2024-2025 NTMA Apprentice Training 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)

TRAINING SITE LOCATIONS & SCHEDULES

Times for all classes are 5:30PM-9:30PM

All classes will begin the week of September 9th

There are three locations that host classes. Apprentices must select a first and second site choice when registering.

Location #1: Central Westmoreland CTC (New Stanton)
- Year 1 & 2 - Tuesdays
- Year 3 & 4 - Thursdays
Location #2: Northern Westmoreland CTC (New Kensington)
- All Years - Wednesdays
Location #3: BotsIQ Training & Education Center (Bellevue/Pittsburgh)
- Year 1 & 4 - Tuesdays
- Year 2 & 3 - Thursdays
Due to enrollment constraints, your preferred site may not be available.

Please indicate your First & Second site choice where you would like to attend. *

	First Choice	Second Choice
Central Westmoreland CTC
Northern Westmoreland CTC
BotsIQ Training & Education Center

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

	Hard Copy Book
Year 2 - Print Reading for Eng & Mfg Tech $130

	Hard Copy Book
GeoTol Workbook & Pocket Guide $130

	Hard Copy Book
Programming of CNC Machines $55
Programming of CNC Machines - WORKBOOK $35
Die Designs Fundamentals $55
Jigs & Fixture Design $220

PAYMENT

Please indicate who will be making payments.
Book Fees

CompanyApprentice
Tuition Fees - Years 1 & 2 - NTMA Member - $1,850; Non-Member - $2,300. | Years 3 & 4 - NTMA Member - $1,500; Non-Member - $1,950.

CompanyApprenticeIf Apprentice is responsible, check here if you need a monthly payment plan
AP Test fees (if applicable)

CompanyApprentice
I understand by submitting this application I, or my company, become(s) responsible for all payments, which may include tuition, books & advanced placement testing. Failure to comply could result in dismissal from the NTMA Program.
Name of person submitting this form.

First NameLast Name
Email of person submitting this form.
example@example.com
Should be Empty:

Pittsburgh Chapter NTMA Apprenticeship