Application Form: Skills & Employment HistoryPersonal Information
Surname First Name
Street Address Apt # PO Box
City Province Postal Code
Email Birthdate (Day / Month / Year)
First Nations Band_________________________
Cell Phone: --------------------------------------------------------------- Home Phone:
Y N Were you referred to the Union? N
Education & Experience
Are you an indentured apprentice? Y N
What trade ________________________
If yes, what level technical training have you completed?
1 2 3 4
Are you a certified journeyperson? Y NTQ number
List previous employer
Employer 1 Employment dates Role or position
Employer 2 Employment dates Role or position
Employer 3 Employment dates Role or position
For office use only
Notes
Contacted: Y N init__________________ Date:______________________________
Do you identify as:
Inequality or Minority Group
Check all that apply.
Y N
Male Female Non-Binary Prefer not to say.
Y N
from:to:
from:to:
from:to:
Have you been or are you a Union member? Y
If yes, which Union/Local?If yes, by whom:
Jobsite Experience: Enter the number of years experience in:
Commercial Construction Residential Construction Industrial Construction
Jobsite Qualifications: Enter the number of years’ experience you have:
1 2 3 4 5+ or more years
Carpentry Scaffolding/Staging Wall & Ceiling
Concrete forming Yard work Boarding
Concrete placing Frame Scaffolding Insulation
Framing System Scaffolding Layout
Layout Tube and clamp Steel stud
Interior finish carpentry Swingstage Taping
Exterior finish carpentry Trims/accessories
Rough carpentry Labourer T-bar
Modular formwork Labouring Insulator
Lead hand experience Demolition & hazmat Pipe insulating
Foreman experience Concrete finishing Ship insulating
Supervisor experience Formwork stripping Metal cladding
Soft covers
Other Asbestos abatement
Trucking / delivery Lead abatement
Crane operation Fire stop systems
Rigging
Certifications: Copies of Certificates Must Be Given to Receive Credit
List any valid certifications
Aerial Boom Lift / AWP ☐ OFA ☐ Level 1 2 3
Bear Awareness ☐ Confined Space ☐
CSTS 09 / CSTS 2020 ☐ Fall Protection ☐
Driver’s License ☐ Rigging ☐
Fit Test ☐ Scissor Lift ☐
Flagging ☐ Skid Steer ☐
Forklift (Counterbalance Class 5) ☐ WHMIS 2015 ☐
H2S Alive ☐ Zoom Boom/Rough Terrain (Class 7) ☐
Hearing Test ☐ Other :