SMW104 — Northern California Valley Sheet Metal Training Center

Member Information

First Name

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Last Name

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Email Address We'll send confirmation to this email

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Phone Number Format: (XXX) XXX-XXXX (auto-formats as you type)

Phone must be 10 digits

Employer If unemployed, enter out of work.

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IA # (Member ID Number)

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Training Location

Select Training Location

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Training Information

Do you have a Total Track Account?

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Training Information for Total Track Account Holder - Select Course

Select Course/Item

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Continued Education Request

Training Information for New Members

Select Course/Item

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Continued Education Request

Date of Birth

Must be 18+ years old; date cannot be in the future.

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Gender

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Street Address

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Unit/Apt. Number

Country

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State/Province

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ZIP/Postal Code

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Driver's License Number

Driver's license number is required

Education Level Attained

Please select education level

I affirm that all information provided in this registration is true, complete, and accurate to the best of my knowledge. I understand that any false, misleading, or incomplete information may result in disqualification, removal from training consideration, or other action consistent with program policy.

I affirm that all information provided is true and complete.

You must affirm information accuracy

I authorize verification of information provided in this registration with appropriate individuals, institutions, employers, and agencies. I authorize those parties to release relevant information for program review and eligibility determination. I release all parties from liability arising from authorized inquiries and disclosures.

I authorize verification and release related to this application.

You must accept authorization and release

Do you consent to provide your SSID to Northern California Valley Sheet Metal Training Center (SMW104) in order to create your JATC Account?

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Enter SSID (Social Security ID)

Format: XXX-XX-XXXX (auto-formats as you type)

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SMW104 Member Upgrade Application