PRE-APPENTICESHIP CANDIDATE TRAINING PROGRAM
APPLICATION (PACT Program)
v Incomplete applications will not be not be accepted into the selection process and will not be returned.
v Print clearly and legibly using blue/black ink.
v Must attach copy of high school transcripts showing successful completion of English 20-2, Math 20-3 & Science 10 as well as proof of high school diploma or you must submit results of the Apprenticeship Board’s Electrical Entrance exam. (780) 427-8517
v Resume attached with thorough work history.
v If you have any additional education material, please include copies of all relevant information.
v Reference reports completed either in person or by phone. (Note: If there are no work-related references, you can use an IBEW 424 member, teacher/principal, church member, volunteer, supervisor etc) Must submit a minimum of 2 references.
v All references may be followed-up by the Electrical Training Centre.
v Proof of Alberta residence: drivers license, lease agreement or AHC. All applications will be held on file for a maximum 2 years
The personal information collected in this application will be used to determine your eligibility to participate in the Pre-Apprenticeship Candidate Training Program. This information will be used to determine who are the best candidates.
Application Date: ______Session applying for: ______
Personal Information
Last Name ______First Name ______Middle Initial _____
D.O.B.______Date of Birth ______Gender: M _____ F _____
Mailing Address: ______
(P.O. Box, Street) (City) (Postal Code)
Phone No. (_____) ______-______Alternate Phone No. (_____) ______-______
Work Experience (most recent)
Company Name: ______From: ______to ______
Responsibilities included: ______
______
______
______
Name of Contact Person: ______Phone # (_____) ______-______
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Company Name: ______From: ______to ______
Responsibilities included: ______
______
______
______
Name of Contact Person: ______Phone # (_____) ______-______
Education and Training
Name of High School: ______Month/Year of Graduation: ______
City/Town of High School: ______
Other Courses/Programs (University/College/Technical Institute)
Completed______
I certify that, to the best of my knowledge, the information provided in this application is true and complete in all respects and that I have not withheld any relevant information. I authorize The Electrical Industry Training Centre or its designate to contact individuals as required, to verify all information submitted.
I consent to the Electrical Industry Training Centre collecting, utilizing, and disclosing my personal information as required for conducting legitimate business of the Training Centre.
Applicant Signature: ______Date: ______
In the space provided, tell us why you feel you should be chosen to participate in our pre-Apprenticeship Program?
______
Please attach any additional information
REFERENCE REPORT for PACT PROGRAM
Applicant’s Name: ______Date: ______
Company Name and Address: ______
Contact’s Name: ______Phone No. (_____) ______- ______
Completed By: ______Report: ______of ______
Below Above
Average Average Average
NARating / 1 / 2 / 3 / 4 / 5
Attendance
Punctuality (not late)
Attention to Safety
Ability to work as a team
Attitude towards work
Ability to follow instructions
Total
Additional Remarks:
______
REFERENCE REPORT for PACT PROGRAM
Applicant’s Name: ______Date: ______
Company Name and Address: ______
Contact’s Name: ______Phone No. (_____) ______- ______
Completed By: ______Report: ______of ______
Below Above
Average Average Average
NARating / 1 / 2 / 3 / 4 / 5
Attendance
Punctuality (not late)
Attention to Safety
Ability to work as a team
Attitude towards work
Ability to follow instructions
Total
Additional Remarks:
______