Part 1: General Information Form

part 1: General information

If you have questions concerning this application, contact David DiPasquale at 717.730-4380 or ddipasquale@pabuilders.org

Guidelines

Have you read the Endorsement Guidance Manual and Site Review Checklist?

* Indicates required field

Attest: *

Yes, I have read and understand the Endorsement Guidance Manual and the Site Review Checklist.

applicant Information

School Name *

School Administrator/Executive Director/President *

Contact Person for Application *

Title of Contact *

Street Address *

City/State/Zip *

County *

Website *

Contact Email *

Contact Phone *

Sponsoring home builders association

Association Name *

Contact Phone *

HBA Executive Officer *

HBA President *

NAHB student chapter

Do you have a NAHB Student Chapter? *

Yes No

Year of NAHB Charter *

Name of Charter (Faculty) Advisor *

Describe HBA/Chapter Activities and Relations with the HBA. *

Local program titles/cip codes/nocti codes

1.) Local Program Title *

CIP Code *

NOCTI Test Name (Secondary) *

NOCTI Test Code (Secondary) *

2.) Local Program Title *

CIP Code *

NOCTI Test Name *

NOCTI Test Code *

3.) Local Program Title *

CIP Code *

NOCTI Test Name *

NOCTI Test Code *

4.) Local Program Title *

CIP Code *

NOCTI Test Name *

NOCTI Test Code *

5.) Local Program Title *

CIP Code *

NOCTI Test Name *

NOCTI Test Code *

6.) Local Program Title *

CIP Code *

NOCTI Test Name *

NOCTI Test Code *

7.) Local Program Title *

8.) Local Program Title *

CIP Code *

NOCTI Test Name *

NOCTI Test Code *

payment and fees

Note: Evaluation fees do not include the additional costs for the review team's stipends, travel, meals and overnight lodging.

After your application has been submitted, the listed billing contact will receive an email with an invoice for the total amount selected below.

Please select which fees apply to this application: *

Evaluation for Initial Endorsement ($1,500) Reevaluation for Follow-up from Initial Endorsement Review ($500) Reevaluation for Continued Endorsement after 3 Year Period ($500)

Number of Additional Programs for Initial Evaluation ($500/program) *

Billing Contact Name *

Billing Contact Email *

Billing Contact Phone *

Billing Contact Position *

Endorsement Period

I understand and acknowledge that the PBA Endorsement Period is for three (3) school years only. At the conclusion of each Endorsement Period, the school must reapply for continued endorsement subject to program availability from PBA. *

Yes, I understand and acknowledge.

submit

After clicking submit, you will be redirected to a page where you can complete and submit Part 2: Program Information.

Submit