PROOF OF TRAINING FOR DIESEL EQUIPMENT TECHNOLOGY
School Name: _____________________________________________________
Secondary:
__________
Contestant’s First Name:
Post Secondary:
__________
________________________________________________
Each Diesel Equipment contestant must fill out this form and check each category for competition.
Signature is also required from instructor to attest that the contestant has had sufficient training to
conduct the tasks safely.
_____
Diesel Engines
_____
Machines Shop Tools & Equipment
_____
Oxy-Acetylene & Electric Welding
_____
Hydraulic Systems
_____
Operations and Repair of Heavy Equipment
I have read and understand the rules and regulations of the West Virginia SkillsUSA State Conference,
safety rules of the Diesel Equipment Contest, and I will abide by them.
Contestant:
___________________________________________________________
Instructor:
___________________________________________________________
Parent/Guardian:
___________________________________________________________
Reviewed and approved: _________________________________________________
(School Director and/or CTE Administrator)
Note: Failure to complete this form will disqualify the contestant from State
Competition. Please turn in this form at the time of registration.
Tim Toler
SkillsUSA West Virginia
PO Box 261
Charleston, WV 25070
FAX: 304-586-4467