Please note that the below form is for new Perkopolis partners only. If you or your organization is already part of Perkopolis, please contact our customer service for support. 

First Name

Last Name

Email

Job Title

Phone Number

Company Name

Company Website (URL required)

Number of Employees

How can your organization verify employee access to Perkopolis? Employees all have a corporate email domain (preferred) Unique employee IDs managed by an administrator Employee personal email addresses managed by an administrator We currently don’t have a consistent way to verify employees

I confirm our employee IDs meet these requirements IDs provided must be: unique to each employee, not easily guessable (e.g. not simple sequential numbers like 1001, 1002) and known or accessible to the employee (e.g. included on a pay stub, internal portal, or HR communication)

Where in Canada do you plan to make this program available? (select all that apply) NationalAlbertaBritish ColumbiaOntarioManitobaNewfoundland and LabradorNew BrunswickNorthwest TerritoriesNova ScotiaPrince Edward IslandNunavutQuebecSaskatchewanYukon

Preferred Communication Language French / français English / anglais

Industry Manufacturing Accommodation and Food Services Administrative and Support and Waste Management and Remediation Services Agriculture, Forestry, Fishing and Hunting Arts, Entertainment, and Recreation Educational Services Finance and Insurance Health Care and Social Assistance Information Management of Companies and Enterprises Mining, Quarrying, and Oil and Gas Extraction Nonclassifiable Establishments Non-Employer Other Services (except Public Administration) Professional, Scientific, and Technical Services Public Administration Real Estate and Rental and Leasing Retail Trade Transportation and Warehousing Wholesale Trade Construction Utilities

How did you learn of Perkopolis? Referral CPHR Previously used Perkopolis Independent research Social Media Perkspot referral

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