Training Provider Application

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This application is for institutions that would like to provide occupational skills training services. A separate application must be filled out for each program that the institution wishes to offer. All fields are required.

Part 1: School / Institution Information

Institution Name

Address

City

State

Zip Code

Federal ID Number

Contact Person

Name

Title

Phone

Email

Targeted Occupation

Occupation Title

ONET Code

Occupation ONET codes are available here.

Organization Information

Organization Type Public Private Post-secondary Newly Established (within last year) Provider utilized by BBJEC

Finacial Aid Available Pell Grant Program Supplemental Education Opportunity Grant College Work-Study Program Perkins Loan Program" Supplemental Loans to Students State Student Incentive Grant Scholarships or Waivers by Training Provider other

You may select more than one option by holding the CTRL key, or select a range of options by holding the SHIFT key.

Financial Aid: Other

If you selected 'other' from the menu above, enter the name of the financial aid program in this field.

Part 2: Program Information

Program Name

Course Description

Course Number

Degree Awarded Associate Degree Baccalaureate Degree Certificate other

Degree: Other

If you selected 'other' from the menu above, enter the name of the degree in this field.

Course Number

Skills Gained from Program

Length of Program

Program Duration

For example: 2 months or 6 weeks

Credit Hours

Clock Hours

Estimated Costs

Tuition $

Fees $

Books $

Supplies $

Tools $

Other $

Total Cost $

Additional Program Information

Eligible for Pell Grant

Enrollment Last Year

Open Entry / Open Exit

GED or High School Diploma Required

Basic Math Score

Basic Reading Score

Basic Language Score

Accredited Program

Name of Accrediting Body

Success Rates

Percent of Students that Completed Course Last Year

Estimated Percent of Students Completing Course this Year

Placement Services are Available

Percent of Students that Gained Unsubsidized Employment Last Year

Anticipated Percent of Students to Gain Unsubsidized Employment This Year

Percent of Students that Gained Related Sunsubsidized Employment Last Year

Anticipated Percent of Students to Gain Related Unsubsidized Employment This Year

Average Wage at Placement Last Year

Anticipated Wage at Placement This Year

Organization Information

This Organization is Willing to Subject its Records to Audit

This Organization has Filed for Bankruptcy in the Last 5 Years

Ligitation is Pending Against this Organizations

Grievances or Complaints have been Filed in the last 5 Years

Registered Minority Business

Community-based Organization

Refund Policy

If nonpublic institution, has a license from the Stae Board of Nonpublic Career Education

In FETPIP Database

Please enter the security code as seen in the image below.

*Validation

Security Code

* All fields are required.