Level Exam Rewrite Registration Form Name(Required) First Last Level(Required)(select one)12345Trade(Required)(select one)Auto Body and Collision TechnicianAutomotive Service TechnicianBoilermakerCarpenterConstruction ElectricianCookHeavy Duty Equipment TechnicianIndustrial ElectricianIndustrial Mechanic (Millwright)Instrumentation and Control TechnicianInsulator (Heat and Frost)MachinistMetal FabricatorOil Heat System TechnicianPlumberPowerline TechnicianRefrigeration and Air Conditioning MechanicSheet Metal WorkerSprinkler FitterSteamfitter/PipefitterTruck and Transport MechanicWelderApprenticeship Number(Required)Phone Number(Required)Email Address(Required) Are you in the Virtual Learning Strategy Program (VLS)?(Required) No Yes IMPORTANT: If requesting exam accommodations, supporting documentation must be submitted to BlockExams@gov.nl.ca a minimum of 3 weeks prior to the exam date chosen.Are you requesting Exam Accommodations?(Required) No Yes Exam Accommodations Requested: Extended Time Quiet Room with 1-4 people Private Room Time Rest Breaks (not additional time) Exam Splitting/Exam Chunking Reader (assistive technology) Reader (human reader assigned by ATCD) Translator (ASL) Translator (language) Color Transparency Sheet (bring yourself) Language Dictionary (only when using translator) Other Add accommodation documents here (if not previously submitted to ATCD):Accepted file types: bmp, doc, docx, gif, heic, jpg, jpeg, pdf, png, tif, tiff Maximum file size per form: 30 MBEXAM DATE INSTRUCTIONS: If requesting ACCOMMODATIONS other than "Extended Time", a different exam date and location may be sent to you than the dates listed below.Exam Date Requested (*If exam date changes. you will be notified):(Required) St. John's – November 27, 2026 (Request by November 6) St. John's – December 11, 2026 (Request by November 20) St. John's – January 29, 2027 (Request by January 8) St. John's – February 26, 2027 (Request by February 5) Clarenville – November 25, 2026 (Request by November 6) Clarenville – January 27, 2027 (Request by January 8) Clarenville – February 24, 2027 (Request by February 5) Grand Falls-Windsor – November 26, 2026 (Request by November 6) Grand Falls-Windsor – January 28, 2027 (Request by January 8) Grand Falls-Windsor – February 25, 2027 (Request by February 5) Corner Brook – November 25, 2026 (Request by November 6) Corner Brook – January 27, 2027 (Request by January 8) Corner Brook – February 24, 2027 (Request by February 5) Happy Valley-Goose Bay – November 26, 2026 (Request by November 6) Happy Valley-Goose Bay – January 28, 2027 (Request by January 8) Happy Valley-Goose Bay – February 25, 2027 (Request by February 5) Wabush – November 26, 2026 (Request by November 6) Wabush – January 28, 2027 (Request by January 8) Wabush – February 25, 2027 (Request by February 5) IMPORTANT: Registration forms will not be accepted after the deadline date in that location. A rewrite will be permitted a minimum of thirty (30) calendar days after the previous exam writing. If you are unable to attend an exam, you must email blockexams@gov.nl.ca at least three (3) business days prior to the exam date. For no-shows, you must send an email with supporting rationale before a new date will be scheduled. FORM SUBMISSION INSTRUCTIONS: Upon submitting this form, you will receive a message that we have received your form. No need to email us for further confirmation at this point. The form will be processed to determine eligibility, and you will be notified if you are not eligible to write. If approved, you will receive an email approximately one week before the exam to confirm the exam location and time. Privacy statement(Required) I agree to the privacy statement.The personal information collected in this form will be used only for the administration of those programs provided by the Government of Newfoundland and Labrador for which the supplier is a participant. This information is being collected in accordance with section 61(c) of the Access to Information and Protection of Privacy Act, 2015 (ATIPPA, 2015). All information provided will be maintained in a secure manner and confidentiality will be protected, as required by the ATIPPA, 2015. For questions or comments related to the protection of your personal privacy, please e-mail BlockExams@gov.nl.ca