Student Awards Application

First name

 
Last name

 
Council Connect ID

 
Your email

   
By checking this box, I confirm that I am a resident of AlbertaBy checking this box, I confirm that I do not currently have access to employment benefits that would cover the cost of this training.
   
Which discipline and certification are you hoping to support with this award?
—Please choose an option—Amusement RidesBuilding - ResidentialBuilding - Part 9Building - Part 3Building - HVAC ResidentialBuilding - HVAC AllBuilding - Medical GasBuilding - Hydronic HeatingElectrical - Group AElectrical - Group BElevators - Group A-E Level 1Elevators - Group A-E Level 2Fire - Group AFire - Group B1 (Inspector)Fire - Group B2 (Inspector)Fire - Group C1 (Investigator)Fire - Group C2 (Investigator)Fire - Group E (Petroleum Tanks)Gas - Group APassenger Ropeways - Level 1 - Groups A-FPassenger Ropeways Level 2 - Groups A-FPlumbing - Group APlumbing - Group BPressure Equipment
 
Do you meet the entrance qualifications for your discipline and level?
Yes - I have applied for prequalification with the Council and have been approvedYes - I have emailed the necessary documentation to certification@safetycodes.ab.ca, orYes - I am aware of the requirements and have attached the necessary documentation below:

 
Which range did your annual gross household income (last calendar year) fall into?
0-40k40-70k70-100k100k+
 
How many members are in your household?

 
Please describe any other factors that may contribute to your financial need.

 
Why are you interested in a career as a Safety Codes Officer? Please write between 100 and 200 words; please note we will be assessing the content of your ideas and not the quality of your writing.

 
Which of your attributes, skills and experiences demonstrate your commitment to safety codes and the safety system? Please write between 100 and 200 words; please note we will be assessing the content of your ideas and not the quality of your writing.

 
If not already working as an SCO, identify potential employers you have engaged with or would like to work for once certified:

   
FOIP Statement: The personal information requested on this form is being collected for the purpose of selecting award recipients, notifying recipients, and disbursement of awards. First and last names only may be shared with sponsors who have contributed to the program. First and last names only may be used in student awards promotional material and other Council documents. The information entered into this form may be audited for verification purposes.
If you have questions concerning the collection of this information, please contact the Team Lead, Certification at the Safety Codes Council: 500 10405 Jasper Avenue NW, Edmonton, AB
T5J 3N4 | 780 413-6034 | Toll-Free 1-888-413-0099
   

I have read the FOIP Statement and certify that all information I have provided on this form is complete and accurate.