Opportunity Argentia Skills Database


PURPOSE

THIS IS NOT A JOB APPLICATION

The purpose of this form is to:
  • Include your name in a database of individuals who are expressing an interest in pursuing future employment opportunities presented by the development of nickel processing facilities at Argentia.

  • Gather information on the range of skills available among interested residents of the Argentia area, so that training needs and programs can be identified to enhance regional participation in the Voisey's Bay Project.

INSTRUCTIONS

Completion Instructions:
  • Please complete as much of the registration form as possible.

  • Please try to be specific about dates and always use the "m/y" format (e.g. Dec 97 or 12/97).
  • Please verify your information and make a copy for your own records before submitting.
  • A confirmation number will be sent to you within 10 business days of submission.

  • Please keep your confirmation number so that you may update your information when it changes.

  • If you have any questions, please contact the Argentia Area Chamber of Commerce office at 227-0003 or the Career Information Resource Centre in Placentia at 227-3128.

PART 1 - PERSONAL INFORMATION

New Registration               Update
If Update Please enter Confirmation Number:

Title:
Surname:
Given Name:
Middle Initial:

Current Address:
Postal Code:

Telephone
Home:
Work:
Mobile:
E-Mail:

Permanent Address if different from above:
Postal Code:
Are you affiliated with a union?    Yes     No
If so, which one?

PART 2 - EDUCATION AND TRAINING

High School Experience (include High School, ABE or GED):

Name of School:
Highest Grade Completed:
Year:
Post-Secondary Experience                                      Check here if Non Applicable

Course / Program Name:
Name of Institution:

Location:
Start Date:(M/Y)
End Date: (M/Y)
Status:
Currently Enrolled         Withdrew        Incomplete        Graduated           
Date: (M/Y)
Award Type:
Certificate         Diploma          Bachelor Degree          Master Degree
Other:
Other Post-Secondary Experience                           Check here if Non Applicable

Course / Program Name:
Name of Institution:

Location:
Start Date:(M/Y)
End Date: (M/Y)
Status:
Currently Enrolled        Withdrew          Incomplete         Graduated
Date: (M/Y)
Award Type:
Certificate          Diploma          Bachelor Degree          Master Degree
Other:
Apprenticeship Experience                          Check here if Non Applicable

Apprenticeship Program:
Name of Institution:

Location:
Start Date:(M/Y)
End Date: (M/Y)
Hours Completed:               0-1800            1801-3600              3601-5400             5401-7200
Journeyperson Certificate Received: Yes     No If Yes, Date received (M/Y):    
Other Education ( List any and all ):

Tickets:

Certificates (e.g. WHMIS, Life Safety):

Licenses and Endorsements (e.g. Radio Operator, Class 5 Driver's License):

Other Specialized Training and/or Courses (List any and all)

PART 3 - EMPLOYMENT HISTORY (Most recent first)

Job 1 Title:
Employer:

Location:
From:
To:

Duties:

Job 2 Title:
Employer:

Location:
From:
To:

Duties:

Job 3 Title:
Employer:

Location:
From:
To:

Duties:

Other Comments regarding Employment History (if applicable):

PART 4 - RELEASE OF INFORMATION DECLARATION


I hereby grant permission for information contained in this form to be shared for the purpose of information gathering on available skills in the region.
Checking this box signifies your acceptance:                            Date: