Pipe Trades Pre-Employment

Applicant Name (Required)

Address

Phone (Required)

Email (Required)

Are you a Canadian Citizen or Permanent Resident of Canada and a resident of Nova Scotia?
YesNo

What is your current employment status?
UnemployedNon EI EligibleIn Receipt of EIDisplaced Worker*Employed FTEmployed PT

With the importance of creating a more diverse and inclusive construction industry, seats in this program have been reserved for individuals from communities historically underrepresented in the sector. Please indicate if you identify as a member of any of the following priority communities:
African Nova ScotianIndigenousPerson with DisabilitiesFemaleNewcomer-Immigrant

Have you ever undertaken safety training in any of the following?
Aerial LiftFirst AidWHMISFall ProtectionConfined SpaceTelehandler
Other, please specify:

Do you have any previous experience in the construction industry?
YesNo

Do you have a High School diploma or GED?
YesNo

Are you comfortable working at heights
YesNo

Are you comfortable working in confined spaces
YesNo

Do you have reliable transportation, and do you have a valid driver's license?
YesNo

Are you willing to travel for work?
YesNo

Do you have any scheduling concerns?
YesNo

Can you obtain a clear criminal record check?
YesNo

How did you hear about this program?

Please provide a brief description of your work history or attach a resume

Attach resume here:

*Displaced worker – an individual who has been displaced due to lack of work/industry changes and requires new skills to attach to the labour market