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High School EPT Program Application

All information submitted must be accurate and complete. Incomplete applications will not be accepted. All applications must include the name and email addresses of two reference persons.

Please complete the following forms and upload them in the specified areas below.

Completed College Courses
List any college level courses you have completed or upload an unofficial transcript.
Files must be less than 2 MB.
Allowed file types: jpg jpeg png pdf doc docx.
High School Attended
References
Identify two references of two persons that will provide you reference to enter the EPT program.
Forms
Please submit a completed Parent Permission Form and W-9 Tax Form to Chad Shade, Admissions Recruiter / eLearning Center Manager, chads@prattcc.edu or by mail c/o Office of Admissions, 348 NE SR 61, Pratt, KS 67124. A completed Parent Permission Form is required to be submitted once each academic year for each student enrolled in College Start, who is under the age of 18. The business office is required by federal law to collect a W9-S tax form from students each year. Students who enroll in classes but do not have this document on file will be contacted and required to submit this tax form.
Files must be less than 2 MB.
Allowed file types: jpg jpeg png pdf doc docx.
Files must be less than 2 MB.
Allowed file types: jpg jpeg png pdf doc docx.
Required Essay
Answer the questions below using 50-150 words for each. Please know that sentence structure and spelling will be evaluated as well as the thought process and content.
1. Please explain your concept of what duties an Electrical Power Technician does on a regular (daily) basis.
2. Please explain why personal integrity (things like smoking, drinking, honesty, trustworthiness) is important for individuals hired as Electrical Power Technicians by utility companies.
3. The Electrical Power Technician, hired to perform "lineman" responsibilities are required to be physically fit. Please describe your level of physical fitness and how you maintain or improve a your physical fitness level or abilities.
Terms
I certify that the information provided by me in this application is correct and complete. I understand that submission of false information and/or incomplete payment of tuition or program fees is grounds for denial of admission or immediate suspension if enrolled. If accepted as a PCC Concurrent High School Education Program student; I will abide by the rules and regulations of the college regarding conduct and all safety requirements. I agree to maintain an active email account and will check that account on a regular basis to ensure that I am aware of all matters pertaining to the EPT program and its communications and requirements. I agree that I may be responsible for any financial costs, including tuition or fees if any. I further agree that I will attend all classes as scheduled and excessive absences will be cause for dismissal of the program. I agree to submit the name of two references that can provide personal reference for me.