Georgia Retraining Tax Credit Program Approval Application - Technical College System Of Georgia
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1Technical College System of Georgia
Georgia Retraining Tax Credit Program Approval Application
Complete this application and submit to the Vice President of Economic Development Programs at your local
Technical College
.
Name of Training Program
1.
Company name
Division
Address
Contact
Phone
Email
No. years
No. of employees
operating in GA
at facility
2.
Type of business and nature of operation: ______________________________________
3.
Describe relevant equipment or technology changes in your workplace.
Change from:
Change to:
4.
Describe purpose and overall objectives of this retraining program.
5.
Provide estimated retraining costs.
6.
Are employees unable to function effectively on the job as a result of the skill deficiencies identified in item 3?
_________; Will the deficiencies result in employee displacement if skills are not enhanced? ______
7.
Name of training provider:
Signature of Company Chief Executive
Title
Date
This is to certify that the Retraining Program for the above named company is in compliance with standards established
by the Technical College System of Georgia. This approval is subject to review and/or audit by the Department of
Revenue and the Technical College System of Georgia.
Signature of TCSG Official
Name of Technical College
Date
Georgia Retraining Tax Credit Guide – Revision September 1, 2015
Page 16
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