Southeastern Louisiana Technical College Enrollment Form

Southeastern Louisiana Technical College Enrollment Form

Complete this form to enroll for courses at Southeastern Louisiana Technical College. Please provide accurate information in all required sections.
Student Status
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Full Name

First NameLast Name
High School Completion
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Age
Social Security Number:
Sex
Current Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Phone Type
Program Length (in weeks/months)
Program Schedule
REFUND POLICY

In consideration of my acceptance as a student for the ____________________ program as the above date, I hereby enroll and obligate myself to pay to the order of Southeastern Louisiana Technical College $__________ , to be paid as follows with signing of this enrollment agreement and the balance of $ __________ to be paid as follows:

Three Business Day Cancellation: I understand that if for any reason I amunable to enter, allmonies paid will be refunded if requested within three
business days after an enrollment agreement and making an initial payment.

Cancellation After the Three Business Day Cancellation Period but Before Commencement of Classes by the student:
Tuition or fees collected in advance of entrance and if the student does not begin classes, not more than $150.00 shall be retained by SLTC. Refunds for a student who does not attend classes shall be made within 30 days of the notice of cancellation.

I understand that the Withdrawal After Commencement of Classes Refund Policy shall be:

1) After a student has completed less than 15%of the program, SLTC shall refund at least 80%of the tuition, less the registration fee,thereafter,

2) After a student has completed less than one fourth of the program, SLTC shall refund at least 70%of the tuition, less the registration fee,thereafter,

3) After a student has completed one fourth but less than one half of the program, SLTC shall refund at least 45% of the tuition, less theregistration fee, thereafter,

4) After a student has completed one half or more of the program, SLTCmay retain 100%of the stated course price.

Any unused portion of the book fee will be refunded. I certify that I have received a copy of the school catalog that contains: my program outline, schedule of tuition, fees, and other charges, the refund policy, regulations pertaining to the rules of operation and conduct, grading policy, description of job placement assistance, and general information. I further certify I have received and read a copy of this Enrollment and understand it is subject to representation only as expressed herein. I agree to comply with these policies during my period of enrollment in.

Charges:
Registration fees Entrance Date: ____________
Tuition $ ______ Other Information _____________
Textbooks $ ______ ________________________________
Miscellaneous
Payment Terms - Remaining Balance
APPROVAL ONLY
Payment Terms - How Balance is to be Paid
MUST BE APPROVED BY ADMIN
Additional Fess
Charges - Miscellaneous
Start Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Other Information
Sponsoring Company
Contact Person
Title
Sponsoring Company Email
example@example.com
Sponsoring Company Phone
Please enter a valid phone number.Format: (000) 000-0000.
Sponsoring Company Phone Type
Sponsoring Company Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Sponsoring Company City
Sponsoring Company State
Sponsoring Company ZIP Code
Note
Student Signature
Student Phone
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Signature
Parent/Guardian Phone
Please enter a valid phone number.Format: (000) 000-0000.
Office Use Only - Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Office Use Only - Date Enrolled

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Office Use Only - Application Fee Amount Paid
Office Use Only - Application Fee Payment Type #
Office Use Only - Processing Fee Amount Paid
Office Use Only - Processing Fee Payment Type #
Office Use Only - Course Enrolled
Office Use Only - School Representative
Office Use Only - Representative Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Office Use Only - Approval
Office Use Only - Notes
Please upload a copy of your ID, Social Security Card, Previous School Transcript etc.

Cancelof
I authorize Southeastern Louisiana Technical College securely store these documents for enrollment purposes
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SSHO
The SSHO program prepares students to manage safety on federal construction projects by applying EM 385-1-1 requirements, conducting hazard analyses, enforcing safety standards, and ensuring OSHA and USACE compliance.

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CSST
The Construction Site Safety Technician (CSST) program prepares students to identify hazards, conduct jobsite inspections, support regulatory compliance, and promote a safe and productive construction work environment.

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CSSS
The Construction Site Safety Supervisor (CSSS) program prepares students to lead construction site safety efforts, manage compliance, supervise safety personnel, and foster a proactive safety culture on construction projects.

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Project Management
The Project Management program prepares students to effectively plan, coordinate, and oversee construction projects by developing skills in scheduling, budgeting, leadership, communication, and project execution.

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NCCER Core
NCCER Core provides the foundational knowledge and hands-on skills required for success in the construction industry. Students develop essential skills in safety, construction math, hand and power tools, construction drawings, communication, and employability, preparing them for advanced craft training and entry-level construction careers.

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Registration Fees
The registration fee secures your enrollment and covers application processing, student account setup, and administrative services required before the start of your program.

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LABS
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Rigging
The Basic Rigging course introduces students to safe rigging practices, load handling, equipment inspection, hand signals, hitch configurations, and lift planning to support safe and efficient lifting operations.

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Intermediate Rigging
The Intermediate Rigging course expands students' knowledge of rigging by emphasizing load control, equipment selection, hitch configurations, lift planning, and safe rigging practices for more complex lifting operations.

$500.00



Advanced Rigging
The Advanced Rigging course builds on foundational skills by focusing on complex lift planning, load calculations, advanced rigging techniques, crane coordination, and safe execution of critical lifting operations.

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Carpentry: Level 1
NCCER Carpentry Level 1 introduces students to the fundamentals of carpentry, including safety, hand and power tools, construction drawings, framing, materials, and basic residential construction techniques.

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Carpentry: Level 2
NCCER Carpentry Level 2 builds on foundational skills by focusing on advanced framing, exterior finishing, roofing, stair construction, interior finishes, and blueprint interpretation to prepare students for professional carpentry careers.

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SSHO Textbook
Excellence in Safety Management: The Role of SSHos in Government Projects

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EM385-1-1
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SSHO (Down Payment)
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Application Fee
The application fee is a one-time, non-refundable fee that covers the cost of processing a student's application and initiating the admissions process. Payment of the fee does not guarantee acceptance into a program.

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Welding (Level 1 & 2)
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Welding (level 1)
NCCER Welding Level 1 (360 clock hours) introduces students to essential welding safety, metal preparation, blueprint reading, and Shielded Metal Arc Welding (SMAW) techniques, providing the foundational skills needed for entry-level employment in the welding industry.

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Welding (level 2)
NCCER Welding Level 2 (227.5 clock hours) builds on foundational skills by introducing advanced welding processes, welding symbols, blueprint reading, metal properties, and GMAW, FCAW, and GTAW techniques. Students develop the knowledge and hands-on experience needed for employment in industrial, construction, and manufacturing environments.

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Journey-Level Test
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Scaffold Course
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Total

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Southeastern Louisiana Technical College Enrollment Form

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