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LIUNA1089 Application Form

PERSONAL information
Please enter your last name

Please enter your first name

Please enter your address

Please enter your city or town

Please enter your province

Please enter your postal code

Please enter your home phone number in this manner 000-000-0000

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Please enter your correct email address

Please enter your date of birth in this manner: April 9, 1961

Please select male or female

Please indicate whether you are currently a member of any union

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Please indicate whether you have any injuries or disabilities (you will be able to explain below)

Please indicate whether you have any physical restrictions (you will be able to explain below)

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WORK Experience
Please name the last company you worked for

Please list your start date at this company (in this format: April 9, 2009)

Please list the date you stopped working for this company (in this format: April 9, 2011)

Please list your job duties at this company

Please list the reason you left this company

Please list a name and contact information for a reference

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Criminal Convictions
Please indicate whether you have ever been convicted or found guilty of any criminal offence (you can explain below)

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THE APPLICANT AGREES AS FOLLOWS:

  1. FALSIFICATION OR MISINTERPRETATION OF INFORMATION ON THIS APPLICATION INCLUDING OMISSION OF INFORMATION COULD RESULT IN EXPULSION FROM ANY TRAINING, APPRENTICESHIP PROGRAM, OR MEMBERSHIP IN LIUNA LOCAL 1089.
  2. THE APPLICANT FURTHER AGREES THAT SHOULD HE OR SHE RECEIVE A JOB PLACEMENT RF MEMBERSHIP, NOT WITHSTANDING THE WAGE RATE PAID FOR A CLASSIFICATION CONTAINED WITHIN A COLLECTIVE AGREEMENT, THAT UPON AN ASSESSMENT MADE IN ACCORDANCE WITH THE PROCEDURES SET BY THE UNION OR THE LOCAL APPRENTICESHIP COMMITTEE, HE OR SHE SHALL FOR THE PURPOSES OF NEEDING ADDITIONAL TRAINING, AGREE TO REGISTER WITH THE MINISTRY OF TRAINING, COLLEGES & UNIVERSITIES (MTCU) AS AN APPRENTICE TO RECEIVE SUCH TRAINING
  3. THE APPLICANT AGREES TO BE BOUND TO THE CONSTRUCTION CRAFT WORKER APPRENTICESHIP PROGRAM, ITS RULES AND POLICIES INCLUDING THE PROBATIONARY PERIODS CONTAINED THEREIN IF ACCEPTED FOR EMPLOYMENT OR MEMBERSHIP WITH THE UNION.
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