Self-sponsored Apprentice Application Form 2026-27

IEC Self-Sponsored Apprentice Application Form

2026-2027 School Year
PLEASE NOTE: This application form is for SELF-SPONSORED students who are paying their FIRST-YEAR tuition. *If you are being sponsored by an IEC Contractor (IEC Contractor is paying your tuition), please contact your sponsor and ask for access to the FIRST YEAR, MEMBER-SPONSORED application form.

IMPORTANT NOTE: SPACES ARE LIMITED.
- Have you either attended or are already signed up to attend an IEC Plug In Class?*
  
  YesNo
- When did/will you attend Plug In?*
- Name*
  
  First NameLast Name
- If you go by a name or nickname different than the name listed above, enter it here:
- Date of Birth*
  
  MonthDayYear
  Enter your birthdate, using two digits for the month, 2 digits for the day & 2 digits for the year
- Where are you currently employed?*
  Please provide the name of your employer. If you are not currently employed, enter "N/A."
- Email*
  Please provide an active email address which you check regularly.
- Phone Number*
  Please enter a 10-digit phone number that can receive text messages.Format: (000) 000-0000.
- Home Address*
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Gender*
- Race*
- Emergency Contact Name*
  Enter the name of your emergency contact.
- Emergency Contact Phone #*
  Please enter a 10-digit phone number.Format: (000) 000-0000.
- Any Medical Conditions/Allergies the school should be aware of?*
  Type "No" or fill in the blank
- Are you current military?*
  
  YesNoPrefer Not to Answer
- Are you former military?*
  
  YesNoPrefer Not to Answer
- Do you qualify for VA benefits?*
  
  YesNo
- Have you worked as an electrician?*
  
  YesNo
- I understand that submission of this form does not guarantee enrollment in the 2026-2027 school year and that enrollment is contingent upon availability and completion of a Plug In Class.*
- Date*
  
  MonthDayYear
  Today's date
- Should be Empty:

IEC Self-Sponsored Apprentice Application Form