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Page 1 of 1 The Industry Training Authority is an agency of the Government of British Columbia. January 2016
CS005.4 Work-Based Training Report www.itabc.ca
SPONSOR REPORT FOR WORK-BASED TRAINING HOURS
This form is used by employers / sponsors to report work-based training hours for an apprentice in any program. Missing information
may delay the reporting process.
A. Apprentice Information Please print clearly and return form to the address noted above
*Date of Birth (MM/DD/YYYY):
B. Work-Based Training Hours Reporting Period
Ensure exact start and end dates are reported
Total number of work-based training hours reported during
Start Date: ___________________
End Date: ___________________
Do not overlap any hours on this report with hours sent in previously.
Note: We are unable to accept future dates for hours apprentices have not
C. Employer / Sponsor Approval
Were these hours worked for a previous/alternate employer?
□ Yes (Employer Name Required) □ No
Previous/Alternate Employer Name:
Sponsor Organization Name:
Name of Authorized Sponsor Representative:
Sponsor Organization ID#:
Signature of Authorized Sponsor Representative:
“I attest that the work-based training completed by the above named trainee/apprentice is being done under the
supervision/direction of a certified tradesperson or equivalent.”
The signature of the apprentice’s registered sponsor or an authorized representative is required. Without it,
the work-based training hours claimed in this report will not be added to the apprentice’s record.