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DO NOT USE THIS FORM TO APPLY TO THE APPRENTICESHIP PROGRAM!
REGISTRATION 2010
Tip: Use the tab key to go from one box to the next. Hitting the enter key will send the form.
UNION REGISTRATION #: REQUIRED*
(NUMBER ON YOUR UNION CARD -* Note: If you are a new member, call 1-800-779-2173 for instructions.)
FIRST NAME M. I.
LAST NAME
ADDRESS:
Apt./Suite:
CITY: STATE: ZIP:
PHONE : CELLPHONE :
E-MAIL ADDRESS: REQUIRED
EMERGENCY CONTACT PERSON:
EMERGENCY CONTACT PHONE:
CURRENT OR LAST EMPLOYER:
2010 SKILL IMPROVEMENT CLASS SCHEDULE
ALL CLASSES AT COLOMA UNLESS OTHERWISE INDICATED.
CLASS HOURS: 8:00 A.M. - 4:30 P.M.
NO PHONE RESERVATIONS WILL BE ACCEPTED - Placement in classes will be on first-come, first-serve basis. Every attempt will be made to place you in your 1st choice. Should any class be full you will automatically be placed as an alternate for that class. All classes are subject to change of location or cancellation due to lack of enrollment. All reservations will be confirmed in writing. If you need to cancel a class, please call as soon as you know you won’t be able to attend. Failure to call and cancel deprives others of the opportunity to attend the class.
PLEASE NOTE: You may sign up for more than one class, but please be aware that you will be placed in only ONE two-week class (if space is available). We will put you on the alternate list for all other two-week classes that you request. This is in order to give more operators a chance at training. You may register for one-week, two-day and one-day classes in addition to your two week class.
You must complete at least 160 hours of related instruction per academic year (June 1, 2009 - May 31, 2010) or your apprenticeship may be cancelled by the State Bureau of Apprenticeship. Apprentices must take ALL the required classes.
Total of 400 hours required.
Required 1st Year Classes - You must take the 1st Year classes if this is your 1st year in the program, regardless of what Pay Period you came into the program as. Example you came into the program in 2008 as a 3rd Pay Period Apprentice. You must take the 1st Year classes.
¨ Construction Regs (40 hours)
¨ 40-Hour Hazmat (40 hours)
¨ Basic Equipment (80 hours)
Required 2nd Year Classes
¨ Basic Grade (40 hours)
Choice of:
¨ Basic Maintenance (40 hours)
or
Welding Overview (40 hours) -Prerequisite: 1500 OJT hours of Maintenance
¨ Basic Excavating, Heavy Highway or Basic Crane (80 hours)
Required 3rd Year Classes
¨ 80-Hour Elective (Any courses totaling 80 hours - CDL, Dozer, Telescopic Crane, Lattice Crane, Intermediate Grade, Advanced Grade, Load Charts, etc.)
REMEMBER - Update your HAZMAT and MSHA yearly. First Aid/CPR every two years.
THREE WEEK CLASS
IMPORTANT! YOU MUST SELECT A 1ST, 2ND OR 3RD CHOICE FROM THE DROP-DOWN MENU (WHERE THE ZERO IS) OR YOUR CLASS SELECTION WILL NOT SHOW UP ON THE SUBMITTED CONFIRMATION PAGE.
Example:
0 1st 2nd 3rd BASIC EQUIPMENT DATES-SELECT BELOW BQ-0110 - JAN. 4 - JAN. 15, 2010 - BASIC EQUPMENT
If you wish to sign up for more than one date for a class - submit the form again or type your additional choices in the comments section.
TWO WEEK CLASSES - Please choose the dates for the class you would like to take from the drop-down menu. Choose your 1st, 2nd, and 3rd choices by using the drop-down menu next to each class. (CLICK ON THE DOWN ARROW FOR DATES).
One week, three day, two day, and one day classes may be taken in addition to a two week class.
IMPORTANT! YOU MUST SELECT A 1ST, 2ND OR 3RD CHOICE FROM THE DROP-DOWN MENU (WHERE THE ZERO IS)
OR YOUR CLASS SELECTION WILL NOT SHOW UP ON THE SUBMITTED CONFIRMATION PAGE.
0 1st 2nd 3rd MSHA-NEW MINER DATES - SELECT BELOW MA-0810 - FEB. 24 - FEB. 26, 2010 - MSHA - NEW MINER - COLOMA MA-0910 - MAR. 2 - MAR. 4, 2010 - MSHA - NEW MINER - PEWAUKEE MA-1010 - MAR. 9 - MAR. 11, 2010 - MSHA - NEW MINER - ALTOONA MA-1110 - MAR. 16 - MAR. 18, 2010 - MSHA - NEW MINER - MADISON MA-1210 - MAR. 23 - MAR. 25, 2010 - MSHA - NEW MINER - APPLETON 0 1st 2nd 3rd TRENCH RESCUE SAFETY DATES - SELECT BELOW TRS-0110 - JAN. 5 - JAN. 7, 2010 - TRENCH RESCUE SAFETY TRS-1210 - MAR. 23 - MAR. 25, 2010 - TRENCH RESCUE SAFETY TRS-1710 - APR. 27 - APR. 29, 2010 - TRENCH RESCUE SAFETY
Comments -
Click the submit button only ONCE. Please be patient. It may take a few minutes to submit, depending on the speed of your internet connection. A confirmation page will appear once it has been submitted. This confirm page only indicates classes that have been submitted. Please note: A written confirmation will be MAILED (UNITED STATES POSTAL SERVICE) to your home. NO E-MAIL CONFIRMATION WILL BE SENT. Last updated: September 17, 2009 Wisconsin Operating Engineers Training Center W11584 State Hwy 21 Coloma, WI 54930 (715) 228-4911 information@woetrainingcenter.org INFORMATION SUBJECT TO CHANGE WITHOUT NOTICE.
Click the submit button only ONCE. Please be patient. It may take a few minutes to submit, depending on the speed of your internet connection. A confirmation page will appear once it has been submitted. This confirm page only indicates classes that have been submitted. Please note: A written confirmation will be MAILED (UNITED STATES POSTAL SERVICE) to your home. NO E-MAIL CONFIRMATION WILL BE SENT.
Click the submit button only ONCE. Please be patient. It may take a few minutes to submit, depending on the speed of your internet connection. A confirmation page will appear once it has been submitted. This confirm page only indicates classes that have been submitted.
Please note: A written confirmation will be MAILED (UNITED STATES POSTAL SERVICE) to your home. NO E-MAIL CONFIRMATION WILL BE SENT.
Last updated: September 17, 2009
Wisconsin Operating Engineers Training Center W11584 State Hwy 21 Coloma, WI 54930 (715) 228-4911 information@woetrainingcenter.org
INFORMATION SUBJECT TO CHANGE WITHOUT NOTICE.
