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The Department will use and disclose personal information only in accordance with the Nova Scotia Freedom of Information and Protection of Privacy Act and the Nova Scotia Personal Information International Disclosure Protection Act. To correct or access your personal information you may contact the Department Information Access and Privacy Manager at LAEaccess@gov.ns.ca or (902) 424-8472.
Name and contact information
First Name
Middle Name
Last Name
NSAA Client Number (if applicable)
Date of Birth
Gender
Male
Female
Other
Apt/Suite
Address
City/Town
Province
Postal Code
Country
Phone
Email
Diversity and Inclusion
Your voluntary response to the questions below will assist the Nova Scotia Apprenticeship Agency in monitoring the number of participants who apply through the Forestry Sector Apprenticeship Initiative with a diverse background. This will also assist the Agency to provide you with information on all program options available to you. This information may also be used to develop new programs that promote the participation of diverse individuals in apprenticeship. This information will be confidential.
1. Do you identify as an Aboriginal person?
Yes
No
2. Do you identify as an African Nova Scotian?
Yes
No
3. Are you a newcomer to Canada?
Yes
No
4. Do you have a physical disability?
Yes
No
5. Do you have a learning/comprehension disability?
Yes
No
6. Do you have mental wellness concerns (ie. anxiety, depression, etc)?
Yes
No
Trades experience and training
Are you currently an apprentice?
Yes
No
If yes, select which trade
--Select--
Agricultural Equipment Technician
Alarm and Security Technician
Appliance Service Technician
ASEP - GM Auto Service Education
Atlantic Trades Business Seal
Auto Body and Collision Technician (Motor Vehicle repairer - Metal and Paint)
Automotive Glass Technician
Automotive Refinishing Technician (Automotive Painter)
Automotive Service Technician
Automotive Service Technician (Service Center Technician)
Baker
Black Beauty Culture Hair Innovator
Blaster
Boat Builder
Boilermaker
Bricklayer
Cabinetmaker
Carpenter
Communications Technician
Concrete Finisher
Construction Craft Worker
Construction Electrician
Cook
Electric Motor System Technician
Elevating Device Mechanic - Class A
Elevating Device Mechanic - Class B
Farm Technician
Floorcovering Installer
Gasfitter - Class A
Gasfitter - Class B
Glazier
Hairstylist
Heavy Duty Equipment Technician
Heavy Equipment Operator (Dozer)
Heavy Equipment Operator (Excavator)
Heavy Equipment Operator (Tractor-Loader-Backhoe)
Industrial Electrician
Industrial Mechanic (Millwright)
Instrumentation and Control Technician
Insulator (Heat and Frost)
Ironworker (Generalist)
Ironworker (Reinforcing)
Ironworker (Structural/Ornamental)
Landscape Horticulturist
Lather (Interior Systems Mechanic)
Locksmith
Machinist
Marine Service Technician
Metal Fabricator (Fitter)
Mine Electrician
Mine Mechanic
Mobile Crane Operator
Motorcycle Technician
Oil Heat System Technician
Painter and Decorator
Parts Technician
Plumber
Power Engineer (Refrigeration Plant Operator - Second Class)
Power Engineer 1st Class
Power Engineer 2nd class
Power Engineer 3rd class
Power Engineer 4th class
Powerline Technician
Recreation Vehicle Service Technician
Refrigeration and Air Conditioning
Restoration Stone Mason
Roofer
Sheet Metal Worker
Sprinkler Fitter
Steamfitter/Pipefitter
Tilesetter
Tool and Die Maker
Tower Crane Operator
Transport Trailer Technician
Truck and Transport Mechanic
Welder
Have you ever completed an apprenticeship?
Yes
No
If yes, select which trade
--Select--
Agricultural Equipment Technician
Alarm and Security Technician
Appliance Service Technician
ASEP - GM Auto Service Education
Atlantic Trades Business Seal
Auto Body and Collision Technician (Motor Vehicle repairer - Metal and Paint)
Automotive Glass Technician
Automotive Refinishing Technician (Automotive Painter)
Automotive Service Technician
Automotive Service Technician (Service Center Technician)
Baker
Black Beauty Culture Hair Innovator
Blaster
Boat Builder
Boilermaker
Bricklayer
Cabinetmaker
Carpenter
Communications Technician
Concrete Finisher
Construction Craft Worker
Construction Electrician
Cook
Electric Motor System Technician
Elevating Device Mechanic - Class A
Elevating Device Mechanic - Class B
Farm Technician
Floorcovering Installer
Gasfitter - Class A
Gasfitter - Class B
Glazier
Hairstylist
Heavy Duty Equipment Technician
Heavy Equipment Operator (Dozer)
Heavy Equipment Operator (Excavator)
Heavy Equipment Operator (Tractor-Loader-Backhoe)
Industrial Electrician
Industrial Mechanic (Millwright)
Instrumentation and Control Technician
Insulator (Heat and Frost)
Ironworker (Generalist)
Ironworker (Reinforcing)
Ironworker (Structural/Ornamental)
Landscape Horticulturist
Lather (Interior Systems Mechanic)
Locksmith
Machinist
Marine Service Technician
Metal Fabricator (Fitter)
Mine Electrician
Mine Mechanic
Mobile Crane Operator
Motorcycle Technician
Oil Heat System Technician
Painter and Decorator
Parts Technician
Plumber
Power Engineer (Refrigeration Plant Operator - Second Class)
Power Engineer 1st Class
Power Engineer 2nd class
Power Engineer 3rd class
Power Engineer 4th class
Powerline Technician
Recreation Vehicle Service Technician
Refrigeration and Air Conditioning
Restoration Stone Mason
Roofer
Sheet Metal Worker
Sprinkler Fitter
Steamfitter/Pipefitter
Tilesetter
Tool and Die Maker
Tower Crane Operator
Transport Trailer Technician
Truck and Transport Mechanic
Welder
Do you hold a Certificate of Qualification in a trade?
Yes
No
Multiple
If known, please provide Certificate Number(s)
Do you have other trade experience not included above?
Yes
No
If yes, please describe briefly
What is your educational background?
Do you hold a high school diploma or equivalent?
Yes
No
If no, provide highest grade level achieved
Do you have college or university training/education?
Yes
No
If yes, please describe briefly
Who is your most recent employer?
Business
Address
Date MM/YY to MM/YY
Occupation
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