2024-2025 NTMA Apprentice Training FAST TRACK Registration Form

EMPLOYER INFORMATION
Company Name
Company Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Company Phone Number*
Company Contact Name (Main point of contact throughout the program year)
First & Last Name
Company Contact Title
Company Contact E-mail*
example@example.com
Is the Company a NTMA Member Company?

YesNoNot sure
Apprentice's Hire Date

MonthDayYear
Date
Apprentice's Job Title
Apprentice's Hourly Rate (Will be kept confidential)

REGISTRATION WITH THE PENNSYLVANIA DEPARTMENT OF LABOR & INDUSTRY

To meet the Pennsylvania state requirements for journeyperson's status, an apprentice must be registered with the state and attend 144 hours of classroom training concurrently with 2000 hours of practical on the job experience per year with their employer.
Indicate who is registering the Apprentice with the NTMA Program

CompanyApprentice
Is the Apprentice registered with the PA Department of Labor & Industry's Bureau of Apprenticeship & Training?

YesNoNot sure

	Hard Copy Book
Year 1, 2, 3, & 4 - TI 30X IIS Calculator $20
Year 1, 2, 3, & 4 - Machinery Handbook $115
Year 1, 2, & 3 - Mathematics for Machine Tech $195
Year 1 - Print Reading for Industry $120
Year 1, 2, & 3 -Precision Machine Technology $145
Year 1, 2, & 3 - Workbook & Project Manual - Precision Mach Tech $130

Pittsburgh Chapter NTMA Apprenticeship