BRISTOL-PLYMOUTH REGIONAL TECHNICAL SCHOOL



BRISTOL-PLYMOUTH REGIONAL TECHNICAL SCHOOL

207 Hart Street, Taunton, MA 02780

POST-SECONDARY

HEATING, VENTILATION AND AIR CONDITIONING (HVAC)

Application for Admission

DIRECTIONS:

1. Complete the application

2. Include a non-refundable application fee of $20.00 to accompany application (cash, money order, debit and credit cards accepted) made out to Bristol-Plymouth Regional Technical School

3. Forward application and fee to Bristol-Plymouth Regional Technical School, attn.: Melanie Shaw

❖ Admission policy can be found on the Bristol-Plymouth website or by contacting the Continuing Education Office at 508-823-5151, Ext. 123

Name

Last First M.I. Maiden

Address

Street City State Zip Code

Telephone Number ( ) ( ) ( )

Area code Home Area code Work Area code Cell Phone

EDUCATIONAL INFORMATION

High School

Name and address

Dates of Attendance Graduation Date (or) Equivalency Certificate (GED) Date

Post Secondary Education (degree and/or courses or certifications completed or attempted)

Name and address of school

Dates of Attendance Major Degree Certificate

Date Date

Name and address of school

Dates of Attendance Major Degree Certificate

Date Date

___________________________________________________________________________________________

EMPLOYMENT INFORMATION

(Please list last three employers, starting with PRESENT employer)

Name and Address

Dates of Employment to Supervisor

Duties

Name and Address

Dates of Employment to Supervisor

Duties

Name and Address

Dates of Employment to Supervisor

Duties

I certify that the information submitted on this application is accurate and complete

Signature Date

NOTICE OF NON-DISCIMINATION

Bristol-Plymouth Regional Technical School does not discriminate on the basis of age, sex, disability, economic or housing status, race, color, religion, national origin, sexual orientation, gender identity or expression, ancestry or disability in its admission or access to its programs or activities in accordance with Title VI, Title IX and Section 504.

This area for use by the Continuing Education Program

Application received Application fee Interview

High School Transcript College Transcript

7/15

Admission Requirements

Candidates for the Post-Secondary Heating, Ventilation and Air Conditioning are required to:

1. Complete an application, return it to the Continuing Education Office with the $20.00 application fee.

(Contact 508-823-5151 ext.123).

2. Proof of High School graduation from a high school recognized by the Department of Education or state High School Equivalency Credential (G.E.D. or HiSet). Foreign Diplomas must be translated to English and a certified equivalency to U.S. education must be provided.

3. Interview with a HVAC Faculty Member or Program Coordinator

Additional Documents must be submitted upon acceptance:

1. Satisfactory CORI (Criminal Offender Record Information) as determined by the Superintendent:

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