SIP School

You must be approved to take the Installer Certification class. Please complete and submit the application below, and the SIP School will contact you regarding your approval status.

General Information

* 301 Class:

* First Name:

* Last Name:

Company:

* Company Role:

* Occupation:

* Address:

* City:

* State:

* Zip:

* E-mail:

* Password:

The email address and password you provide will be used by you, the student, to access the SIP Community Map

Contact by Email:

Yes No

SIPA Member:

Yes No

Home Phone:

- -

Work Phone:

- -

Cell:

- -

Fax:

- -

Web Site:

* Age Range:

Expectations:

	How did you hear about SIP School: *

SIP Industry Reference

Name:

Company:

Title:

Phone:

Cell:

E-mail:

Relationship to:

Best description of current position (check all that apply and provide the details asked)

	Turn-key Builder	Number of houses/buildings built over last 12 months:
	Paper Contractor	Estimated value of structures built over last 12 month:
	Framing Contractor	Number of houses framed over last 12 months:
	Carpenter	Estimated number of days in last 30 days spent framing:
	SIP installer	Number of panel erections over last 12 months:
	Other	Please Describe:

License & Insurance Information

What level of contractors license do you hold?

* States you are licensed in:
(To choose multiple states, press and hold the Ctrl Key while clicking on each state.)

Do you carry insurance to cover your contracting activity?

Yes No

If you work as an employee, will your employer provide proof of License & Insurance for the SIP School's record of Certified Installers

Yes No

Abilities (1 is poor - 10 is expert)

Paper Work:
Management:
Communication:
People Skills:
Problem Solving:
Power Tools:
Read Blueprints:
Work Off Ladders:
Work on Roofs Steeper than 6/12:
Operate Heavy Equipment:
Spanish:

Brief description of work performed over past 6 months:

Brief description of reason for taking this class:

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