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By making this Application for Certificate of Qualification, you are authorizing the Ministry of Training, Colleges and Universities to verify any information
provided. Before completing this application form, please read the guidebook. The guidebook will help you to complete this application successfully. The
guidebook is available from your nearest apprenticeship office or call the Employment Ontario Hotline (toll-free: 1 800 387-5656; TTY: 1 866 768-1157;
Toronto: 416 326-5656) or go to http://www.edu.gov.on.ca/eng/tcu/employmentontario/training/
No
Yes
Do you hold a Certificate of Qualification in the above trade issued in another province or territory of Canada?
Certificate of Qualification Number
Yes
No
QC
NB
NS
PE
NL
MB
SK
AB
BC
NT
YT
NU
Yes
Do you hold a Certificate of Qualification issued by another country or non-Canadian jurisdiction in this or another trade?
No
Yes
Middle Name
Female
Preferred Language
English
French
Email Address
Street Name
City/Town
Unit Number
Province
12-1535E (2011/01)
Last Name
First Nations
Postal Code
Mtis
Country
Inuit
Visible Minority
Disponible en franais
PO Box
Months
Years
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Section C: Work Experience in the Trade (Red Seal holders and Reciprocal applicants are not required to complete this section)
Employment 1 - Start with your most recent trade-related position
What is/was your job title?
Provide a detailed description of your duties while working with this employer. Please describe skills, tools, equipment, types of projects, customers, etc. (if you
need more space, please attach an extra page)
Street Name
City/Town
Unit Number
Province
Telephone Number
Email Address
Postal Code
PO Box
Country
Website
Name of Contact Person (This person should be able to verify your description of job duties.)
Last Name
First Name
Job Title
French
Employment 2
What is/was your job title?
Provide a detailed description of your duties while working with this employer. Please describe skills, tools, equipment, types of projects, customers, etc. (if you
need more space, please attach an extra page)
Street Name
City/Town
Telephone Number
Unit Number
Province
Email Address
Postal Code
PO Box
Country
Website
Name of Contact Person (This person should be able to verify your description of job duties)
Last Name
Work Telephone Number
First Name
Work Email Address
12-1535E (2011/01)
Job Title
French
Page 2 of 4
Employment 3
What is/was your job title?
Provide a detailed description of your duties while working with this employer. Please describe skills, tools, equipment, types of projects, customers, etc. (if you
need more space, please attach an extra page)
Street Name
Unit Number
City/Town
Telephone Number
Province
Email Address
Postal Code
PO Box
Country
Website
Name of Contact Person (This person should be able to verify your description of job duties.)
Last Name
Work Telephone Number
First Name
Job Title
What language does this contact person speak?
English
French
Formal Instruction 1
Course or Program Name
Name of educational or training institution (e.g. college, technical college, private career college, union training centre, university, etc.)
City/Town
Start Date (yyyy/mm/dd)
Province/State
End Date (yyyy/mm/dd)
Country
Length of Course
No
Formal Instruction 2
Course or Program Name
Name of educational institution (e.g. college, technical college, private career college, union training centre, university, etc.)
City/Town
Start Date (yyyy/mm/dd)
Province/State
End Date (yyyy/mm/dd)
Country
Length of Course
No
The Ministry of Training, Colleges and Universities (the Ministry) to administer, enforce and finance the ACA and the TQAA. This includes
processing or collecting your payment and issuing a receipt for your payment; verifying your application; administering the examination in your
trade; issuing a C of Q; enforcing the legislation set out below; conducting inspections and investigations; conducting policy analysis,
evaluation and research related to all aspects of apprenticeship and certification and reporting to the public on apprenticeship and certification.
12-1535E (2011/01)
Page 3 of 4
You may be contacted to request your voluntary participation in surveys and public relations campaigns related to apprenticeship and
certification. On the request of any person, the Ministry will disclose whether you hold a C of Q; your trade, other occupation or skill set;
any terms, conditions and limitations imposed on your C of Q; and any revocation, cancellation or suspension of your C of Q. The
Ministry may be required to disclose your personal information to Statistics Canada under s. 13 of the Statistics Act, R.S. 1985, c. S-19,
as amended.
The Ministry of Government Services to process your payment of the fee or to collect your payment if you fail to make it.
The Ministry of Labour to investigate and enforce workplace safety under the Occupational Health and Safety Act and under agreement
with the Ministry.
The Ministry of Transportation to conduct investigations and enforce the provisions of the Highway Traffic Act relating to motor vehicle
inspection mechanics.
The College of Trades to administer and enforce the Ontario College of Trades and Apprenticeship Act, 2009.
The ministries may use contractors, auditors or other third party administrators including collection agencies, for any of these activities.
Your personal information is collected under the authority of ss. 9, 11, 12, 16, 17 and 18 of the ACA, S.O. 1998, c. 22, as amended; ss. 7,
18-24 of the TQAA, R.S.O. 1990, c. T.17, as amended; the Labour Market Development Agreement between Canada and Ontario and other
statutes and regulations set out in the guidebook.
If you have questions about the collection, use and disclosure of your personal information, please contact an Information Counsellor at the
Employment Ontario Hotline at 416 326-5656 or 1 800 387-5656 (TTY 416 325-4084 or 1 866 533-6339) or
http://www.edu.gov.on.ca/eng/about/contact.asp or write to the Public Inquiries Unit at Ministry of Training, Colleges and Universities, 880 Bay
Street, 2nd Floor, Toronto, Ontario M7A 1N3.
By signing below, you give consent to the Ministry to exchange necessary personal information about you with the ministries listed above, the
College of Trades, any persons or organizations identified in connection with this application and any other persons or organizations who may
have information relevant to the verification of the information you have provided in connection with this application.
Signature
Date (yyyy/mm/dd)
X
For ministry use only
TOSS Code
Trade Name
Client ID
Reciprocal (OLMA)
LOP/PC issued
Grandparent provision
Application rejected
Comments
Receipt Number
Revenue Report
Authorization Number
Amount Received
Initials
Date (yyyy/mm/dd)
X
Codes
Primary proof of work experience
LE Letter of support
TS Training Standard
RS Interprovincial Red Seal same trade
MT Matched trade (OLMA)
OT Other (trade/work experience documentation)
12-1535E (2011/01)
Print form
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