Construction Maintenance and Allied Workers (CMAW)

Carpenter Apprentice Application Form

Member - please complete

First Name		Last Name
SIN		Member Number
Home Phone		Cell Phone
Pager Number		Phone for Messages
City		Province
Date of birth		E-mail address
Are you a former Member? Yes No When? Local No
Current Employer		Job Site
On/Taken a recognized apprenticeship program? Yes No

Qualifications/Tickets/Courses

(OFA) Occupational First Aid Ticket
Level # 1 2 3 Date Certificate #

(CSO) Construction Safety Officer

(CSTS) CSTS

(WMIS) WHMIS

(HEAR) WCB Hearing Test Expiry Date #

(OTH) Other (specify)

Experience (note the months of experience in each of the following)

mos (ASB) Asbestos Abatement		mos (LOCK) Locksmith
mos (CABI) Cabinet Installlation		mos (RIG) Rigging
mos (CABM) Cabinet Making		mos (SAW) Sawyer
mos (FFIN) Fine Finishing		mos (SCAF) Scaffolding
mos (FORM) Formwork		mos (SID) Siding
mos (FRAM) Framing		mos (STRS) Stairs
mos (GEN) General Carpentry		mos (SURV) Surveyor
mos (GFIN) General Finishing		mos (WELD) Welding
mos (LAY) Layout

Consent to the Collection, Use and Disclosure of Personal Information

I agree that the Construction Maintenance and Allied Workers (CMAW) and its constituent Locals may collect, use and disclose the personal information contained in this application form for the purpose of investigating, assessing and processing my application for membership.

I specifically consent to the collection, use and disclosure of this information for the purposes of obtaining employment or traning opportunities in the construction industry through the Construction Maintenance and Allied Workers (CMAW) and its constituent Locals.

I certify that the statements made and the skills listed in this application are true, and I consent to the above disclosure.