Contact information:
Given name(s) and initial:
Last name:
Address:
City:
Province & postal code:
Phone number with area code:
Next of kin & phone number:
Education Requirements: To complete the application process the required documents listed below must be received by either fax, mail or in person.
	Proof of grade 12 diploma
	or GED equivalent
	Criminal history/records check within the last 3 years Criminal history/records checks are available from city police or RCMP stations. (administration charges may apply) If a pardon is needed it may be obtained from canadianpardon.ca or call 1-800-298-5520
Permission to use photos taken for advertising purposes in ads or website:	Yes No
Date (dd / mm / yyyy):