RAP Application Form

Applicant Information

Company *
 Air CanadaAllied UniversalBC Corp of CommissionairesBee-Clean Maintenance Inc.Betts ElectricBudget RentalsBurley Fraser MechanicalCanada Border Services AgencyDDC Technical ServicesEnvirosafe JanitorialEvergreen JanitorialExecutive AviationExecutive Flight CenterHoule ElectricHungry Bear Power BitesK-PrimeNav CanadaOtherPacific Coastal AirlinesPaladin SecurityShared Services CanadaStrategic AviationTransport CanadaTransport Canada - Civil AviationTravel PentictonWest Jet

Job Title *

First Name *

Last Name *

Home Address *

Work Phone

Mobile Phone

Home Phone

Email Address *

Date of Birth *

Height (ft-in)*

Eye Color *

Security Clearance Status *
NoneAPM/SAO AuthorityCCRC and BackcheckIn ProgressRAIC VerifiedReliabilitySecret

Photo ID # *

Photo ID Expiry Date *

Photo of Photo ID

Terms

As a holder of a Restricted Area Pass, I understand, agree to, and will abide by the following Terms of Issue:

a) The card issued to me is the property of Penticton Airport and has a five (5) year expiry date ;

b) That as a card holder, I will safeguard the card at all times, and report the loss or theft of the card immediately to the Airport Manager, and that I will not permit unauthorized use of the card, nor assist a person not in possession of a Restricted Area Pass to gain entrance into a Restricted Area ;

c) The the card issued to me is only valid for those Restricted Areas to which I require access during the performance of my duties (or functions directly related thereto) ;

d) The card issued to me is designed to be worn with the front of the card visibly displayed unless it interferes with my ability to perform my work tasks inwhich it must be presented upon request;

e) That I will surrender the Restricted Area Pass upon termination of employment or on demand of the issuing authority or a member of the Airport Security Staff ; and that I have been informed the initial Restricted Area Pass will be provided free of charge and that there will be a fifty dollar ($50.00) fee in the event of loss or non return within seven (7) days of employment termination. Additional replacement Restricted Area Passes will incur a one hundred dollar ($100.00) fee.

f) That as a cardholder it is my duty to ensure that any doors entered are securely closed and locked behind me and I will ensure that no other person piggybacks my entry.

g) That when providing escort into restricted areas I limit the number escorted to a maximum of 5 people.

Signature