Enrollment & Registration Form

First Name: __________________________________ M.I.: ____
Last Name: ___________________________________
SSN: __________________ Date of Birth (M/D/Yr): __________________
Address: ___________________________________
Addr2: ___________________________________
City: _________________ State: _______________ Zip: _______________
Telephone: ____________________ Email: _____________________________
Emergency Contact: _________________________ Emergency Phone: ____________

The Enrollment Fee MUST accompany this request. $ 150.00

The Supplies and Equipment fee required on or before the first class. $ 600.00
(Once the supplies and equipment, or any part thereof, are received by the student, the fee is Non-Refundable.)

Total tuition for the Comprehensive 10 Week Bridge Welders Course: $ 7350.00
(The Registration Fee, the Supplies and Equipment Fee and $3675.00 tuition, is required by the first day of class. The remaining $3675.00 is due upon satisfactory completion of the Basic Series, prior to the beginning of the Advanced Series of classes.)

Week Course Title: Clock Hours:
1. Basic Plate - SMAW (Stick) 30
2. Basic Pipe - SMAW (Stick) 30
3. Basic Plate - FCAW 30
4. Basic Pipe - FCAW 30
5. Advanced Plate - SMAW - Certification Testing* 30
6. Advanced Pipe - SMAW - Certification Testing* 30
7. Advanced Plate - FCAW - Certification Testing* 30
8. Advanced Pipe - FCAW - Testing 30
9 & 10. Trade School Module: MSDS, OSHA, Crane Signaling, Boom Truck & Fork Lift Seminars, First Aid/CPR, Laser Survey, Job-site Layout, Rigging & Inspections, Finding and Keeping a Job. 80

* Certifications are nationaly recognized ANSI/AWS D1.1 cards which belong to the student apon completion and payment of all fees

Your session begins on the date indicated below. Choose which lab session you would prefer:

Tuesday through Friday, 7:00am to 12:00pm
Beginning Date: ________________________ End Date: ________________________
Monday through Thursday, 12:30 pm to 5:30 pm
Beginning Date: ________________________ End Date: ________________________

There will be two hours study time per day in the classroom.

Entrance Requirements:
  • Must be 18 years of age or older.
  • Urinalysis/Drug Test, paid for by the student, and arranged for through the School. The results are required prior to the first class and will be held in the student's file.
  • Pass at 100% the entrance exam for safety and listening ability

  • I agree to, and am able to perform, the requirements listed above as well as the following:
    1. I am healthy enough to work an eight hour shift in all weather conditions.
    2. I have the ability to lift at least 50 pounds and I am able to work at times with my arms elevated.
    3. I possess, or have corrective lenses to achieve, 20/20 vision.
    4. I have spatial and mechanical abilities suitable to the trade.
  • I have read and received a copy of this enrollment agreement and the student completion and placement data as required in OAR 581-045-0018(1)(a-d).
  • I have received a copy of the current catalog, refund schedule, my cancellation rights and the grievance procedures.
  • Students must attend 100% of each class period. More than one unexcused absence and student will be dropped from class schedual.
  • Additionally, I understand the following:
    1. That tuition charges will accrue based on the hours that the program is offered by the school and that I have contracted/scheduled to attend, rather than my actual attendance;
    2. That any refund calculation is based on my last date of physical attendance;
    3. Prior to the beginning of classes, no private career school shall require from an enrollee an advance deposit in excess of twenty (20) percent of the total tuition and fees:
      1. Schools that offer short term programs designed to be completed in one (1) term or four (4) months, whichever is less, can require payment of all tuition and fees on the first day instruction begins:
      2. This limitation shall not apply to federal and state financial aid payments received by the school; and
      3. At the student's option, a school may accept payment in full for tuition and fees after the student has been accepted and enrolled and the date for commencement of classes is specifically disclosed on the enrollment agreement.


________________________________ ________________________________
Signature of Student Date
________________________________ ________________________________
Signature of School Official Date