"Northwest Territories Apprenticeship Application" - Northwest Territories, Canada

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NORTHWEST TERRITORIES APPRENTICESHIP APPLICATION
Application Package Checklist
SIGNATURES:
Applicant signs on page 4 and 6.
Page 7 is signed and completed: there should be two signatures on this page (all signatures within 4
weeks of the first signature).
PROOF OF PAYMENT:
Receipt from Government of the Northwest Territories for the $50 application fee
ACADEMIC RECORD:
Copies of certificates, credentials and or transcripts from previous technical training institutions
or high school
OR
Results letter from Trades Entrance Exam– ask your CDO for a copy
If credit for previous education is being requested
REQUEST FOR PLAR:
Attached signed PLAR Application results letter (if applicable)
The personal information collected in this application will be used to determine your eligibility to participate in the
NWT Apprenticeship Program. This information and the personal information we obtain throughout your program
will be used to:
Administer your apprenticeship program,
Register you in technical training in NWT or Alberta
Help you gain financial support under the Employment Insurance Act (Canada) or other financial
assistance programs to which you apply, and
It may also be used to facilitate your involvement in the Interprovincial Red Seal Program, for research
and statistical purposes, and may be provided to Statistics Canada.
Submit all completed forms, documents and fee(s) to your local ECE Service Centre.
If you need help in completing this form, a Career Development Officer (CDO) can provide assistance and
information.
This is not an apprenticeship contract. A contract will be issued only after this application has
been reviewed and accepted by the Director of Apprenticeship.
Apprenticeship Application
Apprenticeship, Trade and Occupation Certification
Revised August 2019
Page 1 of 7
NORTHWEST TERRITORIES APPRENTICESHIP APPLICATION
Application Package Checklist
SIGNATURES:
Applicant signs on page 4 and 6.
Page 7 is signed and completed: there should be two signatures on this page (all signatures within 4
weeks of the first signature).
PROOF OF PAYMENT:
Receipt from Government of the Northwest Territories for the $50 application fee
ACADEMIC RECORD:
Copies of certificates, credentials and or transcripts from previous technical training institutions
or high school
OR
Results letter from Trades Entrance Exam– ask your CDO for a copy
If credit for previous education is being requested
REQUEST FOR PLAR:
Attached signed PLAR Application results letter (if applicable)
The personal information collected in this application will be used to determine your eligibility to participate in the
NWT Apprenticeship Program. This information and the personal information we obtain throughout your program
will be used to:
Administer your apprenticeship program,
Register you in technical training in NWT or Alberta
Help you gain financial support under the Employment Insurance Act (Canada) or other financial
assistance programs to which you apply, and
It may also be used to facilitate your involvement in the Interprovincial Red Seal Program, for research
and statistical purposes, and may be provided to Statistics Canada.
Submit all completed forms, documents and fee(s) to your local ECE Service Centre.
If you need help in completing this form, a Career Development Officer (CDO) can provide assistance and
information.
This is not an apprenticeship contract. A contract will be issued only after this application has
been reviewed and accepted by the Director of Apprenticeship.
Apprenticeship Application
Apprenticeship, Trade and Occupation Certification
Revised August 2019
Page 1 of 7
Reinstatement
New Application
1. Personal Information
Trade Requested
Schools North Apprenticeship Program (SNAP) Information
Previously in SNAP
Never in SNAP
Currently in SNAP
Today’s Date:
yyyy-mm-dd
Social Insurance Number:
Legal Last Name:
Former Last Name:
(if applicable)
Middle Name:
Legal First Name:
(full name, no initials)
Preferred First Name:
Mailing Address:
P.O. Box:
Street:
Community:
Province/Territory:
Postal Code:
Cell Phone No:
Home Phone No:
Work Phone No:
E-mail Address:
Birth date:
yyyy-mm-dd
Gender:
Male
X
Female
If you wish to declare your indigenous status, please specify: Dene
Other ______________
Inuvialuit
Non-Indigenous
Metis
Inuit
Yes
Have you completed a Trade Access Program?
No
Have you been involved in Skills Canada NWT programs?
Yes
No
May we share your contact information with Skills Canada NWT?
Yes
No
Did you participate in the South Slave Trades Awareness Program?
Yes
No
Prefer not to disclose
Do you have a disability? Yes
No
If yes, please ask your CDO what types of accommodation can be offered to assist you in your work and studies
Apprenticeship Application
Apprenticeship, Trade and Occupation Certification
Revised August 2019
Page 2 of 7
2. Previous Apprenticeship Registration
If you were an apprentice, or hold a certificate of qualification, you could receive credit toward the trade you are applying for. There is no
fee to review this information, but supporting documents must be submitted with this application. When this section is complete you
must also complete section 4 of this application.
No
Are you currently or have you ever been a registered in an apprenticship program?
Yes
Do you hold a COQ? Yes
No
In which trade?
If so, where was your apprenticeship?
(Province/Territory)
Special Notes:
1. Apprentices registered in another province or territory do not need to fill in Section 3 Education and Trades Education. The Northwest Territories
has agreements in place with other Canadian jurisdictions to recognize technical training and work experience.
2. In order to be registered as an apprentice in the Northwest Territories the apprentice will need to terminate their apprenticeship in the other
province ot territory.However, Apprentices in their last year of apprenticeship should consult with the Career Development Officer prior to
ending their apprenticeship in another jurisdiction as it may be advantageous to continue as an apprentice in their current jurisdiction.
3. Education and Trades Education
What is the highest level of education you completed?
Province or territory:
(attending or most recently attended)
Name of Institution (high school/university/college):
(most recently attended)
Community of institution:
Last year attended:
Credential obtained:
Previous In School Trades Education
Having previous trades related education recognized could mean that you qualify for exemption from technical training.
Do you have previous trades education that you would like applied to your apprenticeship application and contract?
Yes
No
If yes, STOP
Request a Prior Learning And Recognition (PLAR) application from your CDO.
$100 fee for assessing a PLAR
Please note there is a
This application should not be signed until the results of the PLAR can be included with the application.
Examples:
1. An applicant has attended a 2 year Culinary Arts program at a college and is applying to be a baker. Credit hours and education could be
applied toward the contract and the apprentice may be eligible to begin their apprenticeship as a level 2 apprentice.
2. An applicant who completed high school Career & Technology Studies (CTS) courses could be credited time towards an apprenticeship
contract.
Apprenticeship Application
Apprenticeship , Trade and Occupation Certification
Page 3 of 7
Revised August 2019
4. Previous Work Experience in the Trade
Hours worked in the trade you are applying for can be credited toward your apprenticeship contract with your employer’s permission. By filling
in this section you are authoring ATOC to contact your current employer and previous employers to validate your previous work experience.
Name of Business:
Mailing Address:
P.O. Box:
Street:
Province/Territory:
Postal Code:
Community:
Phone No:
Alternative Phone No:
Fax No:
Name of contact person:
(Name, Position and Phone Number, with Area Code)
Tasks Performed:
(What is your hands-on-experience in the trade?)
Date Started:
yyyy-mm-dd
Date Finished:
yyyy-mm-dd
Work Experience Credit:
Supervising Journeyperson:
Name
Name of Business:
Mailing Address:
P.O. Box:
Street:
Community:
Province/Territory:
Postal Code:
Phone No:
Alternative Phone No:
Fax No:
Name of contact person:
(Name, Position and Phone Number, with Area Code)
Tasks Performed:
(What is your hands-on-experience in the trade?)
Date Started:
yyyy-mm-dd
Date Finished:
yyyy-mm-dd
Work Experience Credit:
Supervising Journeyperson:
Name
If Work Experience Credit is requested, please fill in the Apprenticeship Time Credit Worksheet with the employer on page 7.
I certify that all of the information provided in section 1-4 is a true and accurate reflection of my work and education which is relevant to the trade I have
applied for. I understand withholding information on previous trades certification or experience may impact my application or apprenticeship contract.
Signature of Applicant
Applicants Name Printed
Date
Apprenticeship Application
Apprenticeship , Trade and Occupation Certification
Revised August 2019
Page 4 of 7
5. Current Employer Information
Legal Name of Business:
New Journeyperson Hourly Rate of Pay:
Operating Name of Business:
Mailing Address:
P.O. Box:
Street:
Province/Territory:
Postal Code:
Community:
Phone No:
Alternative Phone No:
Fax No:
Site Address:
Street:
(If different
from mailing)
Community:
Province/Territory:
Postal Code:
Employer Contact Person:
Email Address:
When did the applicant begin to work in this trade for your business prior to the contract start
date?yyyy-mm-dd
___________________
How many hours has the applicant worked in this trade for your business up to todays date?
Signature of Employer ______________________________________
Date
yyyy-mm-dd
___________________
TO BE COMPLETED BY THE APPLICANT’S SUPERVISING JOURNEYPERSON:
Gender:
Date of Birth: yyyy-mm-dd
Name: (Please Print) _________________________________________
**Note: if the applicant’s supervising journeyperson was certified outside of the Northwest Territories a copy of their Journeyperson Certification must be
attached to this application. **
Certificate of Qualification Number: _______________
Issuing Province/Territory____________
Date of certification:
yyyy-mm-dd
Red Seal Number: ____________________
Date of certification:
yyyy-mm-dd
Community: _________________________
Postal Code: __________________________
Address: ____________________________
Email Address: (mandatory) _______________________________________
Phone Number: (mandatory) ______________________________________
Signature:______________________________________________________
Signature Date: yyyy-mm-dd
Apprenticeship Application
Apprenticeship, Trade and Occupation Certification
Revised August 2019
Page 5 of 7