Apprenticeship Application - LiUNA Local 1059

First Name*

Last Name*

Sex*

Male
Female

Date of Birth*

Address*

City/Town*

Province*

Postal Code*

Cell Phone*

Alternative Phone

Email*

SIN Field*

Do you have a driver's license?*

Yes
No

If no, explain why

Classification*

Do you have an automobile?*

Yes
No

Are you currently a member of any union?*

Yes
No

If yes, which union?

Personal History

Do you have any pre-existing conditions or personal preferences that limit you from working in any of our construction sectors? (Ex. Working at heights, confined spaces, physically demanding work exposed to weather).*

Yes
No

If yes to any of the above, explain:

Do you have any volunteer experience or hobbies/interests relevant to construction?*

Why do you feel this career would be a good fit for you?*

Education

Are you currently in school?*

Yes
No

If yes, what is the name of the school?

Name of the program?

Elementary School Level Reached (Degree, Diploma, Certificate, License)

Elementary Institution

Year Obtained

Secondary School Level Reached (Degree, Diploma, Certificate, License)

Secondary Institution

Year Obtained

College Level Reached (Degree, Diploma, Certificate, License)

College Institution

Year Obtained

University Level Reached (Degree, Diploma, Certificate, License)

University Institution

Year Obtained

Other Training or Certifications

Note: You will be required to provide copies of the documentation if invited for an interview.

Employment

Most Recent Employer (1)

Start Date (1)

End Date (1)

Job Duties (1)

Reason for Leaving (1) (if applicable)

Contact for Reference (1)

Previous Employer (2)

Start Date (2)

End Date (2)

Job Duties (2)

Reason for Leaving (2)

Contact for Reference (2)

Previous Employer (3)

Start Date (3)

End Date (3)

Job Duties (3)

Reason for Leaving (3)

Contact for Reference (3)

Previous Employer (4)

Start Date (4)

End Date (4)

Job Duties (4)

Reason for Leaving (4)

Contact for Reference (4)

Previous Employer (5)

Start Date (5)

End Date (5)

Job Duties (5)

Reason for Leaving (5)

Contact for Reference (5)

If you have construction experience, please indicate your specific skills:

Security Clearance

Are you aware of any reason that a police/security check could not be approved for you in order to work on a site that requires this to be completed?*

Yes
No

If yes, please explain

Availability

LiUNA Local 1059 dispatches apprentices to many different sectors of construction including formsetting, pipelaying, utility distribution, cement finishing, infrastructure construction, restoration and demolition to name a few. By signing below, you agree to be available for dispatching to work in any of the sectors that LiUNA Local 1059 directs you to as part of your apprenticeship.

The Applicant agrees as follows:

Consent*

Falsification or misinterpretation of information on this application including omission of information could result in expulsion from any training, apprenticeship program, or membership in Labourers’ International Union of North America, Local 1059.

Consent*

The Applicant further agrees that should he or she receive a job placement or membership, notwithstanding the wage rate paid for a classification contained within a collective agreement, that upon an assessment made in accordance with the procedures set by the Union or the Local Apprenticeship Committee, he or she shall for the purposes of needing additional training, agree to register with the Ministry of Training, Colleges and Universities (M.T.C.U.) as an apprentice to receive such training.

Consent*

The Applicant agrees to be bound to the Construction Craft Worker Apprenticeship Program, its rules and policies including the probationary periods contained therein if accepted for employment or membership with the Union.

Please sign below.

Phone

This field is for validation purposes and should be left unchanged.