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:_____________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________