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Provincial Technical Committee Submission Form

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Provincial Technical Committee Submission Form

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Welcome to the Provincial Technical Committee Submission Form
Please note, confirmation of your role on the Provincial Technical Committee (PTC) will be emailed to you along with a password to the PTC Portal.
Name*
First Last
Pronouns

Contest Information
Hold Ctrl to select more then one contest level or area
Contest Level*
Contest Area - Construction
Contest Area - Employment
Contest Area - Information Technology
Manufacturing & Engineering
Contest Area - Service
Contest Area - Transportation

Personal Information
Employer*
If NSCC please include your campus
Email*
Work Phone Number*
Cell Number*
Emergency Contact*
First Last
Emergency Contact Phone Number*
T-shirt size*
- Small
- Medium
- Large
- X Large
- 2X Large
- 3X Large

Dietary Information
Do you have any allergies or dietary restrictions*
- Yes
- No
If yes, please provide details:*

Accessibility Information
This selection is optional
Do you identify as having a disability?
- Yes
- No
This is not a mandatory question. You may skip ahead.
Disability Status - Please check all that apply
- Blindness or visual impairment
- Dyslexia, hyperactivity, attention problems
- Psychological, mental health or emotional
- Any health problems or conditions that are episodic
- Deaf or hearing barrier
- Development disability
- Mobility impairment
- Dexterity impairment
- Cognitive disability
This is not a mandatory question. You may skip ahead.
Do you require any accommodations or supports?
- Yes
- No
This is not a mandatory question. You may skip ahead.
Please provide details of accommodations or supports*

Self-Identification
This section is optional.
Skills Canada Nova Scotia is dedicated to increasing diversity in Skilled Trades and Technology. By self-identifying you are assisting us to provide essential statistics and helping move toward greater inclusivity.
- African Nova Scotian, Black, Person of African Descent
- Indigenous
- Newcomer to Canada - Permanent Resident or Landed Immigrant
- Person with Disabilities
- Visible Minority or Person of Colour
- Gender Male
- Gender Female
- Gender Non-Binary

*Required Field

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Contact:

Phone: (902) 210-6210

info@skillsns.ca

Mailing Address:

Skills Canada – Nova Scotia
800A Windmill Road, Suite 7B
Dartmouth, NS B3B 1L1

Office:

800A Windmill Road, Suite 4
Dartmouth, NS

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©2023 Skills Canada Nova Scotia

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