Employee Apprentice Form

Employee Apprenticeship Program Registration
Name*

First NameMiddle NameLast Name
Preferred Name

First NameLast Name
Preferred Language of communication:*

EnglishFrench
Birth Date*

DayMonthYear
Date
Email*
example@example.com
Primary Phone Number

Area CodePhone Number
Alternate Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Zip CodeCountry
Gender Identity*

FemaleMaleTransgenderOtherPrefer not to disclose
Marital Status:

Married/Common LawSinglePrefer not to disclose
Number of dependents?

Prefer not to discloseOther
Residency Status:*

Canadian CitizenPermanent ResidentTemporary Resident
Are you an immigrant?*

NoYes
If YES, year of immigration:
Do you self identify as a member of a designated group?

First NationsMetisInuitPerson with a disabilityVisible MinorityRacialized Person
First Nations

YesNo
Metis

YesNo
Inuit

YesNo
Person with a disability

YesNo
Visible Minority

YesNo
Racialized Person

YesNo
Do you plan to complete apprenticeship in Ontario:

YesNo
Is this your first job in the industry/profession?

YesNo
If not, how long have you worked in the industry?

1-6 months6-12 months1-3 years3-5 years5+ years
Are you enrolled in or have you completed a pre-apprenticeship training program?

YesNo
Pre-Apprenticeship training completed date

MonthDayYear
Date
Would you like to become a FREE student member of Landscape Ontario Horticultural Trades Association? (you will automatically receive updates and e-news for your chapter region)

YesNo
How did you hear about the Apprenticeship Program?*
Where would you like to attend in-class training? First choice:*
Where would you like to attend in-class training? Second choice:*
Where would you like to attend in-class training? Third choice:
Please upload your documents (proof of SIN, grade 12 transcript/diploma or equivalent), or an MP specialist will contact you within 2 business days where you can send your documents directly.
Proof of SIN

Browse Files

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Proof of ID

Browse Files

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Proof of grade 12 transcript/diploma or equivalent

Browse Files

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Employer Company Name
Employer Name

First NameLast Name
Employer Phone Number

Area CodePhone Number
Employer Email
example@example.com
Initial Start Date with Employer

MonthDayYear
Date
Comments
Please verify that you are human*
Should be Empty:

Employee Apprenticeship Program Registration