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Electrical Lineworker Bootcamp Attendance Form

Please use this form to express your interest in attending our upcoming Electrical Lineworker Boot Camp.  You MUST complete this form to indicate your interest and to reserve your spot for attendance and assessment.  We will we add you to our contact list and send out official invites as they are received.  Please note that boot camp attendance is MANDATORY for entrance into the program.


Currently, our MAIN funding source is the Open-Door Scholarship.  To be eligible, you only need to be 18 years of age and have resided in Florida for the last 12 months (consecutively).  However, if you do not meet those criteria, we also have CareerSource Pinellas (WIOA Funding) funding for Pinellas County residents.  In some outside counties, you might be able to work with your local CareerSource office to see if they will approve you for WIOA Funding to take our class.  Lastly, if you do not qualify for our current funding sources, you must SELF-PAY ($7,500) or enroll in a payment plan. 


Click Here to View The Official "Electrical Lineworker Program" Flyer

 

Come learn about the Electrical Lineworker Program at SPC. Bootcamp will include:

 

Contact Information

* 1.

Full Name

* 2.

Prefered email address:

* 3.

Prefered phone number:

* 4.

Address:

* 5.

What is your date of Birth?

* 6.

Which Florida County is your Primary Residence Located?

* 7.

Which upcoming Lineworker Boot Camp would you like to attend?

* 8.

Please choose which cohort (day or night) you would like to attend.

Valid Driver's License

* 9.

Are you at least 18 years of age?

* 10.

Our Lineworker program is connected with other Workforce programs (METT) that provide further certifications (OSHA 10) that are part of your lineowrker training.  Therefore, to register you in that program's registration system, collection of your Social Security Number (SSN) is REQUIRED. 
Please be assured that this is a completely SECURE FORM and this information will ONLY be used for creating your Workforce student account, here at the college.

* 11.

To participate in this program, and to get a job as an Electrical Lineworker, you must first have an ACTIVE & VALID Florida Driver's license.  You will need this for class, as you will be receiving training to upgrade this license to a Class A Restricted CDL license.  If your license is suspended or expired (or if you do not have a license), you will NOT be able to participate in this program.

* 12.

As mentioned, this course has a CDL training and certification compenent.  To verify your license, we will need to ensure that it is in good standing. Please list your license number for verification (as it is listed on your license).  PLEASE INCLUDE THE LETTERS AND DASHES.

* 13.

Do you give SPC permission to run your license for verification?

Course Payment Method

* 14.

What is your intended method of payment, if selected for the upcoming Lineworker cohort?

15.

To establish Florida residency, one of the following forms of identification must match the address for your Open-Door Scholarship application and SPC registration for the program. Failure to provide this information may hinder you from receiving the scholarship. 

 

Please Upload a JPG or other file type that includes a copy of one of the documents indicated below.
• Notarized proof of residency letter
• Mortgage statement or contract
• Authorized change of address form
• Lease agreement for your residence
• Residence permit
• Residential property deed
• Home insurance or car policy
• Tax forms from the federal or state government
• Driver’s license
• State ID card
• Car Registration
• Letter issued by a public authority (e.g., a courthouse)
• Water Bill
• Electricity Bill
• Residential Gas Bill
• Landline Telephone Bill
• Internet Bill
• Cellular Phone Bill
• Trash or Sewer Service Bills
• Other forms
 

File size limit: 2 MB

 

If you have comments about this survey or questions regarding how to complete this survey, please contact Margie Burnham at burnham.margie@spcollege.edu or call 727-341-3508.

The Board of Trustees of St. Petersburg College affirms its equal opportunity policy in accordance with the provisions of the Florida Educational Equity Act and all other relevant state and federal laws, rules and regulations. The college will not discriminate on the basis of race, color, ethnicity, religion, sex, age, national origin, marital status, pregnancy, sexual orientation, gender identity, genetic information, or against any qualified individual with disabilities in its employment practices or in the admission and treatment of students. Recognizing that sexual harassment constitutes discrimination on the basis of sex and violates this Rule, the college will not tolerate such conduct. Should you experience such behavior, please contact the Title IX Coordinator and EEO Officer at 727-341-3055; by mail at P.O. Box 13489, St. Petersburg, FL 33733-3489; or by email at eaeo_director@spcollege.edu or spctitleix@spcollege.edu.