Apprenticeship Wage Subsidy Program – Apprentice Application Section A - Personal InformationName First Middle Last Permanent Address(Required) Street Address City/Town Province Postal Code Mailing Address (if different from above) Phone Number (include area code)(Required)Alternate Phone Number (if applicable)Email(Required) Social Insurance Number(Required) Gender(Required) Female Male Prefer not to answer Other Date of Birth(Required) Month Day Year Section B - EligibilityAre you currently employed?(Required) Yes No Are you employed in your trade?(Required) Yes No Employer Name and Contact Phone Number (if applicable) Which year did you complete your pre-apprenticeship program (entry level)?(Required) Apprenticeship Number (if applicable) Name of trade?(Required) Highest level of trade program completed or in-progress?(Required) Pre-Apprenticeship (entry level) Level 1 Level 2 Level 3 Level 4 Other Have you applied or currently receiving Employment Insurance (regular benefits)?(Required) Yes No Have you had an Employment Insurance claim that ended in the past 36 months?(Required) Yes No Have you had an Employment Insurance claim (maternity/parental) that began in the last 60 months and you are re-entering the workforce after having left it to care for a newborn or adopted child(ren)?(Required) Yes No Have you applied or currently receiving Income Support?(Required) Yes No Education (check all that apply):(Required) Less than high school High school graduate/GED Some post-secondary College graduate University certificate University diploma University degree Do you have a permanent physical disability?(Required) Yes No Are you a Canadian citizen?(Required) Yes No Do you have immigrant status?(Required) Yes No Do you consider yourself a member of a visible minority?(Required) Yes No If yes, would you consider yourself in any of these groups? (check all that apply) Youth Women Aboriginal Disability Other under-represented group Section C - Supporting DocumentationThe following must be completed to support your request. Applications will not be processed until all supporting documentation has been received.Diploma/Certificate for pre-apprenticeship program (entry-level) :(Required) Attached To follow Supportive documentation for additional cost request for disability support (if applicable):(Required) Attached To follow Not applicable Identify an employer willing to hire you as an apprentice? (*can submit application without employer identified)(Required) Yes No To follow Any hours accumulated with this employer? Yes No Potential AWS Company Name and Contact Phone Number (if applicable) Add supporting documents here (or email to aws@gov.nl.ca):Accepted file types: bmp, doc, docx, gif, heic, jpg, jpeg, pdf, png, tif, tiffMaximum file size per form: 30 MBSection D - DeclarationI declare that:(Required) I have read and understood the information provided in this application. The information I have provided in this application and supporting documentation is true. I am in an apprenticeable trade and will sign a Memorandum of Understanding with an employer. Signature of Applicant(Required)To sign your name, use your finger, mouse or other compatible input device inside the dotted box. To start signing, press or click, hold and move. To stop signing, lift or release. To clear the signature, press or click the arrows icon in the bottom right corner.Today's Date Month Day Year Consent - Collection, Use and Disclosure of Personal Information(Required) I agree to the privacy statement.Collection: Personal information provided with your application for funding is collected under authority of the Access to Information and Protection of Privacy Act, 2015 (ATIPPA, 2015), Employment Insurance Act, Income and Employment Support Act and Regulations, and will only be used for the administration of the service or benefit for which you are applying or for a consistent purpose under section 69 of ATIPPA, 2015. Use: The personal information collected will only be used and/or disclosed in accordance with ATIPPA, 2015. Such uses may include: determining services appropriate to the needs of the client, determining eligibility for programs and funding, ensuring compliance with funding agreement terms, case management, tracking progress during an agreement including post funding assessment of outcomes as per the information sharing agreement referenced between the Government of Canada and the Government of Newfoundland and Labrador funded by the Department of Jobs, Growth and Rural Development and to provide statistical information to agencies providing funding support to the services offered. Disclosure: The personal information provided may be exchanged and released to any person, agency or government departments, such as Jobs, Growth and Rural Development; Social Supports and Well-Being; and Health and Community Services, service provider organizations or training institution that is administering the program, service or benefit. This information may include: contact information, employment plan, eligibility for employment insurance benefits, marks, attendance and proof of financial payments to the training institution. The personal information provided may also be shared with the Government of Canada and the Canada Revenue Agency in keeping with the data-sharing provisions outlined in agreements between the Government of Newfoundland and Labrador and the Government of Canada. Access to Information and Protection of Privacy Act, 2015: Under ATIPPA, 2015 personal information is protected in accordance with section 64.(1); you have the right to access your personal information protected in accordance with section 8.(1); and you have the right to request the correction of your personal information protected in accordance with section 10.(1) if there has been an error or omission. You have the right to withdraw this consent at any time by contacting the Department of Jobs, Growth and Rural Development. If you have any questions regarding how your personal information is collected or used, you may contact the ATIPP Coordinator of the Department of Jobs, Growth and Rural Development at ATIPP-JGRD@gov.nl.ca. APPLICATION PROCESS:The Apprenticeship Wage Subsidy (AWS) application process involves two steps: one for the employer and one for the apprentice. Step 1 - Employer Application: The employer must first submit an application through the LaMPSS system and receive an Agreement Number. Step 2 - Apprentice Application and Documents: The potential apprentice must complete the online AWS Application and submit the required documentation of a College Transcript and/or Official Diploma. IMPORTANT NOTE: Any delay in submitting the required documentation, by either the employer (LaMPPS application) or the apprentice (supporting documents), will delay the entire application process. Should you require further information: Email: aws@gov.nl.ca Phone: 1-709-292-4215 Visit: Apprenticeship and Trades Certification office locations found here. Jobs, Growth and Rural Development office locations found here. FORM SUBMISSION INSTRUCTIONS: Upon submitting this form, you will receive a message that we have received your form. Please do not email us for further confirmation. PLEASE NOTE: All required documentation must be submitted before the AWS application is processed. A representative will contact you if further information is required.
