
   
 
ON-THE-JOB TRAINING (OJT) PROGRAMME 
TRAINEE APPLICATION FORM 
Unemployed nationals between the ages of 16-35 are invited to apply for OJT opportunities 
For further information please call 645-2811 for all regions, with the following extensions: 
W
EST: Ext. 2023/ EAST: Ext: 2019/ SOUTH: Ext: 1102/ TOBAGO: Ext: 3313/ CENTRAL: 671-9641/ HEADQUARTERS: 672-7107 
FOR OFFICIAL USE ONLY 
Registration No.: …………………….. 
Date Received:  ………………………      Region: …………………      Source: ……………………………..… 
Interviewed by:  ……………………………………..                  Date: ……………………      Orientation Date: ……………………. 
Placement: ………………………………………………….               .........................................................    .......................................... 
  Organisation        Location          Position     
 
 
Placement Officer: ……………………………………….  Coordinator: ……………………………….    Date Placed: ……….…..…. 
 
1.  Name:    
_____________________    _________________________  ___________________________ 
SURNAME          FIRST NAME        MIDDLE NAME 
 
2.  Address:        3.  E-mail address(es):     4.  Telephone Nos: 
__________________________  _____________________________     Mobile: ____________________ 
__________________________  _____________________________     
Home: _____________________ 
__________________________ 
 
5. Date of Birth: ___________  6.  Age: ________    7. Sex:  M 
  F     
             dd/mm/yyyy 
8. NIS No: ________  9.  Marital Status: _______________  10.   ID Card No: _________________ 
11.  On-the-Job Training desired:   1. ___________________________________________________ 
            2. ___________________________________________________ 
 
12.  Highest level of education attained:   Primary   Junior Secondary    Senior Secondary   
             Youth Camp/Trade Centre     Technical Institute     
             Tertiary  Other _______________ 
13.  Education 
SCHOOL/INSTITUTION ATTENDED  COURSE/SUBJECTS TAKEN  CERTIFICATES OBTAINED  GRADE(S)  YEAR OBTAINED