Registration Form  

Name
SSN
Address
Phone
City, State, Zip
Date of Birth
High School
Graduated
College
Graduated

I wish to enroll in the following program:

I wish to enroll in the course below:

Start Date Monday,

I understand this is a registration form only and I must complete an Enrollment Agreement and be officially accepted by Illinois Welding School before I can begin classes. 



 

 

Illinois Welding School
5901 Washington Street    Bartonville, Illinois  61607
(Toll-Free) 888-632-9353     (Peoria Area) 309-633-0379
(Fax) 309-633-0509
Or
E-Mail Us

Illinois Welding School
1315 Enterprise Dr.    Romeoville, IL 60446
(Toll-Free) 888-632-9353    (Chicago Area) 630-679-0566
(Fax) 630-679-9757
Or
E-Mail Us