5 & 2 Trade School - Program Application

5and2 Trade Schol

Online Welding Application Form

101 Break the Cycle Drive, Polkton, North Carolina 28135

Today's Date

First Name

Last Name

Email

Phone Number

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Do You have High School Diploma?

Do You have GED?

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:

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

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.

5and2 Trade Schol

Online Welding Application Form

Emergency Contact

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administrator@5and2traininginstitute.org

(980)699-8047

3919 Providence Road Ste B -114, Waxhaw, NC 28173

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