AWA application - Arkansas Welding Academy

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Arkansas Welding Academy
Application
Please print clearly and fill out completely.
Name ____________________________________
Street Address ___________________________
City_______________
State____ County__________ ZIP______
Telephone Number_________________ Cell__________________
Email Address_____________________ Date of Birth_____________
Marital Status___________ Age______
SSN ______________________
Driver's License Number ___________________ State Issued_______
Highest Grade Completed_____ High school Diploma____
GED__
High school Name________________ City_____________ State______If
accepted, I would like to begin class on ________________(based upon
booth availability).
While attending Arkansas Welding Academy, I plan to live __________.
If approved, I plan to pay by (circle all that apply)
STUDENT LOAN CASH MILITARY TRAINING BENEFIT SCHOLARSHIP
GRANT
How did you hear about Arkansas Welding
Academy?_______________________________________________________.
Print Name____________________
Signature_____________________
Date__________________
The registration fee of $100.00 must accompany this form to be valid.
A copy of High School transcript and Diploma OR GED.
Drivers license
AWA is not owned or operated by the State of Arkansas
Arkansas Welding Academy
Program List
Structural Welding Process I
Class Hours: 8 Laboratory Hours: 72 Total Hours: 80
Structural Welding Process II:
Class Hours: 8 Laboratory Hours: 72 Total Hours: 80
Structural Welding Process III:
Class Hours: 8 Laboratory Hours: 72 Total Hours: 80
Fluxcore/MIG Welding Process:
Class Hours: 8 Laboratory Hours: 72 Total Hours: 80
Pipe Welding Process I:
Class Hours: 16 Laboratory Hours: 144 Total Hours:160
Pipe Welding Process II:
Class Hours: 16 Laboratory Hours: 144 Total Hours:160
Pipe Welding Process III:
Class Hours: 16 Laboratory Hours: 144 Total Hours:160
Notes:_____________________________________________________________________________________
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