2014 bf 8 hour application

1
Plumbing Heating Cooling Contractors Association Maryland Plumbing-Heating-Cooling Contractors, Inc. Suite 205, 10176 Baltimore National Pike, Ellicott City, MD 21042 (410) 461-5977 **** (410) 750-2507 fax R R E E G G I I S S T T R R A A T T I I O O N N F F E E E E S S : : $ $ 1 1 5 5 0 0 . . M M A A R R Y Y L L A A N N D D P P H H C C C C M M E E M M B B E E R R ~ ~ $ $ 2 2 5 5 0 0 . . N N O O N N - - M M E E M M B B E E R R B B A A C C K K F F L L O O W W R R E E - - C C E E R R T T I I F F I I C C A A T T I I O O N N C C O O U U R R S S E E A A P P P P L L I I C C A A T T I I O O N N A A C C C C E E P P T T E E D D & & A A P P P P R R O O V V E E D D F F O O R R C C E E R R T T I I F F I I C C A A T T I I O O N N I I N N T T H H E E S S T T A A T T E E O O F F M M A A R R Y Y L L A A N N D D , , W W . . S S . . S S . . C C . . & & T T H H E E C C O O M M M M O O N N W W E E A A L L T T H H O O F F V V I I R R G G I I N N I I A A January 11, 2014 Thos. Somerville Co. 1510 Tilco Drive Frederick, MD January 25, 2014 - Dundalk Community College 7200 Sollers Point Road Dundalk, MD February 8, 2014 Thos. Somerville Co. 1510 Tilco Drive Frederick, MD February 22, 2014 Dundalk Community College 7200 Sollers Point Road Dundalk, MD March 8, 2014 Thos. Somerville Co. 1510 Tilco Drive Frederick, MD March 22, 2014 Dundalk Community College 7200 Sollers Point Road Dundalk, MD April 12, 2014 Thos. Somerville Co. 1510 Tilco Drive Frederick, MD April 26, 2014 Dundalk Community College 7200 Sollers Point Road Dundalk, MD May 10, 2014 Thos. Somerville Co. 1510 Tilco Drive Frederick, MD May 31, 2014 Dundalk Community College 7200 Sollers Point Road Dundalk, MD June 14, 2014 Thos. Somerville Co. 1510 Tilco Drive Frederick, MD June 28, 2014 Dundalk Community College 7200 Sollers Point Road Dundalk, MD SCHEDULE UPDATED EVERY 30 DAYS HOURS: 7:30 a.m. – 3:30 p.m. A passing grade commensurate with National requirements on the final written examination and a satisfactory completion of the “Hands on” performance test will result in Certification. Certification is good for three (3) years. NOTE: Class schedules are updated approximately every 30 days. To reserve your space please be sure to register early. Class size is limited and applicants are accepted on a first-come first-serve basis. Name ______ ______________________________Home Phone ( ) ______________________ Address_______________________________________________ Last 4 Digits of Social Security # _____________ City______________________________________________State__________Zip Code________________________ Certification expiration date:__________________________________ School Attended: _____________________ Company Name______________________________________ ( ) ________________ FAX ( )______________ Class Location request___________________________________ Class date requested _______________________ Signature of Applicant_____________________________________________________Date____________________ PAYMENT: Payment must accompany the completed application. Please make check payable to Maryland PHCC and mail to: Maryland PHCC, Suite 205, 10176 Baltimore National Pike, Ellicott City, MD 21042. Enclosed is my check in the amount of $_______ CANCELLATION: What if I need to cancel? Applicants who cancel up to 10 days prior to the start of the course will forfeit 25% of the total fee to cover administrative fees. CANCELLATIONS LESS THAN SEVEN (7) DAYS PRIOR TO THE START OF CLASS WILL FORFEIT ALL FEES.

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http://marylandphcc.org/training/2014-BF-8-hour-Application.pdf

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Page 1: 2014 bf 8 hour application

Plumbing Heating Cooling

Contractors Association

Maryland Plumbing-Heating-Cooling Contractors, Inc. Suite 205, 10176 Baltimore National Pike, Ellicott City, MD 21042

(410) 461-5977 **** (410) 750-2507 fax

RREEGGIISSTTRRAATTIIOONN FFEEEESS:: $$ 115500.. MMAARRYYLLAANNDD PPHHCCCC MMEEMMBBEERR ~~ $$ 225500.. NNOONN--MMEEMMBBEERR

BBAACCKKFFLLOOWW RREE--CCEERRTTIIFFIICCAATTIIOONN CCOOUURRSSEE –– AAPPPPLLIICCAATTIIOONN AACCCCEEPPTTEEDD && AAPPPPRROOVVEEDD FFOORR CCEERRTTIIFFIICCAATTIIOONN IINN TTHHEE SSTTAATTEE OOFF MMAARRYYLLAANNDD,, WW..SS..SS..CC.. &&

TTHHEE CCOOMMMMOONNWWEEAALLTTHH OOFF VVIIRRGGIINNIIAA

January 11, 2014 – Thos. Somerville Co. – 1510 Tilco Drive – Frederick, MD

January 25, 2014 - Dundalk Community College – 7200 Sollers Point Road – Dundalk, MD

February 8, 2014 – Thos. Somerville Co. – 1510 Tilco Drive – Frederick, MD

February 22, 2014 – Dundalk Community College – 7200 Sollers Point Road – Dundalk, MD

March 8, 2014 – Thos. Somerville Co. – 1510 Tilco Drive – Frederick, MD

March 22, 2014 – Dundalk Community College – 7200 Sollers Point Road – Dundalk, MD

April 12, 2014 – Thos. Somerville Co. – 1510 Tilco Drive – Frederick, MD

April 26, 2014 – Dundalk Community College – 7200 Sollers Point Road – Dundalk, MD

May 10, 2014 – Thos. Somerville Co. – 1510 Tilco Drive – Frederick, MD

May 31, 2014 – Dundalk Community College – 7200 Sollers Point Road – Dundalk, MD

June 14, 2014 – Thos. Somerville Co. – 1510 Tilco Drive – Frederick, MD

June 28, 2014 – Dundalk Community College – 7200 Sollers Point Road – Dundalk, MD

SSCCHHEEDDUULLEE UUPPDDAATTEEDD EEVVEERRYY 3300 DDAAYYSS

HOURS: 7:30 a.m. – 3:30 p.m.

A passing grade commensurate with National requirements on the final written examination and a satisfactory

completion of the “Hands on” performance test will result in Certification. Certification is good for three (3) years.

NNOOTTEE:: Class schedules are updated approximately every 30 days. To reserve your space please be sure to register

early. Class size is limited and applicants are accepted on a first-come first-serve basis.

Name ______ ______________________________Home Phone ( ) ______________________

Address_______________________________________________ Last 4 Digits of Social Security # _____________

City______________________________________________State__________Zip Code________________________

Certification expiration date:__________________________________ School Attended: _____________________

Company Name______________________________________ ( ) ________________ FAX ( )______________

Class Location request___________________________________ Class date requested _______________________

Signature of Applicant_____________________________________________________Date____________________

PPAAYYMMEENNTT:: Payment must accompany the completed application. Please make check payable to

Maryland PHCC and mail to: Maryland PHCC, Suite 205, 10176 Baltimore National Pike, Ellicott

City, MD 21042. Enclosed is my check in the amount of $_______

CCAANNCCEELLLLAATTIIOONN:: What if I need to cancel? Applicants who cancel up to 10 days prior to the start

of the course will forfeit 25% of the total fee to cover administrative fees. CCAANNCCEELLLLAATTIIOONNSS LLEESSSS

TTHHAANN SSEEVVEENN ((77)) DDAAYYSS PPRRIIOORR TTOO TTHHEE SSTTAARRTT OOFF CCLLAASSSS WWIILLLL FFOORRFFEEIITT AALLLL FFEEEESS..