Indigenous Skilled Trade Workers Registration Form Step 1 of 4 25% Personal InformationName(Required) First Last Gender(Required)Date of Birth(Required) MM slash DD slash YYYY Address(Required) Street Address Address Line 2 City Province Postal Code Phone(Required)Email(Required) Do you consent to receiving emails on opportunities, news, resources and more?(Required)YesNoSocial Insurance Number(Required)Are you Indigenous?(Required)YesNoIf so, which Indigenous group? (If no, reply with NA)(Required)Please indicate band/beneficiary/members number (If no, reply with NA)(Required)Registration Expiry (If no, reply with 01/01/2000)(Required) MM slash DD slash YYYY Do you identify as a visible minority?(Required)YesNoMarital Status(Required)Number of dependents(Required) EducationHighest Level of EducationDiplomas/Certificates (Check all that apply) High School Diploma Adult Basic Education Diploma GED Diploma Other TrainingHave you attended a Post Secondary InstituteYesNoWhich post secondary institute and campus did you attend?Chosen Trade Apprenticeship ProgramAre you a registered apprentice?(Required)YesNoIf yes, please identify apprenticeship status (if no, reply with NA).(Required) EmploymentAre you willing to travel throughout Newfoundland and Labrador for work?YesNoAre you willing to travel outside of Newfoundland and Labrador for work?YesNoAre you a member of a union?YesNoUnion name and localAre you currently employed in your trade?YesNoEmployer/contractorTime employed with this company?Please identify safety tickets that you have completed (and date of expiry).Please identify CWB welding tickets you have completed (and date of expiry).Do you have any specialized training? Steward training Foreperson training Diversity and inclusion training Other Please identify other specialized trainingEI BenefitsAre you currently receiving EI Benefits?(Required)YesNoIf yes, please indicate start/end datesConsent(Required) By checking this box, I understand and agree that any/all information contained on this registration form could be shared with potential employers and the Department of Industrial Training for the purpose of securing employment and gathering data for apprentice programs. Your data is protected.
