MCTC Lineman Training School Application

Lineman Training School Application

Maysville Community & Technical College - Rowan Campus
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Date of Birth: *

MonthDayYear
Date
Phone Number*

Area CodePhone Number
E-mail*
High School Attended?*
High School or GED Completion Date?*

MonthDayYear
Date
KentuckyNon-Kentucky
Fall - Starts in OctoberSpring - Starts in MarchSummer - Starts in June
YesNo
If yes, what utility?
Years of experience? *
List of service: (ex. Apprentice, Journeyman, etc.)
What equipment do you operate in your current position?
YesNo
YesNo
YesNo
I HAVE READ, UNDERSTAND, AND ANSWERED ALL QUESTIONS TO THE BEST OF MY ABILITY. I UNDERSTAND THAT THIS COURSE WILL REQUIRE ME TO UNDERGO A DRUG TEST. I ALSO UNDERSTAND THAT THIS IS A WORKFORCE SOLUTIONS COURSE THAT IS NOT DESIGNED AS PART OF A COLLEGE DEGREE PROGRAM AND MAY NOT BE ACCEPTED FOR CREDIT AT OTHER INSTITUTIONS. I ALSO AGREE THAT IF WIOA OR AN EMPLOYER IS PAYING FOR THE CLASS, THEY WILL BE PROVIDED ACADEMIC AND FINANCIAL INFORMATION. BY CLICKING SUBMIT, I AGREE THAT ALL INFORMATION IS COMPLETE AND CORRECT. *

YesNo
Resume:

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