Training

Full Name (required)

Email (required)

Phone number

Mailing address

City

Postal code

Province/Territory

Date of birth

Trade/occupation

Are you related to a member?

YESNO

If yes, what is their name and relationship to you?

Do you identify as an aboriginal person?

YESNO

If yes, what is the name of your Band/Nation?

Is English your second language?

YesNo

If yes, what is your first language?

Did you attend an information session?

YESNO

If yes, when?

IUOE Union member?

No115115A115B115C

If yes, what is your registration number?

Select one apprenticeship you wish to apply for:

Do you have the following: (Please note ALL applicants must have a valid driver's license and submit a driver's abstract. Mobile crane applicants must have a Class 1. Please provide copies of all current certificates)

Valid driver's license: YESNO

Class:

Air brakes: YESNO

Date issued:

First aid: YESNO

Expires:

WHMIS: YESNO

Date issued:

TDG (transportation of dangerous goods): YESNO

Date issued:

H2S Alive (hydrogen sulfide): YESNO

Expires:

Confined space: YESNO

Date issued:

Fall protection: YESNO

Date issued:

Telehandler (rough terrain forklift): YESNO

Expires:

TCP (traffic control person): YESNO

Date issued:

PCST (Pipeline Construction Safety Training): YESNO

Expires:

Ground disturbance: YESNO

Expires:

CSTS (Construction Safety Training System): YESNO

Expires:

Please provide copies of all current certificates:

Do you have any medical conditions or disabilities that may be affected by this training? YESNO

If "Yes," please specify:

What is your highest level of education?

Graduated: YESNO

Trades training:

Institution:

Year:

Post-secondary:

Institution:

Year:

Please provide copies of transcripts from post-secondary education:

Have you written a Trade Assessment Exam with us before? YESNO

What was your score?

When?

Please list the construction equipment you have operated, including make and model, operating hours, industry and the type of work you were performing:

DISCLOSURE OF PERSONAL INFORMATION (please read carefully!)

In submitting this application form, I give the IUOE Local 115 Training Association permission to disclose information to the Local Union (115) and other organizations. I further authorize the IUOE Local 115 Training Association to sign documents related to apprenticeships, such as course date change requests and expiry date changes:
I accept