Please check the course(s) that you are applying for:

Bridge Watch Rating (BWR) - March 23, 2026

Bridge Watch Rating (BWR) - August 31, 2026

Watch Keeping Mate - Near Coastal (WKM-NC)

Application Information:

First Name *

Last Name *

Phone *

Email *

Gender *

Male

Female

Date of birth *

Permanent Mailing Address:

Community *

Address

Street Address *

City *

Province/Territory *

Country

Postal code *

Next of Kin Name *

Next of Kin Phone *

Status *

If you identify as Indigenous, please indicate your band affiliation:

Applicant's Undertaking & Signature:

I understand that portions of this information will be shared with Transport Canada and partner training providers. I declare that the information provided on this questionnaire is true and correct and I understand that providing false information will result in dismissal from the training program.

Applicant Signature *

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Draw your signature in the box

Signed on Date: *