Other non-TD Specific Task: responsibility & % of time Other non-TD Specific Task: responsibility & % of time Other non-TD Specific Task: responsibility & % of time TOTAL 100.0% Company 4 Company Name Company Address Starting Date Ending Date Position Please list all TD work tasks for which you had formal fulltime responsibility under the specific TD AOE. PLEASE IDENTIFY ALL SPECIFIC TD TASKS/RESPONSIBILITES. EX: AOE INSTRUCTIONAL DESIGN 10% - DESIGN LEARNING COURSES TO TRAIN STAFF. Additionally, – please identify all non-TD responsibilities for this position. EX: MANAGING OFFICE 20%. – And, please indicate the % of time spent on each totaling 100%. – AOE Name & % of time Specific Task: AOE Name & % of time Specific Task: AOE Name & % of time Specific Task: AOE Name & % of time Specific Task: AOE Name & % of time Specific Task: AOE Name & % of time Specific Task: Other non-TD Specific Task: responsibility & % of time non-TD Specific Task: responsibility & % of time Other non-TD Specific Task: responsibility & % of time TOTAL 100.0% For a review of your eligibility, please provide this information to . NOTE: Eligibility cannot be verified over the phone, and incomplete forms will not be reviewed. Should you have more than four fulltime TD positions to list, please copy the chart and provide the specified information for additional employment positions, too. Please allow 3 5 business days for review and response. –
Other non-TD responsibility & % of time Specific Task: Other non-TD responsibility & % of time Specific Task: Other non-TD responsibility & % of time Specific Task: TOTAL 100.0% Company 4 Company Name Company Address Starting Date Ending Date Position Please list all TD work tasks for which you had formal fulltime responsibility under the specific TD AOE. PLEASE IDENTIFY ALL SPECIFIC TD TASKS/RESPONSIBILITES. EX: AOE INSTRUCTIONAL DESIGN – 10% - DESIGN LEARNING COURSES TO TRAIN STAFF. Additionally, please identify all non-TD responsibilities for this position. EX: MANAGING OFFICE – 20%. And, please indicate the % of time spent on each – totaling 100%. AOE Name & % of time Specific Task: AOE Name & % of time Specific Task: AOE Name & % of time Specific Task: AOE Name & % of time Specific Task: AOE Name & % of time Specific Task: AOE Name & % of time Specific Task: Other non-TD responsibility & % of time Specific Task: non-TD responsibility & % of time Specific Task: Other non-TD responsibility & % of time Specific Task: TOTAL 100.0% For a review of your eligibility, please provide this information to . NOTE: Eligibility cannot be verified over the phone, and incomplete forms will not be reviewed. Should you have more than four fulltime TD positions to list, please copy the chart and provide the specified information for additional employment positions, too. Please allow 3 – 5 business days for review and response.
cplp-eligibility-review-form.docx