Student Information Last Name: First Name: Street Address: Postal code: Phone number: Do you have a diploma? Yes: No: Are you a Work Experience student? Yes: No: 1. In which trade are you interested? Auto Service Technician Autobody Technician Parts Technician Sales Administration Finance & Insurance 2. Do you have a valid driver's license? Yes: No: 3. On what side of the city do you live? 4. What safety training do you have? Check all that apply. WHMIS First Aid CSTS RSTS TDG Fork lift training Other: 5. What safety modules do you have? Check all that apply. CTR1210 CTR2210 CTR3210