Please Fill out this Form to sign up for a class or certification session. Type your full
name so we know who sent the form (Incomplete forms will be discarded). Please
make any necessary arrangements to attend classes or certifications that you sign
up for. CPR/First Aid is a two step process: sign up for the class you wish to attend
far enough in advance to finish the online portion which takes about 2.5 hours.
IBEW Local 196 members please use the Local Hub app to register for classes!!!!!
(That you Check)
Member Orientation-Code of Excellence
Basic Transformer Connections
Flagger National Safety Council
IMSA Work Zone Safety
IMSA Traffic Signal Level 1
IMSA Traffic Signal Level 2 Construction Technician
IMSA Traffic Signal level 2 Field Technician
IMSA Roadway Lighting Level 1
IMSA Roadway Lighting Level 2
Introduction to Electricity
NJATC Cable Splicing Module 1
NJATC Cable Splicing Module 2
NJATC Cable Splicing Module 4
NJATC Cable Splicing Module 6
OSHA ET&amp;amp;amp;D 20
OSHA ET&amp;amp;amp;D 30
signing up for :
Date of class you are
registering for :
If you listed a mobile phone do you agree to receive text
messages on it from the Safety and Education Fund?
If you have an E-mail do you agree to have correspondence sent
Mailing Address if Different than HOME
Please check and make sure everything is complete and correct.
Notes or other Info:
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