MILWAUKEE ELECTRICAL JATC

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Training Program Course Credit Review Application

TPCRF-v1.0

INSTRUCTIONS:

If you wish to submit previous training taken outside of the Milwaukee Electrical JATC for credit consideration towards your Training Program, you must complete this application.

The MeJATC will review the application and contact you with any requests for additional information.
The MeJATC will also contact you with the results of the training material review.
For each course you would like to have reviewed for credit, you must provide the following supporting documentation:
- Course Provider Information
- Course Syllabus/Outline, must provide a detailed accounting of the course content
- Proof of attendance i.e., sign-in sheets, attendance sheets, completion certificate etc.
- Copies of Certifications Earned

Once a course is approved for Training Program Credit(s), the course will be represented in your MeJATC TradeSchool training history/transcripts along with the awarded credits.

Please allow up to 1 week for completion of the review.

SECTION-1

APPLICATION INFORMATION

Please provide the following applicant information.

Contractor Name *

IBEW Member Number *

Classification *

First Name *

Middle Initial

Last Name *

Street Address *

City *

State *

Zip Code *

Cell Phone *

Email Address *

SECTION-2

TRAINING INFORMATION

Please provide the training information below.

COURSE #1

Enter the information and upload supporting documentation for the 1st course to be reviewed for credit below.

Course Completion Date *

(Month and Year)

Course Name *

(Use exact name if possible)

Course Length/Hours *

Training Provider *

Upload-1

Upload-2

Upload-3

COURSE #2

Enter the information and upload supporting documentation for the 1st course to be reviewed for credit below.

Course End Date

(Month and Year)

Course Name

(Use exact name if possible)

Course Length/Hours

Training Provider

Upload-1

Upload-2

Upload-3

COURSE #3

Enter the information and upload supporting documentation for the 1st course to be reviewed for credit below.

Course End Date

(Month and Year)

Course Name

(Use exact name if possible)

Course Length/Hours

Training Provider

Upload-1

Upload-2

Upload-3

COURSE #4

Enter the information and upload supporting documentation for the 1st course to be reviewed for credit below.

Course End Date

(Month and Year)

Course Name

(Use exact name if possible)

Course Length/Hours

Training Provider

Upload-1

Upload-2

Upload-3

Applicant Signature *

Use your mouse, finger, or touch device to write your signature.

Date Signed *

* Required Fields