HVAC Interest Form

Your Full Name(Required)

Your Email(Required)

Phone(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Are you a high school graduate?(Required)

Yes

No

I will be graduating from high school soon.

How familiar are you with a career in plumbing-heating-cooling?(Required)

Very familiar

Somewhat familiar

Not familiar but want to learn more

Are You Ready to Get Started?(Required)

I would like to get started with the Pre-Apprentice Course

I would like to get started in the HVAC Training

I am still just wanting to learn more

I am not sure and would like to talk to someone

What areas of the State of Indiana do you want to work?(Required)

Northwest Indiana

Northern Indiana

Northeast Indiana

West Indiana

Central Indiana

East Indiana

Southwest Indiana

Southern Indiana

Southeast Indiana

Why are you interested in becoming an HVAC technician?

Consent(Required)

I understand that this is not an application for employment or any level of an offer to hire me. I agree that the information provided or the conversations received from this inquiry are informational only and do not constitute an interview.

Δ

2024 Indiana PHCC Platinum Sponsors

Learn a Trade >Find a Career >Find a Member >