Get Wired! 404: Electrician Certification Test Preparation (42 hour course) Class Sign Up Form

Location: Live Web Cast Dates: 8/29/2012-10/17/2012 Class Instance ID: 5202
Document ID: 018C

Standard Tuition Fee (through 8/22/2012): $395

Late Tuition Fee (after 8/22/2012): $445

Instructions: Complete this form and submit it, along with the required payment, by U.S. Mail, fax, or deliver in person to: WECA Sacramento Region Training Center, 3695 Bleckely Street, Rancho Cordova CA 95655
Contact us toll free in Sacramento at (877) 444-9322.

If paying by credit card (VISA or MasterCard), you may sign up online or fax completed form to (916) 452-7011.

Classes fill quickly and space is available on a first come, first served basis, so be sure to sign up early to get the class of your choice.

Sign-ups after 8/22/2012 are approved based on the availability of seats in the class and are subject to the Late Tuition Fee.

Classes are subject to cancellation if minimum enrollment requirements are not reached.

The date WECA receives the completed Class Sign-Up with the required payment(s) will be the date the fee(s) will be effective.

Payment is due at time of sign-up, and can be paid via cash, money order, check, Visa or MasterCard. Make checks payable to WECA. There is an additional $25 charge for all returned checks.

Refunds will be approved or declined as stated in the current policy.
The Refund Request form and policy is available at the WECA Sacramento Office or on-line at www.goweca.com.

Remember to order your textbooks early so you will have them for the first day of class!

Get Wired! 404: Electrician Certification Test Preparation (42 hour course) Class Sign Up Form

Location: Live Web Cast Dates: 8/29/2012-10/17/2012 Class Instance ID: 5202
Document ID: 018C

Standard Tuition Fee (through 8/22/2012): $395

Late Tuition Fee (after 8/22/2012): $445

Please print your information print clearly. * Required Information

* I am a(n):

Electrician Trainee

Certified Journeyman

General Student

		/ /
First Name* Middle Initial* Last Name*		Date of Birth*

Mailing Address*

Apt #* City State Zip*


Primary Phone* Home Cell Other	Secondary Phone* Home Cell Other		SSN*

Highest grade level completed*

Ethnicity/Race

Email Address

Gender:

Male

Female

How did you hear about us?

State Issued ID#

Preferences (Please choose one option from each of the following categories)

Class Location:	Rancho Cordova	San Diego (*Get Wired - applies to on-site classes)
Language:	English	Spanish	Other
Preferred Contact Method:	Phone	Email	Mail	Fax

Are you currently employed by an Electrical Contractor?

Yes If yes, complete the following:

Contractor Name*

Contractor Phone Number*

Contractor Mailing Address* City State Zip*

If you are signing up for a Live Web Cast (LWC): Students must have an email address
Have you reviewed the system requirements for the class?

Yes

By signing this form, I understand and acknowledge that I have read the refund policy and that the initial ET enrollment fee is non-refundable. I certify under penalty of perjury that all statements and information above are true and correct.

X		/ /
Signature		Date

Payment Method: Cash Check Money Order Visa MasterCard				Coupon Code
Make payable to WECA. There is a $25** fee for all returned checks.

		/20
Credit Card Number		Expiration Date		3 Digit Security Code


Print name exactly as it appears on credit card		Cardholder's Billing Zip Code

X		/ /		$
Charge Authorization Signature		Date		Amount Authorized

Remember to order your textbooks early so you will have them for the first day of class!
WECA Sacramento Region Office, 3695 Bleckely Street, Rancho Cordova, CA 95655 (877) 444-9322
www.goweca.com Document ID: 018C

Get Wired! 404: Electrician Certification Test Preparation (42 hour course) Class Information
Document ID: 018C
Description:

Get Wired! 404 Test Prep (42 hours) is a fast-paced, highly interactive course that focuses on using the NEC to answer exam questions and re-enforcement in electrical fundamentals. Students across California can take this course beginning November 2011. This online, instructor-led, course replaces the popular 14-day test prep classroom course.

A 2008 NEC textbook is required.

Total class hours available: 42

Standard Tuition Fee: $395

Late Tuition Fee: $445

PLEASE REVIEW THE REQUIRED COURSE MATERIALS LIST for GET WIRED! Courses to ensure you have the correct textbooks/course materials.

Webcast System Requirements: Webcast System Requirements

Location: Live Web Cast Dates: 8/29/2012-10/17/2012

Class Schedule:

Class Session	Week Day	Date	Start Time	End Time	Class Day Type
1	Wednesday	8/29/2012	05:30PM	08:15PM	Live Web Cast
2	Wednesday	9/5/2012	05:30PM	08:15PM	Live Web Cast
3	Monday	9/10/2012	05:30PM	08:15PM	Live Web Cast
4	Wednesday	9/12/2012	05:30PM	08:15PM	Live Web Cast
5	Monday	9/17/2012	05:30PM	08:15PM	Live Web Cast
6	Wednesday	9/19/2012	05:30PM	08:15PM	Live Web Cast
7	Monday	9/24/2012	05:30PM	08:15PM	Live Web Cast
8	Wednesday	9/26/2012	05:30PM	08:15PM	Live Web Cast
9	Monday	10/1/2012	05:30PM	08:15PM	Live Web Cast
10	Wednesday	10/3/2012	05:30PM	08:15PM	Live Web Cast
11	Monday	10/8/2012	05:30PM	08:15PM	Live Web Cast
12	Wednesday	10/10/2012	05:30PM	08:15PM	Live Web Cast
13	Monday	10/15/2012	05:30PM	08:15PM	Live Web Cast
14	Wednesday	10/17/2012	05:30PM	08:15PM	Live Web Cast