Va Form 22-8865 - Employer'S Application To Provide Job Training

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OMB Control No. 2900-0342

Respondent Burden: 90 minutes

Expiration Date: 07/31/2020

EMPLOYER'S APPLICATION TO PROVIDE JOB TRAINING

(UNDER TITLE 38 U.S. CODE SECTION 3677 OR 3687)

INSTRUCTIONS: All items should be completed. Information requested in Section II applies to the particular trade, craft or occupation for which you propose to

provide training to veterans and their eligible dependents. Please read Section III carefully before signing the application. The completed application form may be

submitted directly to the VA office serving the area where your establishment is located. To find the VA Education Liaison Representative for your state click on the

link

SECTION I - EMPLOYER IDENTIFICATION

2. NAME AND TITLE OF PERSON TO CONTACT

3. TELEPHONE NO.

1. NAME OF ESTABLISHMENT

(Include email address)

(Include Area Code)

(If different than in Item 4)

(Street No., City, State, Zip Code)

5. MAILING ADDRESS

4. LOCATION OF ESTABLISHMENT

SECTION II - DESCRIPTION OF TRAINING PROGRAM

(Position for which training will be provided)

(Please keep brief)

6. JOB TITLE

7. JOB DESCRIPTION

8. LENGTH OF PROGRAM

9. HOURS IN STANDARD WORK WEEK

(Indicate hours or months)

10. HOURS OF RELATED TRAINING

11. NUMBER OF FULLY QUALIFIED

OUTSIDE OF JOB REQUIRED EACH

EMPLOYEES AVAILABLE AS INSTRUCTORS

(If none, write "None")

YEAR

FOR EACH TRAINEE

12. MAXIMUM NUMBER OF TRAINEES THAT CAN BE TRAINED AT ANY ONE TIME

SECTION III - WAGE PROGRESSION SCALE

13. BEGINNING WAGE FOR TRAINEES

14. PRESENT JOURNEYWORKER WAGE

15. WAGE PROGRESSION DURING TRAINING

B. NO. OF MONTHS

C. WAGE LEVEL

A. PERIOD

B. NO. OF MONTHS

C. WAGE LEVEL

A. PERIOD

1ST

PER

6TH

PER

2ND

PER

7TH

PER

3RD

PER

8TH

PER

4TH

PER

9TH

PER

5TH

PER

10TH

PER

SECTION IV - CONDITIONS TO BE MET

I UNDERSTAND AND AGREE THAT THE FOLLOWING CONDITIONS MUST BE MET IF THIS TRAINING PROGRAM IS APPROVED

FOR VA TRAINING BENEFITS:

A. Close supervision by qualified journey workers will be provided throughout the training program.

B. Records will be maintained for each trainee. At a minimum, the records will include the following: job assignments, promotions, demotions, lay-off

terminations, rates of pay, progress in training as outlined in the work processes, hours of training given monthly in each process and overall progress

evaluations made at least each 3 months.

C. Credit will be given for previous training and experience and the length of the training program will be reduced proportionately. Trainees who are

granted credit for previous training and experience will be placed into the appropriate step of the wage progression scale.

D. If required for approval of a training program, the trainee will be advanced to the full journey worker wage immediately upon completion of the

training program.

E. An Enrollment Certification will not be submitted for a veteran or eligible person who is already qualified for the position because of prior training

or experience.

F. A copy of an approved training agreement will be provided to the trainee and to the Department of Veterans Affairs (VA).

G. Immediately notify VA of any wage increase (or decrease) paid any trainee not in accordance with his or her training agreement.

IN ADDITION, FOR ON-THE-JOB TRAINING OTHER THAN APPRENTICESHIP PROGRAMS, I HEREBY CERTIFY THAT:

H. The wages paid to trainees under this VA program will not be less than wages paid to trainees who are not eligible for VA benefits. The beginning

wage will be at least 50% of the wage for a fully trained employee.

I. Unless the training establishment is operated by a Federal, State or local government, periodic wage increases will be granted and by the last full

month of training the wage will be at least 85% of the wage for a fully trained employee.

J. There is a reasonable certainty that the job for which training is provided will be available to the trainee after training has been completed.

16. SIGNATURE

17. TITLE

18. DATE SIGNED

22-8865

SUPERSEDES VA FORM 22-8865, JAN 2014,

VA FORM

JUL 2017

WHICH WILL NOT BE USED.