JDRCC CDL Truck Driving Program

Fill out the following forms to complete your application to the JDRCC CDL Truck Driving Program.

Name*
First Last
Address*
Street Address Address Line 2 City State ZIP / Postal Code
Phone*
Email*
Are you 21 years of age or older?*
- Yes
- No
Birth Date*
Date Format: MM slash DD slash YYYY
Do you have any physical limitations or health problems such as those below, or any others that may disqualify you from obtaining a CDL license? If so, please explain:*
* Physical requirements: PLEASE REVIEW THE SHEET “Department of Transportation Physical Requirements”. No impairments to any limbs that affect safe driving. Diabetes (must not be on insulin), Epilepsy, Blood pressure (no higher than 140/90 max), Eyesight (correctable to 20/40, each eye), Hearing (forced whisper @ 5 ft.), differentiate red, green and yellow, no history of or clinical diagnosis of drug or alcohol use.
DOT physicals and drug screens are mandatory for enrollment. If you have any questions as to your eligibility based on your physical condition or medications call WVDOT at (304)347-5935
A $100.00 non-refundable deposit must be paid by all students prior to enrollment.

In addition to the application fee, all of the following must be turned in to the main office prior to placement on the enrollment list, and/or the start of class
1. Interview with Instructor
2. *Physical
3. **Drug Screen
4. DMV Check
5. Copy of SS Card and Drivers License
6. Completed Application
7. Financial Arrangements
8. Accident Insurance (Available through school if needed)
Please collect all data and turn in to JDRCC CDL Program Office as follows:
- Items 1-8
- WIA Paperwork
- I hereby give "John D. Rockefeller Career Center" my permission to verify any information stated above, and that the above information is true and valid to the best of my knowledge.*
  First Last
- Date*
  Date Format: MM slash DD slash YYYY
- Please let us know how you heard about our program:
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- Comments
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JDRCC Staff Directory

Welcome to the staff directory where you can get to know the wonderful people that make the John D. Rockefeller Career Center the successful and ever-benefiting institution that it is.

Superintendent Dawn Petrovich

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Principal Dan Enich

JDRCC Practical Nursing Program

Fill out the following forms to complete your application to the JDRCC Practical Nursing Program.

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Name*
First Last
Address*
Street Address Address Line 2 City State ZIP / Postal Code
Phone*
Email*
SSN*
Birth Date*
Date Format: MM slash DD slash YYYY
Emergency Contact*
Emergency Contact Phone*

High School Name & Address
Entrance Date
Grad Date
GED Testing Facility Name & Address
Year Passed
College Name & Address
Entrance Date
Grad Date
Previous Health Care Education?*
- Yes
- No
If Yes, Please Explain:

Employer Name
Employer Address
Position
Start Date
End Date
Have you ever been convicted, plead guity, or plead no contest to a felony or misdemeanor? If yes, explain:*
Verification*
I verify the information on this application is true to the best of my knowledge. I give permission to the Rockefeller Career Center School of Practical Nursing to verify this information.
CAPTCHA
Phone
This field is for validation purposes and should be left unchanged.

Automotive Technology

Auto industry

Auto Technology focuses on the fundamentals of automotive technology, basic automotive electrical systems, theory and operation of brake systems, fundamentals of steering and suspension systems, basic engine concepts, engine performance, passenger climate controls, power train fundamentals, and advanced automotive electronics.

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Auto Collision Repair Technology

Auto industry

This area of study is designed to provide skills in collision repair occupations. Major instructional concepts include: non-structural analysis and damage repair, structural analysis and damage repair, mechanical and electrical component, plastics and adhesive, painting and refinishing, and general occupational information.

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ProStart

restaurant industry

The ProStart Restaurant Management concentration focuses on the skills needed for a successful employment in a restaurant environment. ProStart is a restaurant industry-driven curriculum developed by the National Restaurant Association Educational Foundation with input from thousands of restaurant professionals.

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Carpentry

building construction industry

This area of study is designed to provide learners with skills in general building construction occupations. The major instructional concepts include: general occupational information, all areas of carpentry, basic masonry and basic plumbing. Build your technical skills to pursue a career in the building construction industry.

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Diesel Equipment Technology

diesel industry

The Diesel Equipment Technology concentration focuses on careers that will build a knowledge base and technical skills in all aspects of the Diesel Equipment Technology Industry. Students will have the opportunity to acquire hours towards industry ASE/NATEF certification and be exposed to develop positive work ethics.

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Welding

welding industry

The Welding concentration focuses on careers that will build a knowledge base and technical skills in all aspects of the Welding industry. Students will have the opportunity to earn both NCCER certification and the WV Welding Certification for each skill set mastered and be exposed to skills to develop positive work ethics.

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Health Occupations

health industry

The Therapeutic Services Concentration allows the student to explore careers focused primarily on changing the health status of the patient over time. Health professionals in this concentration work directly with patients. They may provide care, treatment, counseling and health education information. Pursue a career in helping others.

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Graphic Design

design industry

The Graphic Design program focuses on careers that will build a knowledge base and technical skills in all aspects of the Design industry. Students will develop and apply skills to create branding guidelines, print-based designs, digital-designs, animated motion graphics, digital illustrations, web-sites, use DSLR cameras, and film and edit video.

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