ACI Grade 1 Field Technician October

Grade 1 Field Technician Application
Full Course Registration
For New or Re-Certification

October 2024

This form is for full course registration only. 
Written Exam Re-Take Application
Practical Exam Re-Take Application

Date M/D/YY *
Month of Class: *
Select your company from the list of CCPC Members below. If your company is not listed, please select "Non-Member", type in your company name in the next field, and select non-member pricing when completing your registration. *
Company:
Company Contact Email: *
Company Phone Number: *
Applicant Name: *
Email: *
Cell Phone #: *
Street Address: *
City: *
State *
Zip Code: *
Full Course Registration: *

Clear Selection

                                  

New certification? *

Clear Selection
Textbook and Exam Language: *

Clear Selection
Will you be attending the lecture in person or on WEBEX? (In person lectures are limited to 15 registrants.) *

Clear Selection

Please calculate your total payment:

    CCPC Member or Non-Member class cost
+  In person Attendance Fee (if applicable)
+  Spanish Textbook & Exam Fee (if applicable)
= Total Due Below

Please note WEBEX links are sent to all students regardless of their registration status.  The link is intended as a backup for those who have registered to attend in person, who may for whatever reason not be able to make it in.

Total Payment Due: *

Credit Card Payment Button will be provided after this form is submitted.

A Re-Application fee of $150 is applicable for any changes that may occur up to 2 weeks prior to the lecture.

All Re-Application requests must be submitted at least 2 weeks prior to the class for approval.







void

Fields marked with * are required.

Your form submission WILL be encrypted using SSL to ensure your privacy.

 
© 2020 Connecticut Construction Industries Association. All Rights Reserved.
912 Silas Deane Highway, Suite 112, Wethersfield, CT 06109 | P 860.529.6855 | F 860.563.0616 | ccia-info@ctconstruction.org

company_logo.png
JOIN NOWCONTACT
 
 

Calendar

S M T W T F S
1 2 3 4 5 6
7 8 9 10 11 12 13
14 15 16 17 18 19 20
21 22 23 24 25 26 27
28 29 30