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PERSONNAL INFORMATION  
Social Security Number* Start Date Preferred (mm/dd/yyyy)
/ /
Full Name* Date of Birth
/ /
Male Female
Legal residence of Applicant (State)*
/ Since:
US Citizen Yes No
   
CONTACT INFORMATION
Address 1*:
Address 2: Apt #
City*:
State*:  Zipcode*:
Home Phone: Work Phone:
Cell Phone: Email*:
Emergency Contact Name: Emergency Contact Number:
ROOM MATE PREFERENCES
I have a room mate already - Name:
Want us to help you find a roommate? Yes No
If yes, Smoking / Non Smoking
QUESTIONNAIRE
What level of experience do you have using the following machines?
1=None; 2=Beginner, 3=Experienced or 4=Expert
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 City/State 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
High School Friend Name:
Other
Will you need any special services or accommodations? Yes No
If so, please describe here or call our offices to discuss details:
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:
Please tell us who you have spoken with at Hedgecock Racing Academy:
referral:
 

Race Car Fabrication and Parts

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