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Examination Request - Certificate of Achievement

Eligibility:

  • Minimum time required at the trade/occupation is two years out of the last four years.
  • The minimum required age is 18 years.
The cost of the examination and certificate is $50.00. The cost to repeat the examination is $50.00.
Please make cheque payable to the Provincial Treasurer of PEI.

Fields marked with a red star (*) are mandatory.

Trade: *
Personal Information


Name: *
Address: *
Community: *
Postal Code: *
Telephone: *
Date of Birth: Day: *
Date of Birth: Month: *
Date of Birth: Year: *
Social Insurance Number: *
Examination Information


Previous Examination: *
Have you previously attempted an examination in this trade?
Yes
No
Another Trade: *
Have you previously attempted an examination in another trade/occupation?
Yes
No
Work Experience


Please list your work experience at the trade/occupation within the past four years.
Name of Employer: *
From Date: *
(MM/DD/YYYY)
To Date: *

Other Work Experience

(MM/DD/YYYY)
Name of Employer:
From Date:
(MM/DD/YYYY)
To Date:

Other Work Experience

(MM/DD/YYYY)
Name of Employer:
From Date:
(MM/DD/YYYY)
To Date:

Other Work Experience

(MM/DD/YYYY)
Name of Employer:
From Date:
(MM/DD/YYYY)
To Date:

Other Work Experience

(MM/DD/YYYY)
Name of Employer:
From Date:
(MM/DD/YYYY)
To Date:

Other Work Experience

(MM/DD/YYYY)
Name of Employer:
From Date:
(MM/DD/YYYY)
To Date:
(MM/DD/YYYY)
Certification/Consent


I hereby certify that the information submitted in this application is true in every respect. I also grant the Department of Education, Apprenticeship and Training Authority, to make inquiries to confirm work experience and to release information involved with this application and results of any associated examinations to similar government departments within Canada.

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Please send me an Acrobat version of the form, with the information I've entered above filled in, that I can print and save.
Please send me both the text-only version and the PDF.
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