PERSONAL information
Last Name (*)
Please enter your last name
First Name (*)
Please enter your first name
Address (*)
Please enter your address
City/Town (*)
Please enter your city or town
Province (*)
Please enter your province
Postal Code (*)
Please enter your postal code
Home Phone (*)
Please enter your home phone number in this manner 000-000-0000
Cell Phone
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Email (*)
Please enter your correct email address
Date of Birth (*)
Please enter your date of birth in this manner: April 9, 1961
Sex (*)
Male Female
Please select male or female
Are you currently a member of any union? (*)
yes no
Please indicate whether you are currently a member of any union
If yes, which union?
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Any injuries or disabilities? (*)
yes no
Please indicate whether you have any injuries or disabilities (you will be able to explain below)
Any physical restrictions? (*)
yes no
Please indicate whether you have any physical restrictions (you will be able to explain below)
If yes, please explain
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WORK Experience
Company (*)
Please name the last company you worked for
Start Date (*)
Please list your start date at this company (in this format: April 9, 2009)
Finish Date (*)
Please list the date you stopped working for this company (in this format: April 9, 2011)
Job Duties (*)
Please list your job duties at this company
Reason for leaving (*)
Please list the reason you left this company
Contact for reference (*)
Please list a name and contact information for a reference
Please check off any of the following skills that you may have
Blueprint reading and supervision (Maintenance), Cement finishing (Concrete Technology), Formsetting (Carpentry), Pipelayer / Gradesman with laser/transit, Scaffold Erection & Dismantling, Railroad maintenance, SPRAT – rope access, Aerial lift and/or scissor lift, Telehandlet forklift, WHMIS, Basics of supervising, NAUSC foreman certification Asbestos abatement worker, Pipeline safety, Fall protection, Propane in construction, Chainsaw safety, Hoisting and rigging Confined space / safety watch, Traffic control, CPR / first aid, Trenching safety, Forklift, Skidsteer / Bobcat
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Criminal Convictions
Have you ever been convicted or found guilty of any criminal offence? (*)
yes no
Please indicate whether you have ever been convicted or found guilty of any criminal offence (you can explain below)
If yes, explain (charges, dates, country, etc)
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THE APPLICANT AGREES AS FOLLOWS:
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.
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
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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