Fillable 9868WindEnergyApplication FORM Wind Energy Technology Program

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9868WindEnergyApplication FORM Wind Energy Technology Program

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LARAMIE COUNTY COMMUNITY COLLEGE
Wind Energy Technology Program
APPLICATION INSTRUCTIONS
Thank you for your interest in our Wind Energy Technology Program. Laramie
County Community College maintains an open door admissions policy and provides
programs beneficial to all students. College admission requirements are found in the
college catalog. Acceptance to the Wind Energy Technology Program is competitive
due to high demand for this education. The program will select 20 applicants and all
selectees must have completed and met the acceptance criteria below.
Step 1
Apply for admission to LCCC by calling 307.778.1212. Come to the campus if you
are local. If you are applying from another state or country please contact Bryan
Boatright at 307.432.1606 or email at bboatrig@lccc.wy.edu
Step 2
Request all official transcripts from your high school and or college. Have your high
school and/or college mail your certified transcripts to:
Laramie County Community College
Student records
1400 E. College Drive
Cheyenne, Wyoming 82007
Step 3
Complete an application for financial aid. Send an email to Bryan Boatright
bboatrig@lccc.wy.edu to be considered for a scholarship.
Step 4
Verify math competency. You must take the placement exam (COMPASS) in the
testing center (ARP building, room 169). Call 307.778.1105 for test times. you must
place in MATH0930 or higher prior to applying to the LCCC Wind Energy Program.
If you have equivalent college credits you must have a C or better.
Step 5
Complete a student housing application if you intend to live on campus.
Step 6
Complete the Wind Energy Application.
Step 7
Contact Academic Advising. Applicants will be contacted to schedule and advising
session at a mutual convenient time after the application has been processed.
Application will be processed as possible as quickly.
It is the student’s responsibility to furnish all required paperwork and to see
that her/his file is complete. Incomplete applications will be ineligible for
consideration.
WIND ENERGY TECHNOLOGY PROGRAM
ADMISSIONS FORM
Full Name: ___________________________________________________________________________________
Last First Middle
Address: ________________________________________________________ __________________________
Street/PO Box Student ID (Leave blank if non applicable)
Address: _____________________________________________________________________________________
City State Zip
Phone: Wireless Phone:
Email: Birth Date:
PLEASE
INITIAL
I submitted an LCCC application for Admissions. Date: ____________________________
I have requested official transcripts from other schools (if applicable) to be sent to the Admissions
office.
I have completed my COMPASS test.
I have completed and signed the statement of understanding form, attached to this application.
I understand that after acceptance into the Wind Energy Technology Program, it will be necessary
for me to provide a Pre-Entrance Physical Form completed by my health care provider in order to
participate in courses that are physical in nature.
I understand that I am required to have a state or federal issued photo identification card in order to
climb wind turbines off-campus as part of my Climb Safety & Tower Rescue (WTT 1100) course.
I understand that it is my responsibility to furnish all the required paperwork and that an
incomplete application will be ineligible for consideration.
_________________________________________________ ____________________
Signature Date
Please send this completed application packet to: Wind Energy Technology Program
Laramie County Community College
1400 E College Drive
Cheyenne, WY 82007
1 of 4
Wind Energy Technology Program Statement of Understanding
Wind Energy courses have a certain element of physical activities that are mandatory. These
activities include climbing vertical and sloped surfaces, hanging in a full body harness, using
mechanical advantage rope systems to pull loads, walking at heights and standing on hard
surfaces for extended periods of time. Furthermore, wind energy technicians are expected to:
√ Beabletoworkinandpromoteasafeenvironment
√ Beabletoclimb300footladdersandworkatthiselevation
√ Beabletoworkinadverseweatherconditions
√ Beabletoworkinconfinedspaces
√ Beabletofollowexactinstructions
√ Beabletoworkunderminimalsupervision
√ Beabletoworkwithpeopleinateam-orientedenvironment
√ Beproficientwithcomputersandstandardsoftwareapplications
√ Bepreparedtoworkwithelectricalhazards
√ Bepreparedforpossiblerelocationandworkinginremoteareas
√ Bewillingtoworkovertimeandweekendsandbeoncall24/7asassigned
√ Havetheabilitytolift50pounds
√ Haveanaptitudeformechanicalandelectricaltroubleshooting
√ Haveahighschooldiplomaorequivalent
Be aware that when you seek employment, industry expectations are as follows:
√ Beabletopassadrugtest
√ Beabletopassabackgroundcheck
√ Haveavaliddriver’slicense
√ Haveacleandrivingrecord
√ IunderstandthatifIhavebeenconvictedofafelony,
itismyresponsibilitytoresearchprospectiveemployer’shiringpolicies.
By signing below and submitting this application, I hereby certify that I have read and
understand the expectations of a wind energy technician and I have no conditions that
preclude me from safely and effectively performing all the functions required of me as a wind
energy student.
______________________________________ _____________________________ ___________
Print Name Signature Date
2 of 4
Wind Energy Technology Questionnaire
Comment boxes are limited to 700 characters. If you would like to say more, please attach
your comments in a separate document. Please note in the comment box that you have
provided your answers on the other document.
What reason(s) attracted you to a career as a Wind Energy Technician?
How would you rate the value of pursuing higher education and training and why?
What are your career goals as a Wind Energy Technician?
How did you find out about the Wind Energy Technology program at LCCC?
3 of 4
LARAMIE COUNTY COMMUNITY COLLEGE
Wind Energy Technology
PRE-ENTRANCE PHYSICAL FORM
TO BE COMPLETED BY APPLICANT
Name_________________________________________________________________________________
Last First Middle Initial
Date of Birth__________________________________ Student ID#_____________________________
Please read each question and mark appropriate answer.
Have you ever had:
YES NO
Problemswithheights(dizziness,nausea,vertigo,fearofheights)?
Problems with your back or neck?
withyourarms (hand,Problems wrists,elbow’s,shoulders)?
Recent surgeries?
High blood pressure?
Difficulty breathing past moderate exertion?
Asthma?
Fainting Spells?
Heart problems?
Epilepsyorseizures?
Visual impairments or color blindness?
Are you currently taking medications or receiving medical treatment?
If yes, please list:
Do you have physical limitations or any concerns that may affect your participation
in the class? If yes, please describe:
How would you describe your general state of health?
Ihaverevealedmymedicalhistorytruthfullyandwholly.Iauthorizemyhealthcareproviderto
give information to the LCCC Career and Technical Education Center regarding my ability to
participate in the Wind Energy Technology Program.
________________________________________________________________________ _____________________________
Applicant’sSignature Date
4 of 4
PRS 9868 12/15
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9868WindEnergyApplication FORM Wind Energy Technology Program

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Completed 15 February 2020

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