O’Net code:__________________
OJT Agreement No.:
Training Plan No.:
On-the-Job Training Plan
Employer Name:_______________________________ Trainee's Supervisor Name:______________________________
Phone No.:____________________________________ E-mail:________________________________________________
Employee/Trainee Name: _______________________Position Title:__________________________________________
Training Period: _______ to _______
Maximum Obligation $
Wage per hour: $
Hrs/week:
Start Date:
___________________
Amount for Training Payment $
Retention Period Ends:_____________
Amount for Retention Payment $
Date Determined Eligible: __________________
Is the trainee a:
Current Employee?
New Hire?
SKILLS TO BE LEARNED:
Starting Capability:
Ending Capability:
Date Scored:
Date Scored:
1
2
3
Not Met
1
2
3
Not Met
1
2
3
Not Met
1
2
3
Not Met
1
2
3
Not Met
1
2
3
Not Met
1
2
3
Not Met
Funding for training is authorized when OJT Training Plans are signed below by the Employer, Crawford County Job & Family Ser-
vices, and Trainee. All On-the-Job Training Agreement terms, conditions and OJT Rules, plus the Training Plan Instructions, apply
to this Training Plan.
Approved by the Employer:
Approved by Crawford County JFS:
Approved by Trainee:
_________________________
________________________
_____________________
Authorized Signature/Date
Authorized Signature/Date
Authorized Signature/Date