Office Use Only
Date Received: _______________
Butte College Welding Technology
Application for 2017-2018 Program
D
Both sides must be completed. PLEASE NOTIFY US IF ANY OF YOUR CONTACT INFORMATION CHANGES. IF WE ARE UNABLE
TO REACH YOU BY PHONE OR E-MAIL, YOUR NAME WILL BE REMOVED FROM THE WAITLIST.
PLEASE PRINT LEGIBLY! If we can’t read it, you may not receive our correspondence.
Butte College Student I.D. (Must have in order to be on waitlist.) ________________________________
Name: ________________________________________________________________________________
Mailing Address: _______________________________________________________________________
City: ________________________________________ State: _______ Zip: _________________________
Best Contact Phone #: ____________________________ Alternate Phone #: _______________________
Email: ________________________________________________________________________________
Please include an email that is checked frequently and keep it updated through our department office.
High School Attended: __________________________________________________________________
Graduated from High School? YES _____ NO _____ Year Graduated or to Graduate __________________
Previous Colleges Attended: ______________________________________________________________
REQUIREMENTS TO BE ADMITTED TO 2017-2018 WELDING TECHNOLOGY PROGRAM
1. COURSE PREREQUISITES OF WLD 20 (Beginning Welding) AND WLD 21 (Intermediate Welding) with
successful completion of an NCCER Level 1 welding certification MUST BE COMPLETED PRIOR TO
BEING ACCEPTED FOR THE 2017-2018 PROGRAM.
INDICATE HOW YOU HAVE MET OR PLAN TO MEET THESE PREREQUISITES. SEE THINGS FOR YOU TO
KNOW AND THINGS YOU NEED TO DO FOR MORE DETAILS.
WLD 20 – Beginning Welding
I have completed WLD 20 through a Butte College approved 2+2 Articulated High School
Name of approved high school ______________________354______ Date of Completion_____
I will complete WLD 20 through a Butte College approved 2+2 Articulated High School
Name of approved high school ____________________________ Date of Completion ________
I have completed WLD 20 through Butte College. Semester Completed ____________________
I will complete WLD 20 through Butte College. Semester to be Completed __________________
I have completed or
will complete an equivalent course for WLD 20 through another
community college. (Transcripts, course descriptions, and course outlines must be provided for
verification.) YOU MUST HAVE THIS OPTION CLEARED WITH DON ROBINSON, WELDING DEPARTMENT
CHAIR, IN ORDER TO FULFILL COURSE PREREQUISITES
Name of approved college ____________________________ Date of Completion ___________
5.5.2016 -mt
WLD 21 – Intermediate Welding with an NCCER Level 1 Certificate
I have completed WLD 21 through a Butte College approved 2+2 Articulated High School
Name of approved high school ____________________________ Date of Completion ________
I will complete WLD 21 through a Butte College approved 2+2 Articulated High School
Name of approved high school ____________________________ Date of Completion________
I have completed WLD 21 through Butte College. Semester Completed ____________________
I will complete WLD 21 through Butte College. Semester to be completed __________________
I have completed or
will complete an equivalent course for WLD 21 through another
community college. (Transcripts, course descriptions, and course outlines must be provided for
verification.) YOU MUST HAVE THIS OPTION CLEARED WITH DON ROBINSON, WELDING DEPARTMENT
CHAIR, IN ORDER TO FULFILL COURSE PREREQUISITES
Name of approved college ____________________________ Date of Completion ___________
2. Butte College Enrollment Requirements. Must be completed before you can enroll in classes.

Butte College Assessment (Reading, English, Math). Assessment must be completed prior to
attending orientation. For more information, contact the Butte College Assessment Office –
530-895-2350
http://www.butte.edu/assessment/

Butte College Orientation. For more information, contact the Butte College Orientation Office –
530-895-2416. http://www.butte.edu/orientation/
For exemptions, see Things for You to Know and Things You Need to Do.
3. Face-to-Face Meeting with Don Robinson, Welding Department Chair
Meetings are held during the Fall and Spring Semesters. Meeting days and times will be scheduled
after August 21, 2016. Call the Welding Department Office at 530-895-2551 to schedule the
mandatory meeting.
***ACKNOWLEDGEMENT OF WHAT IS REQUIRED***
IMPORTANT – THIS ACKNOWLEDGEMENT MUST BE SIGNED IN ORDER TO BE PLACED ON THE 2016-2017 WELDING
PROGRAM WAITLIST.
I acknowledge that I have read and agree to the entrance requirements for the 2017-2018 Welding Technology Program. I
understand there are prerequisites that must be completed in order to be accepted.
I have read the important information included in Things for You to Know and Things You Need to Do. I also understand there
are deadlines I must meet in order to remain on the waitlist for the 2017-2018 Welding Technology Program.
I understand if the Welding Technology Office is unable to reach me because I failed to notify them of an address change,
email change, and/or phone number change, I will be removed from the waitlist. If you change your contact information
through MyBC, you still need to contact the Welding Department with any changes.
Signature: ____________________________________________
Date: ___________________
Return to:
USPS:
Melissa Taylor, AHPS 251
Butte College
3536 Butte Campus Drive
Oroville CA 95965
Fax: 530.895.2443 (Mail original after faxed. Date application
received will be based on fax date.)
Email: Melissa Taylor at taylormel@butte.edu
In Person: AHPS 251 (Allied Health Public Service Building – Room 251)