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Dixie Technical College 610 S. Tech Ridge Drive, St. George, UT 84770 435-674-8400
Welcome to Dixie Technical College. We are pleased you have chosen to continue your education by applying for this program. The Electrical Apprenticeship training is 720 hours which is completed over a four-year period. You must be officially admitted into the program in order to begin training. Use this checklist to assure your placement on the applicant list. Application will not be accepted until it is complete. APPLY TO DIXIE TECHNICAL COLLEGE ❏ High School Diploma or GED (unless current high school student) ❏ Dixie Tech Application for Admission and $40 Application Fee (dixietech.edu)
APPLY TO THE ELECTRICAL APPRENTICESHIP PROGRAM ❏ Computerized Placement Test (Accuplacer CPT - Arithmetic and Reading)
Test may be waived with proof of qualifying ACT scores or equivalent course completion (official transcript required for review) taken in the past two years, or if student is sponsored by an instructor approved industry employer.
Call Student Services to schedule. Cost is $15 for both sections or $10 each The test may be taken at Dixie Tech a maximum of three times per subject per year See reverse for program qualifying scores
Complete and submit all items to Student Services: ❏ Electrical Apprenticeship Program Application ❏ Adult or Minor Consent, Release and Acknowledgement ❏ Application Review
After successfully completing and submitting the above requirements, students will be eligible to schedule an Application Review after which students will be emailed regarding their acceptance status. Within two (2) weeks of acceptance notification or by the first scheduled day of class (whichever comes first), all tuition/fees/books must be paid in full unless a payment plan or sponsorship has been submitted and approved. If payment is not received by these deadlines, the reserved position may be released to other students. Application Due Date: July 1st for August start date December 1st for January start date Upon program approval, applications may be accepted after the due date if space is remaining.
Program
AD
UL
TS
-D
iplom
a or GE
DA
rithmetic
CP
T/AC
TR
eading
CP
T/AC
TS
entence Skills
CP
T/AC
T
AM
STE
M - N
ursing Assistant
Not req
uiredN
ot required
53/14N
ot required
AM
STE
M - D
igital Med
ia Design
Not req
uiredN
ot required
Not req
uiredN
ot required
AM
STE
M - E
MT B
asicN
ot required
47/1561/15
Not req
uired
AM
STE
M - IT
Not req
uiredN
ot required
Not req
uiredN
ot required
AM
STE
M - P
re-Engineering
Not req
uiredN
ot required
Not req
uiredN
ot required
Autom
otive TechnologyR
equired
35/1453/14
66/14
CN
C M
achiningR
equired
35/1453/14
66/14
Collision R
epair
Req
uired35/14
53/1466/14
Com
mercial D
rivers LicenseR
equired
47/1561/15
Not req
uired
Culinary A
rtsR
equired
47/1561/15
76/15
Diesel
Req
uired35/14
53/1466/14
Digital M
edia D
esignR
equired
47/1561/15
76/15
Drafting
Req
uired47/15
61/1576/15
Electrical A
pp
renticeshipR
equired
35/1453/14
Not req
uired
EM
TR
equired
47/1561/15
Not req
uired
Ad
vanced E
MT
Req
uired
HV
AC
R Technician
Req
uired35/14
53/14N
ot required
Industrial A
utomation Technician
Req
uired35/14
53/1466/14
Information Technology
Req
uired47/15
61/1576/15
Manufacturing O
perations
Req
uired35/14
53/1466/14
Med
ical Assisting
Req
uired47/15
61/1576/15
Med
ication Aid
eR
equired
Not req
uiredN
ot required
Not req
uired
Nursing A
ssistantR
equired
Not req
uired53/14
Not req
uired
Pharm
acy TechnologyR
equired
47/1561/15
76/15
Phleb
otomy Technician
Req
uiredN
ot required
53/14N
ot required
Plum
bing A
pp
renticeshipR
equired
35/1453/14
Not req
uired
Weld
ingR
equired
35/1453/14
Not req
uired
CP
T may b
e waived
with p
roof of equivalent A
CT scores or college classes w
ith a 'B' grad
e or above taken w
ithin the past 2 years.
Sub
mit official transcrip
ts to Stud
ent Services for evaluation. S
tudents are allow
ed 3 attem
pts p
er subject p
er year at Dixie Tech.
Waived
with current E
MT B
asic certification
DIXIE TECH ELECTRICAL APPRENTICESHIPCOURSE HOURS TUITION FEES BOOKSELEC 101A Electrical 1A 90 $202.50) $123.00)
$363.00X
ELEC 101B Electrical 1B 90 $202.50) $123.00) XELEC 102A Electrical 2A 90 $202.50) $123.00) $236.00 XELEC 102B Electrical 2B 90 $202.50) $123.00) Additional X ELEC 103A Electrical 3A 90 $202.50) $123.00) $180.00 XELEC 103B Electrical 3B 90 $202.50) $123.00) Additional XELEC 104A Electrical 4A 90 $202.50) $123.00) $196.00 XELEC 104B Electrical 4B 90 $202.50) $123.00) Additional X INSTRUCTORS
Graduation Fee $40.00) X Curt Crofts | 435-674-8624 | [email protected] Lamoreaux | [email protected] Morris | [email protected] Parr | [email protected]
CLASSROOM HOURSMon & Wed 6:00 pm - 9:00 pm
TUITION $2.25 Per Seat Hour
INITIAL FEE/ADDITIONAL FEE ESTIMATE $40.00 Dixie Tech Application Fee $15.00 Accuplacer Assessment (Reading and Math) $20.00 Recommended Supplemental Textbook (See list)
ENROLLMENT DATES8/1/20181/2/2019
High school students are required to pay books and fees. THIS PROGRAM IS NOT ELIGIBLE FOR FEDERAL FINANCIAL AID
Tuition & Fees must be paid before registering for class unless a payment plan or other funding options have been approved and signed. Information is subject to change without notice.TOTAL HOURS 720
Tuition $1,620.00Program Fees $1,024.00Textbooks/Subscriptions $975.00APPROXIMATE COST $3,619.00
Please complete all of the items in this application. Return the completed application with the other required admission documents to DIXIE TECH Student Services. Students will be contacted regarding their application by email. Upon acceptance to the Electrical Apprenticeship program, students will be issued an xmail.dixietech.edu email. This will be the email used to distribute important information. It is the student’s responsibility to check his/her email on a regular basis. DIXIE TECH will not be responsible for students missing important information delivered via email. Full Name: _________________________________________________________________________ First Middle Initial Last Student ID#: ___________________________ Date of Birth: ________________________________ Cell Phone: ____________________________ Other Phone: _______________________________
Address:
Student Email Address:
Emergency Contact: Name Phone Relationship I affirm that all the information in my application is true and accurate and that I have been given access to and have read and agree to abide by the Student Code of Conduct found in Student Services. Applicant Signature __________________________________ Date________________________
PLUMBING & ELECTRICAL APPRENTICESHIP REQUIREMENTS
FACT SHEET
What is an Apprenticeship? An Apprenticeship is a combination of on the job work experience and
related instruction I.e. apprenticeship evening school
Are there age requirements? Most programs require an age of 18 years. Under Utah State Law, some
exception can be made from an age for 16 and 17 year olds in connection with an approved Bureau of
Apprenticeship and Training (BAT) apprenticeship program.
What prior education is required? Furnish certificate or transcripts of High School graduation equivalent
test, or be enrolled currently in High School to apprenticeship programs (STA).
Terms of Apprenticeship
1. On the Job training- 4 years (8,000 hours)
2. Related classroom instruction- a minimum of 144 hours per year with a total of 576 hours in 4
years.
3. Must be employed in the same field as your classroom instruction and registered with the State
Office of Occupational and Professional Licensing
4. High School students must have an employer sponsor them and be registered with The Bureau
of Apprenticeship and Training Federal Office.
Are there health requirements? Good health, physically able to do heavy work under all working
conditions.
What wages can I expect? Apprentice pay is based on a percentage of the journeyman wage rate
starting at 50% for a beginning apprentice. Advancement is based on a satisfactory work on the job and
progress in related classroom instruction. You can also look up wages on Utah’s Department of
Workforce Services website. (jobs.utah.gov)
For more information about Dixie Applied Technology’s Apprenticeship programs for Electrical and
Plumbing trades, please contact:
Curt Crofts Director of Construction Technology Dixie Applied Technology College 1506 South Silicon way St. George, Utah 84770 O-(435) 674-8624 C-(435) 229-7671 [email protected]
ELECTRICAL APPRENTICE LICENSING INFORMATION
Residential Licensing Requirements
WORK- 4000 hours
SCHOOL- 2 years (a minimum of 288 classroom hours)
Commercial Licensing Requirements WORK- an additional 4000 hours (8000 hours cumulative) SCHOOL – an additional 2 years (a minimum of 288 additonal hours; 576 hours cumulative)
PLUMBING APPRENTICE LICENSING INFORMATION
Residential Licensing Requirements
WORK- 6000 hours
SCHOOL- 3 years (a minimum of 432 classroom hours)
Commercial Licensing Requirements
WORK- an additional 2000 hours (8000 hours cumulative)
SCHOOL- an additional minimum of 144 hours (576 hours
cumulative)
NCCER Electrical Level 1 (2014) ISBN-13: 978-0-13-382959-4 67.00$
Delmar’s Standard Book of Electricity 5th Edition ISBN-13: 978-1111539153 170.00$
2014 NEC (National Electrical Code) ISBN-13: 978-1455906727 90.00$
First Year Textbook Estimated Total 327.00$
NCCER Electrical Level 2 (2014) ISBN-13: 978-0-13-383065-1 94.00$
Delmar’s Standard Book of Electricity 5th Edition Purchased for 1A-1B
Mike Holts 2014 Understanding the NEC Vol. 1 & Vol. 2 http://www.mikeholt.com/productitem.php?id=1248
mikeholt.comProduct Code: 14UND12
105.00$
2014 NEC (National Electrical Code) Purchased for 1A-1B
Second Year Textbook Estimated Total 199.00$
NCCER Electrical Level 3 (2014) ISBN-13: 978-0-13-256955-2 94.00$
Mike Holts Grounding vs. Bonding (2014)http://www.mikeholt.com/productitem.php?id=1222
Product Code: 14NCT2 ISBN: 978-1-932685-78-7
49.00$
2014 NEC (National Electrical Code) Purchased for 2A-2B
Third Year Textbook Estimated Total 143.00$
NCCER Electrical Level 4 (2014) ISBN-13: 978-0-13-382315-8 94.00$
Mike Holts Exam Preparation 2014http://www.mikeholt.com/productitem.php?id=1212
Product Code: 14EXB ISBN: 978-1-932685-67-1
65.00$
2014 NEC (National Electrical Code) Purchased for 3A-3B
Fourth Year Textbook Estimated Total 159.00$
Electrical Apprenticeship Program Textbook Estimate 828.00$
Recommended Supplemental BooksISBN: 1449690777 20.00$
http://nccer.pearsonconstructionbooks.com/Enter the ISBN for the exact book in the top-right SEARCH field and then follow prompts to set-up an account/purchase. Make sure the book matches the description.
Students can receive 10% off with PROMO code: "keith15." Shipping is free on the first order.
Go to Pearson's website and follow instructions below:
All required textbooks should be purchased before the beginning of the course start date.Prices are based on publisher's websites. Students are responsible for purchasing their own
Suggested Textbook Buying ProcedureUGLY'S Electrical References, 2014 Edition
Electrical Required Textbook List T
hird
Yea
r 3A
-3B
S
eco
nd Y
ear
2A-2
B
Fir
st Y
ear
1A-1
B
Fo
urth
Yea
r 4A
-4B
Name of Student _____________________________ Phone # ____________________________________ Date of Birth _________________________________ Dixie Tech Student ID# ______________________ PHOTOGRAPHY/VIDEO CONSENT Occasionally, Dixie Tech may photograph/video students for use in catalogues and brochures and on its informational website. ❏ I hereby consent to the use of my name, photo, video and audio for the purposes of advertising and
promoting Dixie Tech programs. I waive the right to approve any such publicity or promotional materials and understand that I will receive no compensation for my consent.
Signature _________________________________________________ Date ____________________ ❏ I do not want photographs/video of myself to be used for informational or promotional materials. Signature _________________________________________________ Date ____________________ MEDICAL TREATMENT/RELEASE OF LIABILITY I hereby agree as follows: 1. I understand there are potential risks of injury involved with participating in organized educational
activities. I agree to assume all risk and responsibilities surrounding my participation in the College program and use of College facilities. I understand that I will be required to adhere to all safety policies and procedures of my enrolled program.
2. In the event that I am injured or ill and become medically unresponsive while participating in a College
program and emergency medical treatment is necessary, I hereby consent to be transferred to a hospital emergency room to be seen by a physician. I hereby accept full responsibility for the payment of all costs incurred for such emergency treatment.
3. I hereby acknowledge and agree that Dixie Tech and its employees and agents are not responsible
for the kind or quality of emergency medical treatment that I receive. 4. I, on behalf of myself and my heirs, legal representative and assigns, hereby release Dixie Tech, its
officers, directors, faculty, staff, volunteers, employees and agents (collectively “Dixie Tech”) from any present or future claim, cause of action, loss or liability for injury to person or property, related to participation in the Program and resulting from any incident or cause related to participation in the Program and resulting from any incident or cause, and to hold Dixie Tech harmless therefrom, including any claim for injury or loss caused to a third party.
This document shall be governed and construed under the laws of Utah. If any terms or provision of this release and hold harmless agreement shall be held illegal, unenforceable, or in conflict with any law governing this release and hold harmless agreement, the validity of the remaining portions shall not be affected thereby. I acknowledge I have read the foregoing document carefully and understand its contents and significance. Signature _________________________________________________ Date __________________________
Name of Minor Student ______________________________________________________________________ Phone# ___________________________________ Dixie Tech Student ID# __________________________ Date of Birth ______________________________ High School ___________________________________ REGISTRATION/PAYMENT/FEE ACKNOWLEDGEMENT As the parent/guardian of a high school student attending Dixie Tech, I understand that:
• The tuition for high school students is waived. • I am responsible to pay non-tuition charges such as class fees, subscriptions and
textbooks. • The child must register and pay class fees by the first scheduled day of each class to avoid a
late fee which will be charged according to the following schedule.
Past Due Balance Late Fee Past Due Balance Late Fee
$0.00 - $50.00 $5.00 $50.01 – 100.00 $15.00
$100.01 - $500.00 $25.00 $500.01 - $1,000.00 $35.00
$1,000.00 + $50.00
• The child is required to adhere to the Student Code of Conduct • If I am on a payment plan, I must make my monthly payment by the 10th of each month to
avoid a late fee. • The child may be dropped from any courses, at the discretion of the school, if any payment is
more than 30 days past due.
Signature of parent/guardian: _______________________________ Date: ___________________ PHOTOGRAPHY/VIDEO CONSENT Occasionally, Dixie Tech may photograph/video students for use in catalogues and brochures and on its informational website. ❏ I hereby consent to Dixie Tech’s use of the child’s name, photograph and/or video for the purposes
of advertising and promoting Dixie Tech programs. I, on my own behalf and on behalf of the child, waive the right to approve any such publicity or promotional materials and understand that I or the child will receive no compensation for my consent.
Signature of parent/guardian: _______________________________ Date: ___________________ ❏ I do not want photographs/video of my child to be used for informational or promotional
materials. Signature of parent/guardian: _______________________________ Date: ___________________
SIGNATURE REQUIRED ON REVERSE
MEDICAL TREATMENT/RELEASE OF LIABILITY In consideration of Child’s participation in a Dixie Tech program, I hereby agree as follows: 1. I understand there are potential risks of injury involved with minors participating in organized
educational activities. I agree, personally and on behalf of the minor Student named above, to assume all risk and responsibilities surrounding the child’s participation in the College program and use of College facilities.
2. In the event the child is injured or becomes ill while participating in a College program, I authorize
Dixie Tech to administer general first aid treatment for minor injuries or illnesses experienced by the child. If emergency medical treatment is necessary, I hereby consent to the transfer of the child to a hospital emergency room to be seen by a physician. I understand Dixie Tech will then contact me or my designated emergency contact at the telephone number(s) or email address(es) I have provided. I hereby accept full responsibility for the payment of all costs incurred for such emergency treatment for the child.
3. I hereby acknowledge and agree that Dixie Tech and its employees and agents are not responsible
for the kind or quality of emergency medical treatment that the child receives. 4. I, on behalf of my child and our heirs, legal representative and assigns, hereby release Dixie Tech, its
officers, directors, faculty, staff, volunteers, employees and agents (collectively “Dixie Tech”) from any present or future claim, cause of action, loss or liability for injury to person or property, which the child may suffer, related to participation in the Program and resulting from any incident or cause, and agree to hold Dixie Tech harmless therefrom, including any claim for injury or loss caused by the child to any third party.
This document shall be governed and construed under the laws of Utah. If any terms or provision of this release and hold harmless agreement shall be held illegal, unenforceable, or in conflict with any law governing this release and hold harmless agreement, the validity of the remaining portions shall not be affected thereby. I acknowledge I have read the foregoing document carefully and understand its contents and significance. If Dixie Tech determines it is not in the child’s best interest to return home unaccompanied, I, or my designated local emergency contact, will pick up the child in a timely manner. I certify that the local emergency contact I have designated is known to me and is 18 years of age or older. Printed name of parent/guardian: ____________________________ Phone ________________________ Signature of parent/guardian: _______________________________ Date __________________________ Emergency contact information: Name: ______________________________ Phone #: _________________ Relationship: ________________ Name: ______________________________ Phone #: _________________ Relationship: ________________
DIXIE TECHNICAL COLLEGE STUDENT SERVICES 610 S. Tech Ridge Drive, St. George, UT 84770 Phone (435) 674-8400 Fax (435) 674-8450
Student Name (please print):
I.D. Number: Birthdate:
Program:
I hereby authorize Dixie Tech to release, discuss or share information contained in my College record with:
Family Member (Name & Relationship): School Counselor: Sponsoring Agency Case Worker: Employer - Name: Phone Number: Other:
I do not authorize Dixie Tech to release, discuss or share any information contained in my
College record in accordance with the Family Educational Rights and Privacy Act (FERPA). I understand that I can rescind this in writing at any time by completing a Release of Information Authorization form containing my signature and the date of authorization.
I understand that my student record will be held under strict confidentiality and will only be used for the stated purpose and reviewed by authorized Dixie Tech staff. I understand that I can rescind this authorization in writing at any time by notifying Student Services with a written notice containing my signature.
A photocopy or fax copy of this authorization shall be acceptable and considered as valid as an original signed document. I, as undersigned, acknowledge my understanding of this Release of Information Form. I further understand that this authorization is in effect until it is rescinded in writing.
Student Signature: Date: