MINISTRY OF LABOUR AND SMALL ENTERPRISE DEVELOPMENT

ON-THE-JOB TRAINING PROGRAMME

Corner Chaguanas Main Road and Connector Road, Chaguanas
Tel: (868) 671-3457 | 671-4447 | 671-7822 | 800-4OJT (4658)
Website: molsed.gov.tt
TRAINEE APPLICATION FORM
Nationals between the ages of 16-35 are invited to submit applications for admission to the On-The-Job Training opportunities.

FOR OFFICIAL USE ONLY

REGISTRATION NO.: ____________________ DATE RECEIVED: __________________ REGION: _____________________

NEW APPLICANT RETURNING APPLICANT

1. NAME: ___________________________ _____________________________ ________________________________

First Name (BLOCK LETTERS) Middle Name (BLOCK LETTERS) Surname (BLOCK LETTERS)

4. ADDRESS: ________________________________________________ 3. DATE OF BIRTH:

____________________________________________________ DD / MM / YY

____________________________________________________

5. SEX: MALE FEMALE 5. BIRTH CERTIFICATE PIN:

6. EMAIL ADDRESS: __________________________________ 7. NIS NO.:

8. TELEPHONE NO.: (Home) - (Cell) -

9. I.D CARD NO.: 10. MARITAL STATUS:____________________

11. (a) PLEASE SPECIFY DETAILS OF PREVIOUS ON-THE-JOB TRAINING PLACEMENT:

YEAR: ___________ WHERE: ____________________________________ LEVEL OF EDUCATION: ___________________

12. ON-THE-JOB TRAINING DESIRED:

1.

2.

OJT Head Office: Corner Chaguanas Main Road and Connector Road, Chaguanas Tel: 671-3457 | 671-4447 | 671-7822 | 800-4OJT (4658); Chaguanas Office: Corner John &
Lange Streets Montrose, Chaguanas Tel:665-6658; Point Fortin Office: 69 Main Road, Point Fortin Tel: 648-5810;
San Fernando Office: 40-42 St James Street, San Fernando Tel: 652-1350, 652-3181; Siparia Office: Siparia Administrative Complex, Corner Allis Street and SS Erin Road,
Siparia Tel: 649-0982; Tunapuna Office: Anva Plaza, 16-20 Eastern Main Road, Tunapuna Tel: 645-8261;
Tobago Office: Room 14, Ground Floor, Lot #2 Glen Road, Scarborough, Tobago Tel: 685-8187
 13. HIGHEST LEVEL OF EDUCATION:
Secondary School /Tertiary Level Course/Subjects Taken Certificate, Diploma Grade Year
Institution Attended and Degree obtained Obtained

14. WORK EXPERIENCE:

Firm / Employer Position Held Type of Work Date Date
Started Completed

15. DISABILITY / ILLNESS: YES NO (IF YES, PLEASE EXPLAIN)

_________________________________________________________________________________________________
_________________________________________________________________________________________________

16. EMERGENCY CONTACT:

(Name) (Address)

(Relationship) (Telephone No.)

I hereby certify that the above information is true and correct

17. SIGNATURE OF APPLICANT: ____________________________________ DATE: __________________________

18. SIGNATURE OF PARENT/GUARDIAN: ____________________________ DATE: __________________________

(if under 18 years)

Visit the nearest OJT Office professionally dressed with the completed application and accompanying documents. Please bring the
original and a photcopy of the following documents: School/Academic Certificates, ELECTRONIC Birth Certificate, National ID Card,
Résumé and a recent utility bill (issued not more than 2 months prior to date of application.

OJT Head Office: Corner Chaguanas Main Road and Connector Road, Chaguanas Tel: 671-3457 | 671-4447 | 671-7822 | 800-4OJT (4658); Chaguanas Office: Corner John &
Lange Streets Montrose, Chaguanas Tel:665-6658; Point Fortin Office: 69 Main Road, Point Fortin Tel: 648-5810;
San Fernando Office: 40-42 St James Street, San Fernando Tel: 652-1350, 652-3181; Siparia Office: Siparia Administrative Complex, Corner Allis Street and SS Erin Road,
Siparia Tel: 649-0982; Tunapuna Office: Anva Plaza, 16-20 Eastern Main Road, Tunapuna Tel: 645-8261;
Tobago Office: Room 14, Ground Floor, Lot #2 Glen Road, Scarborough, Tobago Tel: 685-8187