Mail the survey to: PDC #2 Apprentice Program 2201 59th Street St. Louis MO 63110

Fax the survey to: (314) 647-0148

Call us at: (314) 647-5088

You can type your information in first and then print, or print the survey blank and write in your information. Be sure to fill in the Local Union # and your mailing address or tell us on the phone.

Name
Local Union
Address
City, State, Zip Code
Social Security Number
Please check the box next to the class(es) you want to take:
Scaffolding 10-hour OSHA CPR & First Aid Blue Print Reading Color Mixing & Matching Marbleizing Spray Equipment Taping Vinyl Woodgraining Respiratory, Fit Testing Training Lead Abatement Class 24-hour Worker Lead Abatement Class 40-hour Supervisor Refresher Lead Abatement 8-hour Worker Refresher Lead Abatement 8-hour Supervisor