Documentos de Académico
Documentos de Profesional
Documentos de Cultura
File No:
(for previous applicants only)
Ms.
(Lastname) (Firstname) (Middle Initial)
Date of Birth:
(yyyy/mmm/dd)
(Apt./Street)
(City)
(Prov)
(Postal Code)
Phone No.:
(Home)
Phone No.:
(Work)
Cell No.:
E Mail Address:
Part B
Paper
Upgrades
4th to New 4th 2nd to 1st th BOA to New 4 3rd to 2nd th BOB to 5 4th to 3rd th Fireman to 5 5th to 4th Reinstatements CLASS 1 2 3 4 5
Special Boiler Operator (SBO) *Special Oilwell (SOW) use form AB-144
Indicate the location and month you wish to write the exam. Please indicate 1st and 2nd choice: Edmonton Fort McMurray Calgary Red Deer Lethbridge Medicine Hat Grande Prairie Jan July
Note:
Feb Aug
Mar Sept
Apr Oct
May Nov
June Dec
Available places are allocated on a first come basis, therefore you may not be guaranteed the date(s) of your choice. SOPEEC Exams are protected by copyright. A candidate who shares any SOPEEC examination questions or parts thereof with other in any format may be subjected to disqualification of the exam paper written and certification as well as a penalty from writing another examination for up to twelve months.
Signature of Applicant:
Date:
yyyy/mmm/dd
Caution: Certificate issued may be cancelled or suspended for false statements or documentation included in this application. A non-refundable/non-transferable scheduling fee of $97.00 per paper is required with this application. NSF cheques subject to a $25 charge. Please fax, e-mail or mail application with payment. Please do not do both. Payment can not be made by phone. Cheque payable to: Amount: Cardholder Name: Cash , Cheque , M/C , Visa , Debit
Name of Applicant:
(Lastname) (Firstname) (Middle Initial)
File No:
(for previous applicants only)
Plant Name:
Student Hours
(From Timesheet)
Practicum Coordinator:
Positions are: Chief Power Engineer, Shift Engineer, Assistant Shift Engineer, Assistant Engineer, Process Operator(Note 1), Heating Plant Operator, Power Engineer in Charge and Thermal Liquid Heating System Operator. Note 1: When experience as a process operator is being used towards an Engineer s Certificate of
Competency, it will be necessary for the applicant to submit with this application a resume of the equipment operated, including the duties and responsibilities, signed by the Chief Power Engineer or a Company Official.
Name of Chief Power Engineer/Company Official: Position Work Phone: Work Email Address: Signature: Date: File Number (if applicable): Fax:
The information you provide is necessary for the administration of the programs as required by the Alberta Safety Codes Act and Regulations in the Boiler Discipline.