Electrical Apprenticeship Licensure Form
Name
*
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
BTECH ID number
Enter in your apprenticeship license number (0000000-0000)
*
What state is your license in?
Utah
Idaho
Effective date
*
-
Month
-
Day
Year
Date
Expiration date
*
-
Month
-
Day
Year
Date
Upload photo of license
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