Employee Training Request Form

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EMPLOYEE TRAINING
REQUEST FORM
BUSINESS INFORMATION:
Company Name:
Point of Contact:
Phone:
Email:
Current Address:
City:
State:
ZIP:
Number of Full Time Employees:
Number Needing Training:
Training Topics Neeed:
TIMING OF TRAINING: (Minimum of 8 hours)
Best day of the week to train: m Monday m Tuesday m Wednesday m Thursday m Friday
Training Location (my office):
Other Location:
I can commit to train 8 hours the following way: m Four, 2-hour sessions m Two, 2-hour sessions m Other
______________________________
EMPLOYEE INFORMATION: (Training is for full time employees working 35 or more hours)
Employee Name:
Date Hired:
Hourly Wage:
SSN:
Full Time Employee Working 35+ Hours: m Yes m No
Employee ID Number (optional):
Employee Name:
Date Hired:
Hourly Wage:
SSN:
Full Time Employee Working 35+ Hours: m Yes m No
Employee ID Number (optional):
Employee Name:
Date Hired:
Hourly Wage:
SSN:
Full Time Employee Working 35+ Hours: m Yes m No
Employee ID Number (optional):
EMPLOYEES NEEDED: (100% Wage reimbursement for six months through Volunteers of America)
Number of positions to fill:
Need to fill these positions by:
I would like Volunteers of America to contact me: m Yes m No
Brief description of position:
I authorize the verification of the information provided on this form, all information regarding employees and personal information is accurate.
Business Owner Signature:
Date:
SBDC Director Signature:
Date:
Volunteers of America Director Signature:
Date:
Capital Region SBDC Contact: Amber Palmer
(916) 321-9148 –
Volunteers of America Contact: Patrick Fitzgerald (916) 400-4318 –
/ SacSBDC
@SacramentoSBDC
Funded in part through a cooperative agreement
One Capitol Mall Drive, Suite 300, Sacramento, CA 95814 |
with the U.S. Small Business Administration

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