Training Benefits Labor Market Research Form - State Of Washington

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State of Washington
Employment Security Department
Training Benefits Labor Market Research
Name (Last, First, MI)
Social Security Number
In addition to other eligibility requirements, Training Benefits will be approved only if your vocational training
program is for a high demand occupation that will enhance your marketable skills AND earning power.
See the reverse (or next page) for instructions on what information you must provide for your Training Program to be
approved.
TRAINING BENEFITS ARE SUBJECT TO THE AVAILABILITY OF TRAINING FUNDS
Answers to the questions below should be based on your research of your training choice and labor market (the area in
which workers in your occupation customarily work, based on your residence). It should be completed in cooperation
with an employment or school counselor or advisor.
Name and location of your Training Program ____________________________________________________________
Training starts on ____________________________________ and will be completed on _________________________
List specific job(s) you will be qualified to do on completion of training:
Job title _______________________________________________________ Pay range ___________________
Job title _______________________________________________________ Pay range ___________________
Is this an “amended” training plan? Yes ____ No ___ If Yes, see Note Below
Write a brief summary of your training program. Attach additional pages if necessary. Explain why your training program
will enhance your marketable skills and earning power. Be sure and include references to your labor market research
and attach copies of your research and/or other documentation in support of your application. Note: If this is an
amended training plan, please tell us why it is necessary to change your original plan.
I have answered these questions to apply for training benefits, which I understand are subject to the availability of funds. I understand
this information may be verified and that I must promptly report any changes in the above conditions to my TeleCenter. I authorize the
school, training facility or my counselor or advisor to release information about my enrollment, participation in training, grades,
attendance, and other measures of program progress to the Employment Security Department.
Signature of Applicant
Date
Telephone Number
E-mail Address (Optional)
EMPLOYMENT OR SCHOOL ADVISOR / COUNSELOR COMMENTS:
Advisor/Counselor Signature
Date
Telephone Number
E-mail Address (Optional)
SCHOOL REPRESENTATIVE CERTIFICATION
This individual has the qualifications and aptitudes to successfully complete this training program Yes ___ N/A __
If yes, basis for certification (e.g., aptitude and/or placement tests administered):
The training program described above is “full-time” as defined in our course catalogue. Yes _____ No _____
This individual is: Enrolled in training:
Yes _____ No _____ If Yes, training starts _________________________, or
On a waiting list
Yes _____ No _____ If Yes, expected enrollment date: __________________
Signature of School Representative
Date
Telephone Number
E-mail Address (Optional
4

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