-container\" class=\"wpforms-field wpforms-field-signature\" data-field-type=\"signature\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-1183-field_5\">Signature <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1183-field_5\" class=\"wpforms-signature-input wpforms-screen-reader-element wpforms-field-required\" data-is-wrapped-field=\"1\" name=\"wpforms[fields][5]\" autocomplete=\"off\" inputmode=\"none\" required><div class=\"wpforms-signature-wrap wpforms-field-row wpforms-field-large\" data-input-method=\"draw\"><canvas class=\"wpforms-signature-canvas\" id=\"wpforms-1183-field_5-signature\" data-color=\"#000000\"><\/canvas><div class=\"wpforms-signature-clear\" title=\"Clear Signature\" tabindex=\"0\">\n\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"1em\" height=\"1em\" preserveAspectRatio=\"xMidYMid meet\" viewBox=\"0 0 1536 1536\">\n\t\t\t\t\t<path fill=\"var( --wpforms-field-text-color, rgba(0, 0, 0, 0.25) )\" d=\"M1149 994q0-26-19-45L949 768l181-181q19-19 19-45q0-27-19-46l-90-90q-19-19-46-19q-26 0-45 19L768 587L587 406q-19-19-45-19q-27 0-46 19l-90 90q-19 19-19 46q0 26 19 45l181 181l-181 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none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container -->","protected":false},"excerpt":{"rendered":"","protected":false},"author":50,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-1186","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/forms.csi.ca\/index.php?rest_route=\/wp\/v2\/pages\/1186","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/forms.csi.ca\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/forms.csi.ca\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/forms.csi.ca\/index.php?rest_route=\/wp\/v2\/users\/50"}],"replies":[{"embeddable":true,"href":"https:\/\/forms.csi.ca\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1186"}],"version-history":[{"count":0,"href":"https:\/\/forms.csi.ca\/index.php?rest_route=\/wp\/v2\/pages\/1186\/revisions"}],"wp:attachment":[{"href":"https:\/\/forms.csi.ca\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1186"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}