Insert OJT Provider Name Here On-the-Job Training (OJT) Pre-Award Checklist Section 1: Employer Information Complete the following Employer information. EMPLOYER LEGAL BUSINESS NAME: FEIN #: EMPLOYER WEBSITE: FORMER NAME(S) UNDER WHICH EMPLOYER CONDUCTED BUSINESS: CONTACT PERSON: TITLE: EMPLOYER ADDRESS: CITY: STATE: ZIP: TELEPHONE: EMAIL: FAX: TYPE OF ORGANIZATION: INDIVIDUAL PARTNERSHIP LIMITED LIABILITY CORPORATION FOR PROFIT COMPANY NAICS CODE: # OF CURRENT YEARS IN EXISTENCE: EMPLOYEES: DOES THE EMPLOYER HAVE A CONNECTING COLORADO ACCOUNT? YES NO IS THE BUSINESS BEING SOLD OR MERGING WITH ANOTHER COMPANY? YES NO Section 2: Company Review WARN notices have previously been filed. Yes No N/A The company has not exhibited a pattern of failing to provide OJT Trainees with Yes No continued long-term employment. Section 3: Meeting Federal Criteria Please check the appropriate response for the following Employer information. Company verifies WIOA funds will not be used to relocate operations in whole Yes No or in part. Company has operated at current location for at least 120 days. Yes No If less than 120 days and the business relocated from another area in Yes No the U.S., were employees laid off at the previous location as a result of the relocation? Company commits to providing long-term employment for successful OJT Yes No Trainees.
Insert OJT Provider Name Here On-the-Job Training (OJT) Pre-Award Checklist Section 1: Employer Information Complete the following Employer information. EMPLOYER LEGAL BUSINESS NAME: FEIN #: EMPLOYER WEBSITE: FORMER NAME(S) UNDER WHICH EMPLOYER CONDUCTED BUSINESS: CONTACT PERSON: TITLE: EMPLOYER ADDRESS: CITY: STATE: ZIP: TELEPHONE: EMAIL: FAX: TYPE OF ORGANIZATION: INDIVIDUAL PARTNERSHIP LIMITED LIABILITY CORPORATION FOR PROFIT COMPANY NAICS CODE: # OF CURRENT EMPLOYEES: YEARS IN EXISTENCE: DOES THE EMPLOYER HAVE A CONNECTING COLORADO ACCOUNT? YES NO IS THE BUSINESS BEING SOLD OR MERGING WITH ANOTHER COMPANY? YES NO Section 2: Company Review WARN notices have previously been filed. Yes No N/A The company has not exhibited a pattern of failing to provide OJT Trainees with continued long-term employment. Yes No Section 3: Meeting Federal Criteria Please check the appropriate response for the following Employer information. Company verifies WIOA funds will not be used to relocate operations in whole or in part. Yes No Company has operated at current location for at least 120 days. If less than 120 days and the business relocated from another area in the U.S., were employees laid off at the previous location as a result of the relocation? Yes No Yes No Company commits to providing long-term employment for successful OJT Trainees. Yes No
PGL-WIOA-2016-08_On-the-Job-Training-attach-01-Employer-Pre-Award-Checklist.docx