Sfn 14095 Form - On-The-Job Training Proposal - Jsnd / Workforce Programs printable pdf download

Sfn 14095 Form - On-The-Job Training Proposal - Jsnd / Workforce Programs

ON-THE-JOB TRAINING PROPOSAL

JSND / WORKFORCE PROGRAMS

SFN 14095 (R. 7-15)

Job Service North Dakota will help you develop a training program. As an employer, you are paid for

training costs up to 50 percent of the trainee’s wage. You receive this payment each month after you

submit an invoice. There is a minimum amount of record keeping. At the end of the training program,

you know you have a well-trained worker because you trained that worker yourself. Important: The

employee may not begin working prior to negotiation of the On-the-Job Training (OJT) Program contract

and required signatures have been obtained. Failure to comply with this will nullify the contract and may

result in legal action against your business.

Name of Business

Street Address / PO Box

City

State

ZIP Code

Mailing Address (if different than above)

City

State

ZIP Code

Training Program Position Title

E-mail Address

Cell Phone Number

Telephone Number

Federal Tax Identification Number

Number of Full-Time Employees

Please check the box(es) that apply to your agency or business:

Corporation

Individual Ownership

Partnership

Public Agency

Nonprofit Organization

Other

How many hours per week will the trainee work?

What is the business product or service?

Number of Positions Requested

Proposed Starting Wage per Hour

Proposed Starting Date

Proposed Wage at End of Training

List major job duties and / or areas in which the employee will receive training. List the most important

duties (up to a maximum of seven). Also list the approximate percentage of the trainee’s time needed to

learn each job duty.

Total Trainee Hours

100%

Sfn 14095 Form - On-The-Job Training Proposal - Jsnd / Workforce Programs