Application For A&A Power Engineering License

Preparatory Seminars

Check Appropriate Seminar(s)

I. Power Engineering Fundamentals Seminar For 4th & 3rd Class License

Candidates. Costs = $1,750.00 per Trainee (56 Hour Training Course)

Spring Sessions: Seminar 1 ______. Seminar 2______. Seminar 3______.

Fall Sessions: Seminar 5 _______. Seminar 6______. Seminar 7______.

II. Advanced Power Engineering Seminar. For 2nd & 1st Class Engineer

License Candidates. Costs = $2,250.00 per Trainee. (48 Hour Training

Course).

Spring Session: Seminar 4 ______. Fall Session: Seminar 8 ______.

Name: _________________________________________________________________.

Home Address: __________________________________________________________.

Home Phone: ___________________ Work Phone: ________________________.

Facsimile Number: ___________________. E-mail Address: ____________________________.

Employer & Address:

________________________________________________________________________

______________________________________________________________________.

Appropriate Payment Methods: Check ____ Money Order ____ Purchase Order ____ Cash______ .

NOTE: If less than 10 paid applications are received for a specific session, it may be cancelled. The Monday / Wednesday sessions must be filled to at least 10 paid applications prior to beginning scheduling for the Tuesday / Thursday sessions in the same calendar time frames.