Butte College Welding Technology

Application for 2017-2018 Program

Both sides must be completed. PLEASE NOTIFY US IF ANY OF YOUR CONTACT INFORMATION CHANGES. IF WE ARE UNABLE TO REACH YOU BY PHONE OR E-MAIL, YOUR NAME WILL BE REMOVED FROM THE WAITLIST.

PLEASE PRINT LEGIBLY! If we can’t read it, you may not receive our correspondence.

Butte College Student I.D. (Must have in order to be on waitlist.)______

Name:______

Mailing Address: ______

City: ______State: ______Zip:______

Best Contact Phone #: ______Alternate Phone #:______

Email: ______

Please include an email that is checked frequently and keep it updated through our department office.

High School Attended: ______

Graduated from High School? YES _____ NO _____ Year Graduated or to Graduate______

Previous Colleges Attended: ______

REQUIREMENTS TO BE ADMITTED TO 2017-2018 WELDING TECHNOLOGY PROGRAM

  1. COURSE PREREQUISITES OF WLD 20 (Beginning Welding)AND WLD 21 (Intermediate Welding) with successful completion of an NCCER Level 1 welding certification MUST BE COMPLETED PRIOR TO BEING ACCEPTED FOR THE 2017-2018PROGRAM.

INDICATE HOW YOU HAVE MET OR PLAN TO MEET THESE PREREQUISITES.SEE THINGS FOR YOU TO KNOW AND THINGS YOU NEED TO DO FOR MORE DETAILS.

WLD 20 – Beginning Welding

I have completed WLD 20 through a Butte College approved 2+2 Articulated High School

Name of approved high school ______354______Date of Completion____

I will complete WLD 20 through a Butte College approved 2+2 Articulated High School

Name of approved high school ______Date of Completion______

I have completed WLD 20 through Butte College. Semester Completed______

I will complete WLD 20 through Butte College. Semester to be Completed______

I have completed or will complete an equivalent course for WLD 20 through another

communitycollege. (Transcripts, course descriptions, and course outlines must be provided for

verification.)YOU MUST HAVE THIS OPTION CLEARED WITH DON ROBINSON, WELDING DEPARTMENT CHAIR, IN ORDER TO FULFILL COURSE PREREQUISITES

Name of approved college ______Date of Completion______

WLD 21 – Intermediate Welding with an NCCER Level 1 Certificate

I have completed WLD 21 through a Butte College approved 2+2 Articulated High School

Name of approved high school ______Date of Completion______

I will complete WLD 21 through a Butte College approved 2+2 Articulated High School

Name of approved high school ______Date of Completion______

I have completed WLD 21 through Butte College. Semester Completed______

I will complete WLD 21 through Butte College. Semester to be completed______

I have completed or will complete an equivalent course for WLD 21 through another

community college. (Transcripts, course descriptions, and course outlines must be provided for

verification.) YOU MUST HAVE THIS OPTION CLEARED WITH DON ROBINSON, WELDING DEPARTMENT CHAIR, IN ORDER TO FULFILL COURSE PREREQUISITES

Name of approved college ______Date of Completion______

2.Butte College Enrollment Requirements. Must be completed before you can enroll in classes.

  • Butte College Assessment (Reading, English, Math). Assessment must be completed prior to attending orientation. For more information, contact the Butte College Assessment Office –
  • Butte College Orientation. For more information, contact the Butte College Orientation Office –

530-895-2416.

For exemptions, see Things for You to Know and Things You Need to Do.

3.Face-to-Face Meeting with Don Robinson, Welding Department Chair

Meetings are held during the Fall and Spring Semesters. Meeting days and times will be scheduled after August 21, 2016. Call the Welding Department Office at 530-895-2551 to schedule the mandatory meeting.

***ACKNOWLEDGEMENT OF WHAT IS REQUIRED***

IMPORTANT – THIS ACKNOWLEDGEMENT MUST BE SIGNED IN ORDER TO BE PLACED ON THE 2016-2017WELDING PROGRAM WAITLIST.

I acknowledge that I have read and agree to the entrance requirements for the 2017-2018 Welding Technology Program. I understand there are prerequisites that must be completed in order to be accepted.

I have read the important information included in Things for You to Know and Things You Need to Do. I also understand there are deadlines I must meet in order to remain on the waitlist for the 2017-2018Welding Technology Program.

I understand if the Welding Technology Office is unable to reach me because I failed to notify them of an address change, email change, and/or phone number change, I will be removed from the waitlist. If you change your contact information through MyBC, you still need to contact the Welding Department with any changes.

Signature: ______Date: ______

Return to:

USPS: Melissa Taylor, AHPS 251Fax:530.895.2443 (Mail original after faxed.Date application

Butte Collegereceived will be based on fax date.)

3536 Butte Campus DriveEmail:Melissa Taylor at

Oroville CA 95965In Person: AHPS 251 (Allied Health Public Service Building – Room 251)

5.5.2016 -mt