Fillable Criteria must be set up for instructor to (North Dakota State Electrical Board)

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Criteria must be set up for instructor to (North Dakota State Electrical Board)

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Program Requirements:
• Criteria must be set up for instructor to follow (i.e., curriculum, classroom, substitute instructor,
computer, books, keys for building, pay, labs, grading, attendance, student absences, and make-up of
class cancellations).
• A gradebook must be set up and maintained based on minimum homework, quiz, and labs
accomplished per week.
• Grades must be documented and kept for all students.
• Students must sign in and out for compliance of hours and accountability.
• The provider must have a method to transfer a student transcript between other related training
programs.
• Students must complete a minimum of 144 hours per year of related instruction.
• All assessments/exams must be accomplished in a classroom setting or proctored.
• Code book must be in cycle with state required code [i.e., we are using 2017 code yet this year, and all
students will need a 2020 code book next year for a 3-year cycle].
• Students must have their curriculum books and workbooks for the semester.
• No smoking or alcoholic beverages are allowed in class.
• Students may receive breaks not to exceed 10% per hour.
• Curriculum must be board approved.
NEC (National Electrical Code) Year
Sponsor of Program
Program Type - check all that apply
☐ Classroom ☐ Online ☐ Correspondence ☐ Webinar
Program Title
Contact Person
Address
City
State
ZIP Code
Telephone Number
Email Address
Website Address
List of Sponsor’s Curriculum Materials
☐ No ☐ Yes - Attach
Instructor Meets Experience, Qualifications and Must Lecture and Maintain the Curriculum
☐ No ☐ Yes - Attach completed “Apprenticeship Related Training Instructor Application” (SFN 62003)
Program Syllabus for Each Year of Course (4 years)
☐ No ☐ Yes - Attach
Calendar is Set Up for the School Year (typical August to May) with a List of All Class Dates, Locations, Time
and Instructor(s)
☐ No ☐ Yes - Attach
APPRENTICESHIP RELATED TRAINING PROGRAM APPLICATION
NORTH DAKOTA STATE ELECTRICAL BOARD
SFN 62002 (6-2021)
SFN 62002 (6-2021)
Page 2 of 2
ELECTRICAL CORE CLASS RELATED TRAINING MINIUMUM REQUIREMENTS
• Curriculum must meet minimum or exceed required courses as listed below.
• The elective course list are examples. If other industry related courses are offered, attach list.
• Provide classroom hours for required and elective courses in table below.
Minimum
Hours
Required
Classroom
Hours
Elective Courses
Classroom
Hours
15
Other: (example - 101 hours)
45
* Industrial Rigging
25
* Tools & Equipment
75
* Advanced Code
10
* Oil & Gas
5
* Hazardous Locations
5
* CPR/First Aid
40
* Cabling/PLC Communications
30
* Confined Space
20
* Arc Flash
140
15
10
10
30
475
Minimum Total Elective: 101 hours
Minimum Total Required & Elective Hours
576
Signature
Date
FOR OFFICE USE ONLY
☐ Approved
Program Approval Number
ND #
☐ Denied
Reason
Signature
Date
Submit completed application to:
North Dakota State Electrical Board Phone: 701-328-9522
PO Box 7335 Fax: 701-328-9524
Bismarck, ND 58507 Email address: electric@nd.gov
Website: www.ndseb.com
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Completed 15 July 2021

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