APPLICATION FOR ENROLLMENT

Transcription

1 Heavy Construction Academy 5 Industrial Drive Brentwood, NH Toll Free: Phone: Fax: APPLICATION FOR ENROLLMENT ANTICIPATED START DATE STUDENT NAME: DATE: ADDRESS: APT# CITY, ST, ZIP: HOME PHONE: CELL PHONE: ADDRESS: HOW DID YOU HEAR ABOUT US: CURRENTLY EMPLOYED? US CITIZEN?: YOU OR YOUR SPOUSE EVER SERVED IN THE MILITARY? SCHOOL PROGRAM OF INTEREST: LVL 1 o LVL 2 (INCLUDES LVL1) o DRIVER S LICENSE OR STATE ID: STATE EXP DATE: SOCIAL SECURITY NUMBER: DATE OF BIRTH: LICENSE QUESTIONS: *** IS YOUR LICENSE CURRENTLY EXPIRED, SUSPENDED, NOT VALID OR WITHOUT A PICTURE? HAS IT BEEN SUSPENDED OR REVOKED WITHIN THE LAST FIVE YEARS? HAVE YOU RECEIVED MORE THAN 3 MOVING TRAFFIC VIOLATIONS WITHIN THE LAST 3 YEARS? CONVICTED OF AN ALCOHOL RELATED TRAFFIC VIOLATION WITHIN THE PAST 10 YEARS? DO YOU HAVE ANY OUTSTANDING OR UNPAID TRAFFIC FINES OR CITATIONS IN ANY STATES? GENERAL HEALTH QUESTIONS: DO YOU HAVE ANY PERMANENT HEARING LOSS IN EITHER EAR? ARE YOU A DIABETIC ON INSULIN INJECTIONS? DO YOU HAVE ANY HISTORY OF SEIZURES? ANY FAINTING OR DIZZY SPELLS YOU HAD TO BE HOSPITALIZED FOR: ARE YOU ON MEDICATION FOR OR DO YOU HAVE ANY HISTORY OF MENTAL ILLNESS? ARE YOU PRESENTLY TAKING ANY PRESCRIPTION MEDICATIONS? HAVE YOU USED AN ILLEGAL DRUG WITHIN THE LAST 6 MONTHS? IS YOUR VISION WORSE THAN 20/40 WITH PERSCRIPTION LENSES? BACKGROUND: HAVE YOU EVER BEEN CONVICTED OF A FELONY? (IF YES, EXPLAIN DETAILS BELOW) DATE: CHARGE: SENTENCE: *** Please Note: Answering yes to any of these questions, probably will not disqualify you from admission, but may limit your financing and employment options. Student Signature Date

2 Bulldozers: Cat D5G (3) Cat D4G John Deere 450(2) Dressta TD-15 Komatsu D-37(3) Komatsu D-39 (2) Case 650 Loaders: John Deere 624J Cat 924GZ Cat 924G (2) Cat 924H Cat 924HZ Skid Steers: Cat 236B (2) Cat 226B (6) Excavators: Cat 311C Cat314C Cat 315CL Cat 321LCR Cat 322BL Cat 330C Komatsu PC120(2) Komatsu PC138LC Doosan 175 Doosan TXC140 Volvo EC55B (2) John Deere 225 Volvo ECR 58 Hitachi 120 Equipment List Dump Trucks (on the road): International 4900 (888) Backhoes: Terex TX760B Cat 416D New Holland 95LR (2) Komatsu WB140 (2) Komatsu WB146(2) JCB 214E John Deere 410G John Deere 310G John Deere 410J Volvo BL60 (2) Case 590 Super M Case 580 Super John Deere 310J Articulated Trucks: Terex TA27RS Moxy MT31 JCB 718 Graders: John Deere 670C Rollers: Ingersoll Rand SD-70D Pro Pac Series Rough Terrain Telescoping Forklift: Gehl DL-6L

3 HEAVY CONSTRUCTION ACADEMY SETTING THE STANDARD FOR OPERATOR TRAINING 2016 January February March April May June July August September October November December Class Start Dates (888) Training Holidays

4 HEAVY CONSTRUCTION ACADEMY 6 WEEKS TO A GREAT CAREER 2017 January 2017 February 2017 March 2017 April May 2017 June 2017 July 2017 August September 2017 October 2017 November 2017 December Class Start Dates class dates may be subject to change (888) Training Holidays

5 Heavy Construction Academy MOVE YOUR CAREER FORWARD! 5 INDUSTRIAL DR, BRENTWOOD NH 03833

6 A TRADITION OF EXELLENCE It is not by accident that the Heavy Construction Academy is the Nation s leading institution for the certification of heavy equipment operators. HCA s founder and President Ralph Delvecchio, spent nearly 30 years as the owner of a successful excavation and development company. While in business, he built a reputation of skill, honesty, and integrity and today those values are the foundation of the Academy. THE HCA DIFFERENCE HCA is a VA Friendly Vocational School and Eligible for Coverage Under Most VA Funded Education Programs HCA instructors are the real deal and know first-hand what it takes to be successful in a heavy construction business. At HCA, class sizes are kept small to afford one-on-one personalized instruction for all students. True, HCA training and certification opens doors of opportunity for graduates, but it s the hands on, real-world experience under the guidance of real industry professionals HCA has over 70 pieces of equipment so that make HCA graduates the most proficient, prepared, and our students always spend 100% of marketable in the country. their time getting real hands on experience Quick Facts 2015 Median Pay $43,810 Per Year $21.06 Per Hour Entry Level Education High School Diploma or Equivalent Work Experience in a related Occupation None On-the-job Training Moderate Number of Jobs 424,800 Job Outlook, % (faster than average) Employment Change ,200 IN-DEMAND CAREERS The nation s infrastructure is decaying at a rapid pace. This will result in fixing and maintaining, roads, bridges, water and sewage and many other industry issues. The increase in population will ultimately require new projects such as roads and sewer. The employment of heavy construction operators is expected to grow 10 percent from , which is fast than the nations average for all other occupations. Over the next ten years the spending of infrastructure is expected to increase, thus creating several jobs in one of the nation s fastest growing occupations.

7 COURSE LEVELS Level 1-3 Weeks Classroom Field Into the Trade Front End Loader Basic Operational Techniques Backhoe Preventative Maintenance Articulated Dump Heavy Equipment Safety Skid Steer Grades I Our equipment has climate controlled enclosed cabs so you can operate in any weather! Two way radios in all equipment allows instructors to provide you with one on one training without getting off the machine. Level 2-6 Weeks Classroom Field Advanced Operational Excavator Techniques Excavation Bulldozer Calculations Site Layout Telescopic Forklift Earth Moving II Vibratory Roller Grades II Motor Grader Intro to Project Management HCA is the largest school in the country and the only one that guarantees you will never share operating equipment! ENROLLMENT To ensure eligibility for enrollment, an enrollment interview will be condcted by an Admissions Represntative. Most often conducted by phone, the counselor will ask a few brief questions pertaining you health and background. Working closely with the Admissions Rep, you will be scheduled a start date for class and secure lodging and transportation as needed. Arrangments with local hotels and housing providers will be taken care of by your Admissions Rep once you have completed the application. FUNDING HCA has numerous sources for funding your attendance. We are a VA friendly school as well as several state and federally approved vocational training programs. Our Staff has extensive knowledge on all programs and can help you complete the paperwork.

8 HCA is proud of our commitment to America s military and dedicate our professional lives to helping service men and women transition successfully into the civilian labor market. Our goal is to provide you the equipment operator skills to confidently walk onto a construction project and be a valued member of the team. The construction industry is sometimes unique when it comes to the job search. Our students are provided with the tools needed to find fresh leads as well as counseled on how to present themselves to a potential employer. Our tried and true methods repeatedly prove that our system works. HCA is located conveniently off RTE 101 in Brentwood, NH. During your attendance, you are approximately 15 minutes from the New Hampshire Seacoast. Your classroom attendance is Monday thru Friday so you will have plenty of weekend opportunities to experience New England s recreation from our beautiful coast line to scenic mountains. Brentwood, NH (888) admissions@operator-academy.com Heavy Construction Heavyconstructionacademy

9 Credit for Prior Learning/Training Student Acknowledgement Form The U.S. Department of Veterans Affairs requires that all schools report the number of prior credits a student has completed that would apply to his/her current undergraduate/graduate degree program. All students receiving VA Education are asked to provide the school with a copy of all previous education transcripts, including any military service transcripts. List all prior schools above high school attended: (If more than 6 institutions continue on back of form) Check all that apply: College Level Examination Program (C.L.E.P.) Advance Placement DD Form 214 _x Joint Services Transcript (JST) _x Community College of the Air Force (CCAF) Transcript Other (Describe): End date of second semester /quarter/term: By signing below, I acknowledge that Heavy Construction Academy is requesting a written record of my previous education and training to evaluate and grant credit appropriately. Student name: (please print) Student signature Date School Representative Signature: Date: