Student Registration Form
Fill out the form carefully for registration
Student Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Member E-mail
*
example@example.com
Mobile Number
*
-
Area Code
Phone Number
IBEW Card #
*
Local Union #
*
Last 4 of SS#
*
for verification purposes
Contractor
CE Class
*
Advanced Bluebeam, TBD
Aerial & Scissor Lift Cert. & Training, 3/25
Aerial & Scissor Lift Cert. & Training, 9/9
Applied Codeology, 8/3
Basic Surveying, 3/25
Basic Surveying, 5/6
Basic Surveying, 10/7
Basic Surveying, 12/2
Beginning Bluebeam, TBD
Beginning Motor Control, 1/31
Beginning Motor Control, 9/5
Building Automation, 1/17
Building Automation-Fall, TBD
Code Changes, 8/1
Conduit Bending & Fabrication, 2/7
Conduit Bending & Fabrication, 4/11
Conduit Bending & Fabrication, 8/29
Conduit Bending & Fabrication, 10/31
CPR & First Aid, 2/4
CPR & First Aid, 5/6
CPR & First Aid, 9/2
CPR & First Aid, 12/2
EVCS, 2/8 Via Zoom
EVCS, 9/6 Via Zoom
ESAMTAC, 2/2
ESAMTAC, 9/6
Fire Alarm, 1/24
Fire Alarm-Fall, TBD
NAVIS Manage, 4/4
NAVIS Manage, 8/15
NFPA 70e, 1/19
NFPA 70e, 4/15 Via Zoom
NFPA 70e, 8/8
NFPA 70e, 10/28 Via Zoom
OSHA-10, 1/21
OSHA-10, 8/12
OSHA-30, 1/21
OSHA-30, 8/12
Telehandler Cert., 4/29
Telehandler Cert., 9/23
Rigging, Hoisting, & Signaling Cert., 5/13
Rigging, Hoisting, & Signaling Cert., 10/14
State Exam Prep, 1/24
State Exam Prep, 2/25 Via Zoom
State Exam Prep, 5/30 Via Zoom
State Exam Prep, 7/8 Via Zoom
State Exam Prep, 9/9 Via Zoom
State Exam Prep, 11/28 Via Zoom
Trimble Training, 5/9
Trimble Training, 9/12
Do you need a textbook?
Yes
No
Additional Comments
I understand that I must submit a current dues receipt to the JATC in order to be enrolled in any CE classes.
Yes
Submit Registration
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