Welding Program Enrollment Application

Which Program are you applying for?
Cincinnati Pipe Welding Program Southpoint Pipe Welding Program Houston Pipe Welding Program Southpoint Manufacturing Welding Program

Student*


Date*


Student's Date of Birth*


SS# *


Address *


City *


State *


Zip *


Home Phone Number


Cell Phone Number


Email Address*


Jacket Size*


Glove Size*


Did you complete High School or Receive a G.E.D?


If so, What Year?



I acknowledge that the college catalog is accessible to me and I agree with the school policies and procedures as stated. I acknowledge that I have received and have read a copy of this agreement. By signing below, you agree that this becomes a legal and binding agreement.

Applicants Signature:


Date: