Request For New Individual
Please complete this form accurately. Your full legal name, birthdate and gender are used to positively identify you and to protect the integrity and security of your industry training records.
*Legal First Name:
Legal Middle Name(s):
*Legal Last Name:
*Date of Birth:
Calendar
*Gender:
*Mailing Address:
Line 1:
[+]
City:
Province/State:
Postal/ZIP Code:
Country:
*Phone Number:
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Ext:
Secondary Phone Number:
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Fax Number:
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Were you born outside of Canada?
*Do you identify yourself as an indigenous person?
*Email Address:
*Confirm Email Address:
The ITA may provide my contact information to ITA-approved public and private training institutions and the ITO responsible for the trade in which I am apprenticing so that they may notify me of scheduled training courses that lead to certification in my current apprenticeship training program. I understand that notification may not be sent for all courses.
Passwords must contain at least 8 characters from 3 of the following 4 categories: upper case letters, lower case letters, digits, and symbols.
*Password:
*Confirm Password:
Security Question for Password Reset
The security question will be used in case you forget your password. You will need to know the answer to this question in order to regain access to the system.
*Security Question:
*Security Answer:
*Enter the code you see below:
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