Enrolment Form For Apprenticeship Technical Training - Technical Training Enrolment Form - Alberta, Canada
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1Enrolment Form for Apprenticeship Technical Training
NOTE: This is not a Government of Alberta Form. Apprenticeship and Industry Training does not collect
payments on behalf of training providers or apprentices for technical training tuition and other
fees.
Apprentice’s Name:
AIT ID Number:
Trade Name:
Employer’s Name/Contact Information
Apprentice’s Contact Information
Name: ___________________________________________
Address: _____________________________________________
Address: _________________________________________
__________________________________________ Apt.:______
_________________________________________________
City: __________________________ Province: _____________
City: ______________________ Province: _____________
Postal Code: __________________________________________
Postal Code: ______________________________________
Phone Number: ________________________________________
Phone Number: ____________________________________
Cell Phone Number: ____________________________________
Email Address: ____________________________________
*Email Address: _______________________________________
Fax Number: ______________________________________
Birth Date: ___________________________________________
*To receive earlier/quicker communication, please include your email address.
CLASS REQUESTED:
See ‘Apprenticeship Technical Training Centre’ on
tradesecrets.alberta.ca
Training Provider
Period of Training
First Choice
Start Date yyyy/mm/dd
End Date yyyy/mm/dd
Class Dates
Class Code:
Optional Second Choice (if available at training provider)
Start Date yyyy/mm/dd
End Date yyyy/mm/dd
Class Dates
Class Code:
Method of Payment for Fees:
Apprentices must make payment directly to the training provider. Apprentices must not forward payment information to the
Government of Alberta.
Payment includes tuition and may include books, parking, student association fees, facilities, and material & consumable fees required
during technical training. To calculate the total amount of fees owing please see the training provider’s enrolment information at
Credit Card:
Please Attach:
Master Card
VISA
American Express
Cheque: ______________ Money Order:________________
Card Holder Name: _______________________________
Company Purchase Order #:____________________________
Card #: ________________________________________
Company Name: _____________________________________
Expiry Date:
___________________________________
Company Address: ___________________________________
Amount Approved: _______________________________
Company Tel. / Contact: ______________________________
Apprentice Signature:
Date:
Contact or forward your completed form to the appropriate training provider. Go to
training-centre/training-locations/
for more information.
2015-November-24
Technical Training Enrolment Form
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