Sfn 14095 Form - On-The-Job Training Proposal - Jsnd / Workforce Programs Page 2

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YES
NO
Does your business participate in any other training program(s) from which employees
can earn special certifications?
If “
,” please explain.
YES
Is this a new position in the company?
Is this an entry-level position?
Do you have a person in mind for the training?
Has he / she worked for you before?
If “
,” list name
YES
Is he / she a relative?
If “
,” what is the relationship?
YES
Will you continue to employ this person full time after the successful completion of
training?
Do you have a collective bargaining agreement or union contract?
If “
,” what is the name of the union?
YES
Is this position included in the agreement?
Is your company involved in a strike, walkout, or lockout?
Is this a seasonal job?
Do you currently have a federally funded training contract?
If “
,” please explain.
YES
Do you have a written complaint or grievance procedure?
Do you currently owe any unemployment insurance taxes or workers compensation
premiums? (OJT contracts cannot be negotiated with delinquent companies unless a
payment agreement has been established with Job Service North Dakota.)
Have you laid-off or terminated any employees in this or another similar position?
If “
,” please explain.
YES
List fringe benefits offered to permanent employees.
Have you or do you plan to reduce the hours of any full-time or part-time employees as a
result of this contract?
If “
,” please explain.
YES
Are uniforms required for the job?
If “
,” are employees required to buy them?
YES
Training Location Address if Different Than Business Address
City
State
ZIP Code

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00 votes

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