Studen Application

NCCT STUDENT APPLICATION

It is very important that you complete this entire application. If any questions are left unanswered, it will be returned to you for completion and will delay your enrollment process.

If you have any questions, please contact us in the office, by phone 916-387-1564, or email us: Elena@ncctinc.org or Heather@ncctinc.org

Required Documents Checklist

Choose at least 3 or more of the following to submit copies of:

CA Driver’s License or CA Identification Card- (Must be a Current CDL in COLOR)
DMV 3 Year Printout- (Obtained within the last 90 days) You can get this online at https://www.dmv.ca.gov/portal/
Social Security Card
High School Diploma, Transcripts or GED/HiSet Certificate
Selective Service Card or DD214 Form
Permanent Resident Card or Work Authorization Visa

Pre-Apprenticeship Agreement

Please also download and complete this form. It can be uploaded during this application process.

Pre-Apprenticeship Agreement

NCCT Application 2025

Please complete this form fully, and upload the required documents. If you are unable to complete the form today, please use the 'Save & Continue' option to return at a later date. Valid for 30 days

Step 1 of 12

Enrollment Type(Required)

Please indicate if you are applying to NCCT as a:

New student

Reenrolling Student

Dates Attended(Required)

Enter the dates you previously attended NCCT classes

Name(Required)

First Middle Last Suffix

Date of Birth(Required)

Month

Day

Year

Gender(Required)

Social Security(Required)

Choose Client Type(Required)

Probation County(Required)

Parole County(Required)

CDCR #(Required)

Class Location(Required)

Select your preferred location to attend classes

Class Time

Ethnicity(Required)

Ethnicity (Other)(Required)

Language(Required)

Language (Other)(Required)

Email(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone(Required)

Emergency Contact(Required)

First Last

Emergency Contact Phone(Required)

Education Level(Required)

Highest Grade Completed(Required)

Referral Source(Required)

How did you hear about NCCT?

Specify Referral Source

Please specify a name if known

Do you have any felonies or misdemeanors on your record?(Required)

This will not disqualify you from enrolling in the NCCT Program

Yes

Conviction Charge:(Required)

Indicate below if you have been convicted of any of the following crimes:(Required)

This will not disqualify you from enrolling in the NCCT Program. Mark all that apply.

Violent Assault/Domestic Abuse

Weapons Charges

Crimes against Children/Minors

Arson

None of the Above

Do you have a Probation or a Parole Officer?(Required)

Probation Officer

Parole Officer

PO’s Name(Required)

PO’s Phone Number(Required)

PO's Email(Required)

Do you have any outstanding warrants or Failure to Appear for traffic issues?(Required)

Yes

Warrant Date(Required)

Month

Day

Year

Housing situation(Required)

Employment Barriers(Required)

Mark ALL that apply

Low Income (under $50K Annually)

Transportation Issues

Disabled (Physically/Mentally)

Rehabilitation (CA Dept. of Rehab)

Alcohol/Drug Dependency

Laid Off/Dislocated Worker

English Language Learner

Low Level Literacy (English)

Unhoused/Homeless

Foster Care Youth

Felony/Misdemeanor Charges

Migrant/Seasonal Worker

Refugee

Single Parent

Cultural Barriers

Other

None of the Above

Other barriers to employment(Required)

Public Assistance(Required)

Mark ALL that apply

CalWORKS

Student Loans

SSI/SSDI (Social Security/Disability)

Food Stamps/CalFresh

TANF (Temp Asst for Needy Families)

Other Public Assistance

None of the Above

Other Public Assistance

Enter any other Public Assistance that you receive here

Labor Force Status(Required)

How long have you been unemployed?

Trades List

Select up to 3 different trades listed below that you are considering or are interested in. This helps us to focus on serving you with the appropriate training and career guidance. If you already know which trade you want to join, you may just choose one.

Asbestos Removal Worker

Boilermaker (building, installing, maintaining large metal containers like boilers & tanks)

Bricklayer/Block layer

Carpenter

Carpet Layer/Linoleum Installer

Cement Finisher/Cement Mason

Drywall Installer

Electrician

Glazier (Window Installer)

Highway Striper/Painter

Ironworker (welding, assembling structural steel for buildings and bridges)

Laborer (concrete, asphalt paving, underground pipe installation, etc.)

Landscaping

Operating Engineer (Heavy Equipment Operator)

Painter

Plasterer

Pile Driver

Plumber/Pipefitter

Roofer

Sheet Metal Worker (including installation of HVAC systems)

Teamster (Truck Driver)

Tile Setter/Tile Finisher

Traffic Controller/Flagger

Medical History Questionnaire

Are you currently suffering from any cold or congestion?(Required)

Yes

Do you have asthma, emphysema, or tuberculosis?(Required)

Yes

Do you have a history of respiratory problems or disease?(Required)

Yes

Do you currently or have you ever smoked cigarettes?(Required)

Yes

Are you currently using/abusing drugs or alcohol?(Required)

Yes

Do you have a history of sinus problems?(Required)

Yes

Do you currently have an ear infection?(Required)

Yes

Have you ever had surgery?(Required)

Yes

Do you have a history of heart disease?(Required)

Yes

Are you diabetic?(Required)

Yes

Do you have a history of seizures, dizziness, or fainting?(Required)

Yes

Are you pregnant?(Required)

Yes

Are you currently being treated for any type of health problem?(Required)

Yes

Currently taking medication that warns of impairment of your physical or mental abilities?(Required)

Yes

Currently taking medication that warns of impairment of your physical or mental abilities?(Required)

Yes

If yes, please specify the condition, treatment program and prescribed medications:(Required)

If you answered yes to any questions above, please elaborate/explain:

NCCT Classroom & Work Ethic Agreement Student Acknowledgement Form

NCCT Classroom & Work Ethic Agreement

Please mark beside each item to indicate that you have received, read, understand and will comply with the following items discussed in the NCCT Welcome Packet:

Behavior(Required)

Behavior

Attendance(Required)

Attendance

Earning your GED/HiSet(Required)

Earning your GED/HiSet

Dress Code(Required)

Dress Code

Safety Guidelines(Required)

Safety Guidelines

Personal Property(Required)

Personal Property

Attitude(Required)

Attitude

Classroom Use(Required)

Classroom Use

Class Times(Required)

Class Times

144 Hours Minimum Requirement(Required)

144 Hours Minimum Requirement

Graduation from NCCT(Required)

Graduation from NCCT

Funding Assistance(Required)

Funding Assistance

Reenrollment Rules & Regulations(Required)

Reenrollment Rules & Regulations

Amendments(Required)

Amendments

Drugs(Required)

Further, I understand that random drug screening is an industry standard and that as an NCCT student I will be tested during this program. I agree to fully participate in all assignments related to this standard. Failure to comply with the drug screening process will result in my immediate termination from the program.

Photo Materials(Required)

I agree that photographic or written materials documenting my program progress may be utilized by NCCT for demonstration, statistical reporting or promotional purposes. 

Background Check(Required)

I hereby authorize Northern California Construction Training to complete a background check of my criminal history as needed, to allow my entry to classroom and project sites.

NCCT Attendance Agreement Form

Attendance Agreement

The purpose of this form is to enforce what is expected of the student in aspects related to attendance. In the case of multiple violations of the following agreements, termination of the program will occur.

Please mark beside each item to indicate that you have received, read, understand and will comply with the following items discussed in the NCCT Attendance Agreement Form:

Punctuality(Required)

I agree to be on time, prepared for work and instruction for the duration of the program. 

Absence(Required)

I agree to notify the main office and my instructor at least 1 hour before class starts if I am going to be late or absent from class.  

Excuse(Required)

I agree to provide documentation if l am late or absent from class. 

Excessive Absence(Required)

I understand that excessive absences or tardiness may result in termination from the program. 

Planned Absence(Required)

I understand that planned absences must be reported to and approved by the Office Administrator prior to the date of absence. 

Absence Definition(Required)

I understand that the definition of an excused absence is any absence due to: Illness, Medical Appointment, Bereavement/Funerals, Jury Duty, Court Appearance, or Probation Officer Appointment along with valid documentation submitted in a timely manner. 

Employment Verification Authorization Form

Employment Verification Form

Should you find gainful employment as a result of your participation in the NCCT Program, NCCT will need to follow up with your employer for statistical retainment information. Please consent to the authorized release of the requested information.

Last Name

First Name

Social Security

Employment Verification Consent

I authorize my employer to release the following information related to my employment to  NCCT INC:

 Standard
Date of employment
Employment type
Employment status
Position and Hourly Wages.

I authorize my employer to release information relating to my employment, to NCCT, Inc.

Signature(Required)

Date

MM slash DD slash YYYY

Required Documents

Select 3 or more of the following Required Documents to submit copies of:

CA Driver’s License or CA Identification Card (Current)

DMV 3 Year Printout (Must be within the last 90 days)

Social Security Card

High School Diploma, Transcripts or GED/HiSet Certificate

Permanent Resident Card

Selective Service Card or DD214 Form

Required Documents(Required)

Please upload your required documents in jpg, gif, png, or pdf format.

Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 512 MB, Max. files: 6.

Pre-Apprenticeship Agreement

If you haven't already, please download and complete this form: Pre-Apprenticeship Agreement

Pre-Apprenticeship Agreement(Required)

Accepted file types: jpg, gif, png, pdf, Max. file size: 512 MB.

Do you have previous construction experience?

If you do, and you would like to reduce your training hours you can submit your PCE documents below for review. You can submit an employer's letter on company letterhead, or a file containing copies of check stubs.

PCE Documentation

Accepted file types: jpg, gif, png, pdf, Max. file size: 512 MB.

Applicant's Agreement

Electronic Signature Agreement(Required)

I agree and understand that by signing the Electronic Signature Acknowledgment, and submitting this application, all electronic signatures are the legal equivalent of my manual/handwritten signature, and that the answers and information that I have provided in this document are true and accurate to the best of my knowledge and belief.

Signature Equivalency(Required)

I further agree my signature on this document is as valid as if I signed the document in writing. This is to be used in conjunction with the use of electronic signatures on all forms regarding all future documentation with a signature requirement, should I elect to have signed electronically.

Signature Affirmation(Required)

Under penalty of perjury, I herewith affirm that my electronic signature, and all future electronic signatures, were signed by myself with full knowledge and consent and agree to be bound to the stated terms and conditions.

Signature

Date(Required)

MM slash DD slash YYYY

Section Break

Phone

This field is for validation purposes and should be left unchanged.

NCCT STUDENT APPLICATION

Required Documents Checklist

Choose at least 3 or more of the following to submit copies of:

Pre-Apprenticeship Agreement

Please also download and complete this form. It can be uploaded during this application process.

Pre-Apprenticeship Agreement

NCCT Application 2025

Medical History Questionnaire

Medical History Questionnaire

NCCT Classroom & Work Ethic Agreement Student Acknowledgement Form

NCCT Classroom & Work Ethic Agreement

NCCT Attendance Agreement Form

Attendance Agreement

Employment Verification Authorization Form

Employment Verification Form

Required Documents

Required Documents

Pre-Apprenticeship Agreement

Do you have previous construction experience?

Applicant's Agreement

Section Break

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