EmailMeForm
Electrical Pre-Apprenticeship Program
June 4 - August 6th (Wednesdays)
5:00 PM - 8:30 PM
IEC Dallas
1931 Hereford Drive
Irving, TX 75038
If you have them, please bring a notebook, something to write with, a hard hat, gloves, and eye protection.
Name of Trainee
First
Last
Email of Trainee
Cell Phone of Trainee
###
-
###
-
####
Are you currently employed?
*
Please select
Yes
No
If Yes, who is your employer?
If no, would you like for IEC Dallas to help you find a paid internship with an IEC Dallas Member?
*
YES
NO
N/A
Ticket Options
*
Please select
IEC Member Rate - $295 per person
Apprenticeship Applicant Rate - $99 per person
Non-Member Rate - $375 per person
Are you looking for employment in the Electrical field?
*
Please select
Yes
No
Please list your Electrical and Safety experience:
Tuition assistance may be available for this course. If you are interested in applying for financial support, please indicate below and we will send you the application.
Please select
Yes, please send link to for tuition support
No, Thank you
Payment Options
*
Please select
Applicant
IEC MEMBER ONLY - BILL MY ACCOUNT
Process Credit Card Information Below
Seeking Tuition Assistance
Credit Card
Card Number
Expiration
MM
/
YY
CVV
What is this?
3 or 4 digit number printed on the back/front of your credit card
Protected in vault
Data collected via fields that have our security seal are encrypted and stored with the highest global security standard — PCI compliance. Your data is absolutely safe in Vault.
Who is completing this form?
First
Last
Contact Number
###
-
###
-
####