ACCELERATED WELDING PROGRAM APPLICATION

Name *

First

Last *

Last

Email *

Phone

Address

Street Address

Mailing Address

City

State/Province

Zip/Postal

Country

Are you currently working for a Local 400 Signatory Contractor?

Yes

No

How did you hear about the Advanced Welding Program?

Contractor Referral

Employee/Member Referral

Local 400 Attending a College Career Fair

Local 400 Union Office Referral

WI Pipe Trades Organizer Referral

OtherOther

Do you have a post-secondary Welding Degree/Certificate?

Yes

No

Please list the school/college, program title, graduation year and length of program.

How many years have you been pipe welding?

Rate your experience with TIG (GTAW) welding on pipe.

No Knowledge

Some Knowledge

Skilled

Expert

TIG (GTAW) Experience:

Rate your experience with MIG (GMAW) welding on pipe.

No Knowledge

Some Knowledge

Skilled

Expert

MIG (GMAW) Experience:

Rate your experience with Flux Core (FCAW) welding on pipe.

No Knowledge

Some Knowledge

Skilled

Expert

Flux Core (FCAW) Experience:

How often do you weld on Carbon Steel?

Never

Sometimes

Often

Carbon Steel Experience:

How often do you weld on Stainless Steel?

Never

Sometimes

Often

Stainless Steel Experience:

How often do you weld on Chrome Moly Steel?

Never

Sometimes

Often

Chrome Moly Steel Experience:

Have your weld ever been subject to bend testing?

Yes

No

Have your welds ever been subject to x-ray testing?

Yes

No

Do you have a valid Driver’s License?

Yes

No

Do you have reliable transportation?

Yes

No

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Comments or Questions:

ACCELERATED WELDING PROGRAM APPLICATION

Questions: Matt Stoop, Welding Coordinator, mstoop@400jatc.org, 920.462.0411