This application is to be used to register for Journeyman Classes available
to employees of Helix Electric only.
Last Name:
First Name:
Middle Initial:
Date of Birth:
(e.g. xx/xx/xxxx)
SSN (Last 4 Digits):
Street Address:
Address (cont.):
City:
State:
Zip Code:
Country:
Cell Phone:
(e.g. xxx-xxx-xxxx)
Home Phone:
(e.g. xxx-xxx-xxxx)
E-mail:
Class:
You will automatically receive
a copy of your grade and progress report.
If you have
questions or have not received a confirmation of your registration, please call
510-785-2282 or 800-678-6669.
Note: In order to receive a completion confirmation letter
(required by the State of California for registered electrical trainees), CCTC
must receive full payment for all classes.
If you would like to download a mail-in application, please
click here. This form can be filled in
using Adobe Acrobat Reader or with a pen or pencil. Then it can either be mailed
to the address on the form or faxed to
510-785-9136.
Files in Adobe Acrobat PDF
format are viewed with Adobe Acrobat Reader. If you do not already have Adobe
Acrobat installed on your computer, you should download the free Acrobat Reader
from Adobe's web site at www.adobe.com,
download instructions are available on the Adobe web site. Once you have
downloaded the Acrobat Reader you can view PDF documents in your web browser if
it supports plug-ins or, if it does not support plug-ins, you can save the
file(s) to your hard drive and view them by opening them in Acrobat Reader.
Files in Adobe Acrobat PDF
format are viewed with Adobe Acrobat Reader. If you do not already have Adobe
Acrobat installed on your computer, you should download the free Acrobat Reader
from Adobe's web site at