Application For Approval Non-Registered Apprenticeship Program

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Colorado State Approving Agency for
Application for Approval
Veteran’s Education & Training
9101 E. Lowry Boulevard
Denver, CO 80230
Non-Registered Apprenticeship Program
Colorado S
A
A
V
E
TATE
PPROVING
GENCY FOR
ETERANS
DUCATION
The information listed below must be completed and returned to this office at the above address. Please submit a Non-
Registered Apprenticeship Standards document, a VA Form 22-8794 and VA Form 10-0144A with this application. Our
office will need to have 2 copies of each of the above mentioned documents.
1. Name of Training Establishment:
Address
City
State
Zip Code
2. Contact Person Regarding Approval:
3. Telephone Number
Fax Number
E-mail Address
4. Supervisor of Training:
5. Title of Apprenticeship Program:
6. Length of Program:
7. Current Journeyman Wage:
8. Number of Journeyman:
Number of Apprentices:
9. Work Week:
Hours per day:
Days per Week:
Total Hours per Week:
10. Certification:
The training establishment will meet the following criteria:
A Training Agreement will be provided to the trainee
Previous training experience will be evaluated and if awarded will be indicated on the Training Agreement
A Certificate of Completion will be provided to the trainee upon completion of the training program
A monthly training record will be kept to document progress of training and related instruction
The VA will be notified when trainee completes, quits or is terminated
Signature of Company Official:
____________________________________
Title:____________________________
Date:________________________
CSAA FORM APP-20n
NOV 2007

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