Civil Service Commission Career Gateway Program Placement Proposal Submission Deadline: OPEN Department: Division/Branch: Work location: HR Contact: Program area: Provide a short description of the organization in which the participant will work. General accountabilities/duties: What work will the participant be doing during his/her placement? What will he/she be expected to accomplish? Attach a position description if applicable. Learning opportunities: What competencies (skills, knowledge, abilities) will the participant gain or enhance as a result of the placement? Required competencies: What competencies (skills, knowledge, abilities) are important for a participant to possess in order to succeed in this placement opportunity? Page 1 of 3 Condition(s) of employment: Are there any conditions of employment? Yes No If yes, please note: Timeframe: Identify the start date and end date of the placement. Is it full time or part-time. Please specify work hours if part-time. Contacts: Who will be the participant’s supervisor? Who will be the participant’s mentor?(could be the same as the supervisor) Orientation: Describe the orientation the participant will receive. What job related OSD Courses will you recommend the participant attend? Please refer to the OSD catalogue for the list of courses. Future Plan: How does this placement fit into the department’s succession/organizational planning? Is there an opportunity for an appointment to a term or regular position? Yes No Funding: Is the department cost sharing the funding for the position with the Civil Service Commission? If so, please indicate the FTE number and Cost Centre. This information is available in alternate formats upon request. Page 2 of 3 Supervisor: Name Signature Date Name Signature Date Director: Please submit completed form to the CSC by email at csc@gov.ca or by fax at (204) 945-1486. For more information about this program, please contact the Diversity and Inclusion Unit at (204) 945-2332. This information is available in alternate formats upon request. Page 3 of 3