Personal Information
Full Name *
Start Date Preferred *
Date of Birth *
Male Female
US Citizen?
Yes No
Legal Resident of Applicant (State)
Contact Information
Phone *
Email *
Emergency Contact *
Emergency Phone *
Address *
City *
State *
Zip Code *
Room Mate Preferences
Already have a roommate - Name:
Want us to help you find a room mate?
Yes No
If Yes:
What level of experience do you have using the following machines?

Greenlee Tubing Benders Metal Lathe Milling Machine Vertical Band Saws Cold Cut Saws
Horizontal Band Saws Tubing Knotchers Porta Band Saws Miller Wire Welders Miller Tig Welders
Hydraulic Metal Shear Sheet Metal Break Sheet Metal Rollers Rotex Metal Punchers Iron Worker
Oxygen & Acetalene Torch Plasma Cutter Bead Roller Hydraulic Press
List any schools beyond high school that you have attended:
Name of School
Degree Earned
Name of School
Degree Earned
After graduating from the Hedgecock Fabrication Program, what is your desired career path?
(Check all that interest you):

Fabricator Body Mechanic Crew Chief Pit Crew Driver Operations Other
How did you hear about Hedgecock racing Academy?
Radio Internet Postcard Magazine Newspaper TV Friend Name Other
Will you need any special services or accommodations?
Please describe what you would like to achieve by attending Hedgecock Racing Academy: *
Please tell us how Hedgcock Racing Academy can help you achieve your goals in the motor sports industry: *