Regina Trades and Skills

Adult Course Registration

*Date:

*Preferred Training Course Fall 2012:

*Second Choice Fall 2012:


How did you hear about us?

*Full Legal Name:

First

Middle

Last

*Address:
*Postal Code:
*Phone No.:
Cell Phone No.:
Message No.:
*E-mail:
*Date of Birth: (mm/dd/yyyy)		*Age
Gender:
SIN No:
Last School Attended:
Grade of Completion:
Post Secondary:
Degree/Diploma:
Driver's License:
Marital Status:
No. of Dependants:

Are you:
Currently Employed:
On Sask. Social Assistance:
On Employment Insurance:
On Training Allowance:
Have you been on Employment Insurance:
In the last three (3) years:

Are you (Optional):
A Person with a Disability:
A First Nations Person:
An Inuit Person:
A Visible Minority:
A Métis Person:
A Non-Status Indian:
Band Affiliation:
Did you arrive in Canada within the last 5 years?
Are you a Canadian Citizen?
Are you legally entitled to work in Canada?

Education and Training History:
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Grade/Course/Program:
School or Institution:
Location:
Start Date (m/d/y):
End Date (m/d/y):
Outcome/Highest Level Completed:


Employment History:
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Employer:
Job Title:
Part or Full Time, Seasonal, Casual or Self-Employed:
Start Date (m/d/y):
End Date (m/d/y):
Reason for Leaving:


Additional questions:
Please tell us what you know about the industry or Regina Trades & Skills Centre?
Why would you be a good candidate for the Regina Trades & Skills Centre program?