Title Please Select Dr. Miss Mr. Mrs. Ms. First Name* Last Name* Address City Province* Please Select AB BC MB NB NL NS NT NU ON PE QC SK YT =============================== AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Postal Code* Email Address* Confirm Email Address* Preferred Telephone What is the best time to call you if necessary? Fax Number What is the name of your company or organization?* How many employees? Is your company/organization unionized? YesNo If yes, which Union? Please Select Air Line Pilots Association-International Alliance Employees Union Alliance of Canadian Cinema, Television & Radio Artists Amalgamated Transit Union American Federation of Musicians Association des enseignantes et des enseigants franco-ontariens Association of Management, Administrative and Professional Crown Employees of Ontario Association of Professional Student Services Personnel Bakery, Confectionery, Tobacco Workers and Grain Millers' International Union Bricklayers, Masons Independent Union of Canada British Columbia Teachers' Federation Canadian Actors Equity Association Canadian Association of University Teachers Canadian Federation of Nurses Union Canadian Labour Congress Canadian Media Guild Canadian Office and Professional Employees Union Canadian Postmasters and Assistants Association Canadian Union of Postal Workers Canadian Union of Skilled Workers Christian Labour Association of Canada Communication Workers of America CUPE Local 1000 - Power Workers Union Educational Resource Facilitator of Peel Elementary Teachers' Federation of Ontario Glass, Molders, Pottery, Plastics and Allied Workers International Union International Alliance of Theatrical Stage Employees International Association of Fire Fighters International Association of Heat and Frost Insulators and Allied Workers International Association of Heat and Frost Insulators and Allied Workers Local 95 International Association of Machinists and Aerospace Workers International Brotherhood of Boilermakers Canada International Brotherhood of Electrical Workers International Brotherhood of Teamsters International Federation of Professional and Technical Engineers International Longshore and Warehouse Union International Longshoremen's Association International Plate Printers, Die Stampers and Engravers' Union of North America International Union of Bricklayers and Allied Craftworkers International Union of Elevator Constructors International Union of Operating Engineers International Union of Painters and Allied Trades Ironworkers Union Labourerers International Union of North America Major League Baseball Players Association Manitoba Teachers Society Millwrights Regional Council of Ontario Local 1592 National Hockey League Players' Association National Union of Public and General Employees Ontario English Catholic Teachers' Association Ontario Nurses Association Ontario Professional Firefighters Association Ontario Public Service Employees Union Ontario Secondary School Teachers Federation Ontario Teachers Federation Operative Plasterers' and Cement Masons' International Association Ottawa Newspaper Guild Practical Nurses Federation of Ontario Professional Institute of the Public Service of Canada Public Service Alliance of Canada Service Employees International Union Sheet Metal Workers' and Roofers' International Association Local 562 Shipyard General Workers' Federation of British Columbia Society of Energy Professionals Telecommunications Workers Union Toronto Musicians Association Toronto Professional Firefighters Association UNIFOR Unite/Here United Association United Association of Plumbers and Pipefitters Local 800 SSM United Auto Workers United Brotherhood of Carpenters and Joiners United Brotherhood of Carpenters and Joiners Local 1946 United Food and Commercial Workers Union United Mine Workers of America United Steelworkers Workers United Writers Guild of Canada Are you a WHSC-qualified instructor? YesNo Are you a JHSC member or worker rep? YesNo Are you a graduate of WHSC Training? YesNo Work Environment* Please Select Care facility/home Construction Correctional Facility Emergency services Factory/processing plant Farm Hospital Hotel, restaurant or bar Laboratory Mine Mobile (eg: sales/installation) Office Other Park or recreational facility Print shop Repair shop School/college/university Store or salon Transportation - Air Transportation - Rail Transportation - Road Transportation - Water Utility/treatment plant Warehouse Work from home Why do you require this information?* Please Select Delivery of WHSC Training JHSC / Worker Rep Functions Legal Compliance Workplace Hazard Other If Other please specify When do you require this information? MM/DD/YYYY Your inquiry or question