State ID# Total financial aid Award amount must match total in column "C" below and supporting documentation contained in file. The table below MUST be completed for all participants regardless of their financial aid status. If supportive services are needed, submit Form WIOA 4 separate from this agreement. This is not a binding contract until all signatures and dates are present. I have been provided with a copy of the ITA Terms and conditions; I have read, understand, and agree to the WIOA share figures information and will fully abide by them all. ___________________________________________________ _________________________________________________ Participant’s Signature Date Training Provider’s Signature Date __________________________________________________ Workforce Center WIOA Manager’s Signature Date
State ID# Total financial aid Award amount must match total in column "C" below and supporting documentation contained in file. The table below MUST be completed for all participants regardless of their financial aid status. If supportive services are needed, submit Form WIOA 4 separate from this agreement. This is not a binding contract until all signatures and dates are present. I have been provided with a copy of the ITA Terms and conditions; I have read, understand, and agree to the WIOA share figures information and will fully abide by them all. ___________________________________________________ _________________________________________________ Participant’s Signature Date Training Provider’s Signature Date __________________________________________________ Workforce Center WIOA Manager’s Signature Date
wioa_ita_contract_082218.docx