Guidelines: The One Stop Workforce Connection is interested in assisting businesses in improving the skills of their employees. Requirements to receive training funding assistance are as follows:
  • Businesses that are in operation or planning to expand business in either Citrus, Levy or Marion Counties
  • Business must have at least two full-time employees
  • Business must be current on all state and local tax obligations
  • Business is providing matching contribution to overall training costs
  • Annual wage of trainees cannot currently exceed.
    • Citrus $31,244.00
    • Levy $24,308.00
    • Marion $31,438.00
Please check the appropriate boxes that apply to the anticipated outcome of the proposed training project.
The training request represents a significant layoff avoidance strategy.
The training request represents a significant upgrade in employee skills
The training will result in wage growth for employees completing training.
Your commitment to allow the One Stop Workforce Connection to provide job candidates to fill any vacancies realized through the advancement of those trained and not filled internally.
Will result in job retention.
Will result in the attainment of Skills Training Certificate.


Business Name:


Name of Authorized Business Representative:
Title E-Mail
Phone Ext.
Fax:
Mailing Address:
City: State:
Zip: County:
Yrs. In Business FEID
Number of Employees Sole Proprietor
Partnership Corporation
Primary NAICS/SIC Codes:
Is your business receiving or applying for other public training funds
Yes
No
If so, explain:
Brief description of your products or services:

SECTION 2: Training Provider Information
Please check appropriate boxes:
We intend to use a public training organization.
We will use a private training organization.
We will use a private instructor.
We will use a trained/certified staff member to train our employees.
Training will be delivered on-site. (In-house)
Training will be delivered at an educational institution.
Training will be delivered at a remote location.
Computer Based Training through the Internet


Please specify location:
Training Provider: Contact Person:
Address: City:
State: Zip:
Phone: Fax:


SECTION 3: Training Project Information
Please describe the proposed training project:
The following criteria must be met and agreed upon prior to contract implementation:
  1. The wages of the trained employees must increase within 30 days following training if the trainee is receiving a job title/classification promotion.
  2. The employee receiving training must not supplant any currently employed individuals.
  3. The company must contribute at least 50% of the training cost of the individuals.
Number of employees being trained within this proposed project:
Proposed Training Start Date:
Proposed Training End Date:
Total number of training hours per employee:


Name of Participant SSN# Salary Pre-Training Salary Post-Training Job Title Pre-Training Job Title Post-Training

SECTION 4: Training Award Budget

Please use this as a guide. You may include other items for consideration as required. Show all formulas used to calculate totals as indicated. BE SPECIFIC.

Training funds cannot be used to reimburse any training costs occurring before the Award is approved. Please take this into account when developing your budget.

BUDGET CATEGORY TOTAL
Instructor Wages (In-House Instructor Only)
(Break out costs for individual programs including total hours and instructor wages)
Training Course Cost (attach course curriculum)
Materials & Training Supplies(e.g. Books/Manual) (Itemize)
Trainees Wages paid during training
Other Direct Costs
(describe)
TOTAL REQUESTED


Attach documentation to justify expenditures request for this award
  • Course curriculum
  • Employer statement of learned objective of employee to acquire
  • Defined program instruction to reflect skills or competencies to be acquired from training
 
SECTION 5: Employed Worker Guidelines

As an authorized representative of the business listed above, my signature acknowledges that the business is eligible to compete for an award according to the guidelines and that the information in this application is complete and accurate.

I am also aware that any false information or intended omissions may subject me to civil or criminal penalties for filing of false public records and/or forfeiture of any training award approved through this application.

I have received and agree to all conditions outlined within the Employed Worker Training Award Application, Guidelines and specified training outcomes described herein.

   
Signature Title
 
 
Name Date
   


TO BE COMPLETED BY ONE STOP WORKFORCE CONNECTION DESIGNEE
         
Date application received:        
Approved:*        
Yes _____      
No _____ If no, explain  
 
 
Amount approved per trainee: $     Total Amount: $  
 
*Designee Initials approve the development of an Employed Worker Training Agreement.
 
EC Designee Initials: ______