WIOA Adult and Dislocated Worker Program OJT MASTER CONTRACT WIOA Provider: WIOA Provider Contact Person: WIOA Provider Phone #: Employer: Employer Address: Employer Contact Person: Employer Contact # Contract Start Date Contract End Date This on-the-job training (OJT) agreement is between the employer and the (WIOA Provider), herein after called “OJT Provider” and (Name of Employer), herein after called “Employer". Both parties agree to the terms and conditions set forth within this contract. To renew or extend the OJT contract, please contact (WIOA Provider). In the event the OJT WIOA Provider ends their funding relationship with Workforce Connections, this contract will be amended as of the term date to reflect a new OJT provider who will assume the balance of the contract liability. The individual signing this contract on behalf of the employer is the employer’s authorized agent and certifies that all the information listed above is correct. Signatures: I agree to all of the conditions and assurances contained in this on-the-job training contract: Employer Date: (type name): Employer Signature: Date: OJT Provider: Authorized Staff Date: (type name): Authorized staff signature: Date: Collective Bargaining Agreement Is the occupation in which the OJT is being offered subject to a collective bargaining agreement? Yes No If Yes, please complete: I, (enter the name of collective bargaining agent, and title), of local # of (enter collective bargaining unit) am in concurrence with this OJT contract. Authorized collective bargaining agent Date: (signature):
WIOA Adult and Dislocated Worker Program OJT MASTER CONTRACT WIOA Provider: WIOA Provider Contact Person: WIOA Provider Phone #: Employer: Employer Address: Employer Contact Person: Employer Contact # Contract Start Date Contract End Date This on-the-job training (OJT) agreement is between the employer and the (WIOA Provider), herein after called “OJT Provider” and (Name of Employer), herein after called “Employer". Both parties agree to the terms and conditions set forth within this contract. To renew or extend the OJT contract, please contact (WIOA Provider). In the event the OJT WIOA Provider ends their funding relationship with Workforce Connections, this contract will be amended as of the term date to reflect a new OJT provider who will assume the balance of the contract liability. The individual signing this contract on behalf of the employer is the employer’s authorized agent and certifies that all the information listed above is correct. Signatures: I agree to all of the conditions and assurances contained in this on-the-job training contract: Employer (type name): Date: Employer Signature: Date: OJT Provider: Authorized Staff (type name): Date: Authorized staff signature: Date: Collective Bargaining Agreement Is the occupation in which the OJT is being offered subject to a collective bargaining agreement? Yes No If Yes, please complete: I, (enter the name of collective bargaining agent, and title), of local # of (enter collective bargaining unit) am in concurrence with this OJT contract. Authorized collective bargaining agent (signature): Date:
WC-OJT-Contract.docx