Course Registration Form

Course Registration Form

Please contact Aubrey Conner @ 505-286-1883 for additional information.
Each Applicant must complete the form below:
All Payments are due before the start of the first day of class.
NCCER Classes
All Other Classes
Inaccuracies on this form may be reflected on credentials. This form must be completed to be entered into the NCCER Registry System. Records containing personal trainee information, including but not limited to score reports, training prescriptions, and transcripts, may not be distributed until this form has been completed.
* Denotes required fields.
* You must provide ONE of the following numbers to be entered into the NCCER Registry System. A unique Card Number will be generated once your Registration and Release Form has been entered into the system. Pipeline users MUST provide their SSN.
If you provide the State DOE Student Number, then please first contact your Sponsor Representative to ensure your state I.D. type has been added to the Registry System. NCCER must approve all new Alternate I.D. types. Please contact NCCER Customer Support if you have any questions.

Optional Information:
I hereby authorize NCCER to verify information in my training and/or assessment records, which may include any of the personal information provided on this form. I agree to release and hold harmless NCCER for the disclosure of any such information in connection with this verification process. I confirm my understanding that any and all NCCER credentials and/or certifications I receive may be revoked by NCCER at any time, with or without notice, if it is determined that the organization through which I received them has violated the NCCER Accreditation Guidelines & Program Compliance standards e any other applicable policies and procedures promulgated by NCCER. also understand and agree that NCCER shall have no legal, financial or other liability to me for the revocation of any certification or credential, and that financial liability for any funds paid to an organization for training, testing, assessment or other services associated with the issuance of such certifications or credentials shall rest solely with said organization.
(Required if individual is under 19 years of age.)

NOTE: This form must be maintained on file per NCCER Accreditation Guidelines. Do not send to NCCER unless requested.
    • Expert Witness
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    • Accident Investigation
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    • Pre-purchase Inspections
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    • Critical Lift Planning
    • Rigger Certification Training
    • Accident Recovery Operations
    • Annual Inspections
    • Due Diligence Assessment
    • CIC, NCCCO, (CCO) and NCCER National Crane Operator Training Courses
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    • Our Location

      805 Nikanda Rd NE
      Albuquerque, NM 87107

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      Who We Are

      PCC is a respected leader in steel erection, crane and rigging industries. Our current and past clients include private sector companies such as Intel, Molycorp Mine, Gardner Zemke, Hensel Phelps Construction, Bechtel and many others. Our government clients include the Department of Energy, Department of Defense, Occupational Safety and Health Administration, Los Alamos.

      Training and National Crane Operator Certification Centers where we are also located:

      • Oklahoma - 401 SE 59th St Oklahoma City, OK 73129
      • Colorado - 1114 W 7th Ave #200, Denver, CO 80204
      • Texas - 5221 E. Cesar Chavez St, Austin, TX 78702
      • Oregon - 3525 SE 17th Ave Portland, OR 97202
      • Washington - 12544 27th Ave NE Seattle, WA 98125
      • Idaho - 4665 W Chinden Boulevard, Boise, ID 83714
      • Utah - 7150 W Gates Ave Salt Lake City, UT 84128
      • Arizona - 1502 W Hatcher Rd Phoenix, AZ 85021
      • Wyoming - 3941 W 5th St Cheyenne, WY 82007
      • South Dakota - 900 Concourse Dr Rapid City, SD 57703
      • North Dakota - 2304 E Broadway Ave Bismarck, ND 58501
      • Iowa -  67 Washington Ave Des Moines, IA 50314
      • Kansas - 1201 Union Ave Kansas City, MO 64101
      • Nebraska - 415 S 7th St Lincoln, NE 68508
      • Montana - 1700 Rankin St Missoula, MT 59808
      • Nevada - 1016 S 1st St Las Vegas, NV 89101
      • California - 2323 Jetway Dr Atwater, CA 95301
      • Illinois - 5710 South Central Avenue Chicago, IL 60638
      • Michigan - 1300 McDougall Detroit, MI 48207
      • Maryland - 4925 Belair Road Baltimore, MD 21206
      • Lousiana - 1605 N Market St, Shreveport, LA 71107
      • Mississippi - 6649 Richmond Grove Rd, Jackson, MS 39213
      • Arkansas - 2122 Wagon Wheel Rd, Springdale, AR 72762
      • Alabama - 161 E University Dr, Auburn, AL 36832
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