General Information

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:(Required)

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

APPLICANT INFORMATION

School Name(Required)

Street Address(Required)

School Administrator/Executive Director/President(Required)

City/State/Zip(Required)

Contact Person for Application(Required)

County(Required)

Title of Contact(Required)

Website(Required)

Contact Email(Required)

Contact Phone(Required)

SPONSORING HOME BUILDERS ASSOCIATION

Association Name(Required)

HBA Executive Officer

Contact Phone(Required)

Contact Email(Required)

NAHB STUDENT CHAPTER

Do you have a NAHB Student Chapter?(Required)

Yes

Is your NAHB Student Chapter roster up to date for the current school year?(Required)

Yes

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(Required)

2.) Local Program Title

CIP Code(Required)

CIP Code

NOCTI Test Name(Required)

NOCTI Test Name

3.) Local Program Title

4.) Local Program Title

CIP Code

NOCTI Test Name

5.) Local Program Title

6.) Local Program Title

CIP Code

NOCTI Test Name

7.) Local Program Title

8.) Local Program Title

CIP Code

NOCTI Test Name

9.) Local Program Title

10.) Local Program Title

CIP Code

NOCTI Test Name

11.) Local Program Name

12.) Local Program Name

CIP Code

NOCTI Test Name

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:(Required)

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(Required)

Billing Contact Email(Required)

Billing Contact Phone(Required)

Billing Contact Position(Required)

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.(Required)

Yes, I understand and acknowledge.

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