600 Hour Journeyman Electrician Program Winter 2025 Application

Required

Namerequired

First Name

Middle (optional)

Maiden (optional)

Last Name

Suffix (optional)

Email Addressrequired

Last 4 Digits of Social Security Numberrequired

No. & Street Namerequired

Cityrequired

Staterequired

Ziprequired

Primary Phonerequired

Secondary Phone

Name of Employerrequired

Date of High School Graduationrequired

Name of High School Attendedrequired

Module Numberrequired**Module 1 is not offered in the winter - it will be offered again in September 2025**

Module 2 - Tuesday & Thursday - 5:45pm-9pm - $625

Module 4 - Tuesday & Thursday - 5:45pm-9pm - $625

Module 6 - Tuesday & Thursday - 5:45pm-9pm - $500

Module 8 - Tuesday & Thursday - 5:45pm-9pm - $550

**Module 1 is not offered in the winter - it will be offered again in September 2025**

Optional Information

Date of Birth

Sex

Cost of program:

Module 2 - $625

Module 4 - $625

Module 6 - $500

Module 8 - $550

**All payments are due before the first night of class.***

No payment plans are accepted.

No credit cards are accepted.

Cash or Checks Payments Only - Checks should be made payable to McCann Technical School**

Refund Policy can be found on our website - https://mccanntechorg.finalsite.com/about/adult-evening-courses

Northern Berkshire Vocational Regional School District and McCann Technical School maintain and promote a policy of non-discrimination on the basis of race, color, sex, gender identity, religion, national origin, sexual orientation, age, disability, genetic information, homelessness, marital status, and veteran status.

Certification of Information:

I certify that the information I have provided about my academic and personal history including residency is accurate and complete. Failure to disclose any required information may result in denial or cancellation of admission or enrollment. I assume the responsibility to supply the school with all required documents and records.

Email Signaturerequired

By providing my email address here in lieu of a signature, I hereby certify that all information provided is accurate and complete and you agree to pay the tuition listed above in full before class begins.