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IWT Project Budget
Incumbent Worker Training (IWT) Application & Project Budget
Please enable JavaScript in your browser to complete this form.
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Step
1
of 3
BUSINESS INFORMATION
EMPLOYER NAME
*
MAILING ADDRESS
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
AUTHORIZED BUSINESS REPRESENTATIVE
*
First
Last
TITLE
*
PHONE
*
EMAIL
*
DATE OF INCEPTION OF BUSINESS
*
YEARS IN BUSINESS AT PRESENT LOCATION
*
TOTAL NUMBER OF CURRENT FULL-TIME EMPLOYEES (UNDER THE FEIN#)
*
LEGAL STRUCTURE OF BUSINESS
*
SOLE PROPRIETORSHIP
PARTNERSHIP
CORPORATION
LIST THE DESIGNATION OF YOUR CORPORATION
*
FEDERAL ID#
*
UNEMPLOYMENT COMP ID#
*
BRIEF COMPANY DESCRIPTION (PLEASE INCLUDE SERVICES AND/OR PRODUCTS)
*
IS YOUR BUSINESS CURRENT ON COUNTY TAX OBLIGATIONS?
*
YES
NO
IS YOUR BUSINESS CURRENT ON CITY OR LOCAL TAX OBLIGATIONS?
*
YES
NO
IS YOUR BUSINESS CURRENT ON STATE TAX OBLIGATIONS?
*
YES
NO
IS YOUR BUSINESS CURRENT ON FEDERAL TAX OBLIGATIONS?
*
YES
NO
ESTIMATED TOTAL AMOUNT SPENT ON TRAINING ANNUALLY
*
IS YOUR COMPANY RECEIVING / APPLYING FOR ANY OTHER PUBLIC TRAINING FUND?
*
YES
NO
IF YES, PLEASE EXPLAIN
*
HAS YOUR COMPANY HAD AN IWT AGREEMENT IN THE PAST OR WITH A DIFFERENT AGENCY?
*
YES
NO
IF YES, BREIFLY DESCRIBE OUTCOME/STATUS
*
IF YOUR BUSINESS IS MINORITY OWNED, PLEASE CHECK ALL APPLICABLE
Women-owned
Asian-American owned
African-American owned
Native-American owned
Hispanic/American owned
Other minority owned
PLEASE SPECIFY
*
Next
TRAINING INFORMATION
DOES YOUR BUSINESS USE ONE-STOP SERVICES?
*
YES
NO
IF YES, CHECK APPLICABLE
list job openings
job fairs
testing & assessment
mass hires
other
IF NO, PLEASE EXPLAIN
*
DO YOU AGREE TO LIST ALL FUTURE OPENINGS WITH THE ONE-STOP?
*
YES
NO
IF NO, PLEASE EXPLAIN
*
DESCRIBE DESIRED TRAINING
*
START DATE
*
END DATE
*
TOTAL AMOUNT REQUESTED
*
NUMBER OF TRAINEES
*
TRAINING PROVIDER
*
Training Organization
Training Delivered
YOU SELECTED 'TRAINING ORGANIZATION'
*
Public
Private
Employee Trainer
YOU SELECTED 'TRAINING DELIVERED'
*
On-site
Training institution
Remote site
IF REMORE SITE, PLEASE LIST LOCATION
*
Location Name and Address
NAME OF TRAINING PROVIDER
*
TRAINING PROVIDER ADDRESS
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
AUTHORIZED TRAINING PROVIDER REPRESENTATIVE
*
TITLE
*
TRAINING PROVIDER PHONE
*
TRAINING PROVIDER EMAIL
*
TRAINING PROGRAM FOCUS
*
Layoff aversion (mandatory)
Upgrade employee skills
Increase skills/wages
Portable skills
Retention
Other
IF OTHER, PLEASE SPECIFY
*
ANTICIPATED OUTCOMES
*
Layoff aversion/save jobs within the business
Create new jobs
Training disabled workers
Increase trainee wage
Training for welfare-to-work
Enhance viability
Training veterans
Prevent relocation
Lower turnover
Training minorities
Increase profitability
ESTIMATED # OF JOBS SAVED
*
ESTIMATED # OF NEW JOBS
*
ESTIMATED % OF WAGE INCREASE
*
BRIEFLY DESCRIBE HOW THE TRAINING WILL ACHIEVE THE ANTICIPATED OUTCOMES AND CONTRIBUTE TO THE PURPOSE OF INCUMBENT WORKER TRAINING
*
You may refer to the IWT Guide for this section.
HOW DID YOU LEARN ABOUT THE INCUMBENT WORKER TRAINING PROGRAM?
*
Next
IWT PROJECT BUDGET
Please show all formulas used to calculate totals, as indicated. Note: Training funds cannot be used to reimburse any training costs occurring before the application is approved and no partial reimbursements will be made prior to the completion of the total project. You may include other items for consideration as required, such as the IWT Trainee Log.
Reimbursement will only occur after the training, once GOWBI or its sub-grantee receives verification of training completion, paid invoices, and costs associated with the employer contribution.
Download the IWT Project Budget listed above. After you complete the budget, please upload the IWT Project Budget here:
*
Click or drag a file to this area to upload.
Once you submit..
You will receive a copy of IWT Application & Project Budget via the email your provided at the beginning of the application (please check your spam/junk mail).
After you hit
submit
, you will be redirected back to the IWT Section of the Training Assistance webpage. From there, complete the IWT Contract Agreement under Step 3.
Thank you.
Submit
© 2022 Ottawa County Improvement Corporation
Business Support
BRE Program
Financing & Tax Credits
Small Business Assistance
Workforce
Collaboration
OhioMeansJobs Ottawa County
Ottawa County Business Advisory Council
Ottawa County Safety Council
Training Assistance
Infrastructure
Business Climate
Quality of Life
Sites & Buildings
Data Center
News & Updates
About OCIC
Ottawa County Resource Centre