Pinal County

SouthWest Electrical Training Center

Summer 2006 Registration Form

Level E1A Commercial & Industrial Electrical Training Program

Pre-requisite: High school graduate or electrical workers with less than two years of work experience.

Program price: $642 (includes tuition, books, fees and materials). $100 deposit required.

_____  Session 1          TBD

_____  Session 2          TBD

Level E1B Commercial & Industrial Electrical Training Program

Pre-requisite: Level E1A or 2-3 years of electrical work experience and a strong math background.

Program price: $642 (includes tuition, books, fees and materials). $100 deposit required.

_____  Session 1          TBD

_____  Session 2          TBD

Location: Classes for the summer 2006 sessions are not yet scheduled. Starting dates and times listed

are estimated. Further information will be posted when it becomes available.

Registration Information—PLEASE PRINT

Student Name: ______________________________________________________________________

Student Address: ____________________________________________________________________

Student Phone: ______________________________________________________________________

City, Zip Code: _____________________________________________________________________

If Currently Employed:

Company and Contact Person: __________________________________________________________

Company Address: ___________________________________________________________________

Company Phone: _____________________________________________________________________

Mail registration form and $100.00 deposit for selected program session to:

SouthWest Electrical Training Center

P.O. Box 62902

Phoenix, AZ  85082-2902