Arkansas HVACr Academy Application

Arkansas HVACr Academy Application

You're a few minutes away from your spot in our next HVACr class. Fill out the quick application below and we'll get you set up.
Full Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Preferred Class Schedule

A little about you
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
High School Graduation Date

MonthDayYear
Date
Birthdate

MonthDayYear
Date
Do You Speak English?
What Other Language(s) Do You Speak?
Any HVACr Experience?
Current Employer / HVAC Company
Minor Applicant Information
Are You Under 18 Years of Age?
Parent/Guardian Full Name
Parent/Guardian Phone
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Email
example@example.com
Emergency Contact Information
Emergency Contact Name

First NameLast Name
Emergency Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
Relationship to Applicant
T-Shirt Size

Seat Reservation Deposit
Seats fill up quick. In order to reserve your spot this fall, please provide a $450 deposit. This will secure your spot today! Questions & Additional Help Call Eric, program director at 479-957-1215.
Square Deposit Authorization
Arkansas HVACr Academy Hold Harmless Agreement

Non-Refundable Seat Reservation Deposit

$450.00

Total