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5and2 Trade Schol
Online Welding Application Form
101 Break the Cycle Drive, Polkton, North Carolina 28135
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First Name
Last Name
Email
Phone Number
Address
Apartment, suite, etc.
City
State
Zip/Postal Code
Do You have High School Diploma?
Yes
No
Do You have GED?
Yes
No
To join our trade school, it's important that you can read, write, communicate, and understand the English language at a high school level. Please confirm if you meet these requirements:
Yes
No
If you have any physical limitations or medical conditions that would impede your ability to become a welder, please note:
Physical requirements are; standing for long periods of time, bending, grasping, moving in small areas, and be able to lift 50lbs. These requirements are those of the school and may exceed in an actual work environment.Are you able to meet these requirements?
Yes
No
Have you been convicted of a crime that would impede your ability to be hired as a welder?
Yes
No
If yes, what was the charge(s)?
Emergency Contact
First Name
Last Name
Relationship to Applicant
Email
Phone Number
DEMOGRAPHIC INFORMATION
Gender
Male
Female
Educational Level:
High School Graduate
Vocational Tech Trade
2-yr College
4- yr College
Others
If others Please mention:
Select one or more of the following races:
American Indian or Alaskan Native
Asian
Black or African American
Native Hawaiian or other Pacific Islander
White or Caucasian
Hispanic or Latino
Referral Information
How did you hear about us?
Family Member
A Friend
High School Counselor
High School Instructor
High School Visit
College Fair
5and2 Trade School Website
E-Mail Newsletter
Search Engine
TV Ad
Web Ad
Radio
Alumnus
Facebook
Instagram
Agency
Newspaper
If referred to 5 and 2 Trade School by an individual please share the name and address of the person that referred you.
First Name
Last Name
Organization Name (if applicable):
Phone Number
Email
Address
Apartment, suite, etc.
City
State
Zip/Postal Code
With my signature I understand and agree that all information provided on this application is subject to verification.
Signature
Signature:
Are you 18 or older? *
Yes
No
*Application can be submitted with or without signature of parent/guardian. Will be required to finalize application process.
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