PTI REGISTER TODAY 2024 Registration Form First Name Last Name Date of Birth {"daff_future_dates_only":"off","daff_past_dates_only":"on","daff_max_date":"","daff_max_future_days":"","daff_disabled_days":"","daff_disabled_dates":[""]} Email Address Gender Gender Male Female Phone Number Cell/Alternate Phone Street Address City/Town Province/Territory Postal Code Ancestry Ancestry Indigenous - status Indigenous - non status Inuit Metis Other Emergency Contact Relationship to you Medical Conditions or Physical Restrictions Medical Conditions or Physical Restrictions Yes No Details Education Education University Grad College/Tech School Grad High School Graduate Less than Grade 12 Financial Financial Personal RESP / REF Loan or Line of Credit Indigenous (ISET/TC/Band/Other) Metis (GDI/DTI) WCB Government Funding Program (if available) Other/Not Listed Unknown If you have obtained funding approval, please e-mail proof of sponsorship to pti@sasktel.net. If you have not obtained funding approval yet, please check the appropriate box above, of your potential funding source. If known, please also provide contact information for the funding source you are applying to in the space provided below: Please Select Your Desired Program: Please Select Your Desired Program:240 HOUR HEO PROGRAM (includes Excavator, Dozer, Grader and Articulated Truck (or Loader if available)16 HOUR HEO PROGRAM (select desired equipment) Select Desired Equipment (for 16 HOUR HEO PROGRAM): Select Desired Equipment (for 16 HOUR HEO PROGRAM): Excavator Dozer Grader Articulated Truck Loader (if available) Skid Steer (if available) 2024 FULLY BOOKED - Please Select Your Desired 2025 Program Start Date: 2024 FULLY BOOKED - Please Select Your Desired 2025 Program Start Date:March 31, 2025April 28, 2025May 26, 2025June 23, 2025July 28, 2025September 2, 2025September 29, 2025October 27, 2025 Referral Referral Newspaper Internet Family/Friend Former Graduate College Guide Website Employment/Training Service Other 8 + 12 = Register now! ***Please Note***The School operates on a first come first served basis; therefore, those who provide their funding approvals or payment of total program cost first, will be secured a spot in the program, until the program reaches maximum capacity. A minimum of 3 individuals is required to run a program. If this requirement is not met and the selected intake date is cancelled, we will issue you a refund (including the non-refundable registration fee) or move you to the next available intake date. If the selected intake date becomes full prior to your meeting the official enrolment requirements, we will issue you a refund (NOT including the non-refundable registration fee) or move you to the next available intake. I HEREBY submit the $250 non refundable registration fee (unless being covered through funding or being placed on our cancellation list) to have my application processed. Please note that this is not an additional charge, and once paid, will be deducted from the total program cost. Acceptable methods of payment is cash, cheque or e-transfer to pti@sasktel.net. We do not accept debit/credit transactions. A money order can be purchased with debit/credit at any Canada Post office and the money order can be forwarded to us. Our MAILING ADDRESS is Group Site 711 Box 7 RR7, Saskatoon, SK S7K 1N2. ONCE RECEIVED AND PROCESSED we will provide you with a CONFIRMATION OF REGISTRATION letter which you will want to provide to your financial institution or potential source of funding to assist with any loan, RESP/REF, or funding application. Thank you!