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Pre-Award Review Business Application

To apply for a business training program, please complete the application below.

Instructions: Please complete all items on this application. To facilitate your review, please prepare this application electronically, if possible.  

Please indicate which training program you are applying for (select all that apply):

Please visit our FAQ Pages for On-the-Job-Training and for Customized Training.

A. Company Information

B. Contact Person

C. Company Background

1.  Has your business participated in a business training program with HempsteadWorks before?

If so, in what year(s)?

2. Has your company relocated from another area in the U.S. within the last 120 days?

If so, were there any employees laid off at that former location?

3 How long have you been in business in this area?

4. How many full-time employees do you have?

5. Are any employees on layoff currently?

6. Have any WARN notices been filed within the past year?

7. Has your business sought WIOA/TGAA or other assistance in connection with past or impending job losses at other facilities during the past year?

8.  Is your business currently engaged in any labor disputes with a labor organization?

9. Will any currently employed individuals be displaced (even partial displacement such as reduction in hours) by the OJT trainee, intern, or transitional worker?

10. Does the company have the necessary facilities, staff and equipment to provide quality training?

11. Are the facilities and equipment within the worksite where the OJT trainee, intern, or transitional worker will work safe (e.g., they do not present any obvious safety or health concerns)?

12. Is your company willing and able to provide the OJT trainee, intern, or transitional worker with the support they need to be successful in their training?

13. Your business operations and jobsites located in Nassau County, Suffolk County and New York City.

14. Your business has two or more employees.

15. Your business has a Federal Employer Identification Number (FEIN)

16. Your business is a temporary employment agency

17. The selected trainee, transitional worker, or intern will not represent more than 25% of your workforce.

D. Job Position Information

1. What job titles/job descriptions are you seeking to fill with OJT trainees, interns, and/or transitional workers? (You can use the job description form provided – can attach existing job descriptions in lieu of completing job description Section in the form).

2. Are jobs expected to last a year or more in the normal course of business?

3. Are any of these jobs newly created?

4. Are all job openings in New York State?

5. Will the OJT trainee, intern, or transitional worker be required to participate in
sectarian or political activities?

6. If approved to receive an OJT trainee, will the hourly wage for this trainee be the same rate as employees with similar job titles and similar experience/skill levels?

7. If approved to receive an OJT Trainee, will the trainee be paid at a time-and-a-half rate for hours worked beyond 40 per week?

8. If approved to receive an OJT trainee, will the trainee be provided benefits to the same extent as other FT employees?

9. Are any of the jobs considered for an OJT candidate classified as “independent
contractor” positions, or would individuals not be employed by your firm during the entire training period?

10. Are any of the jobs covered by a collective bargaining agreement?

If so, we will need to obtain a letter of concurrence from the union(s). Please indicate the following:

11. Do any of the jobs pay based upon commissions, tips, piece work or incentives?

12. Would participation in a business training program provide opportunities for
permanent employment and/or advancement within the company?

13. What percentage of previous trainees, over the last two (2) years, have completed
training and been retained by your firm?

E. Company Applicant Signature

Job Description 

Complete a separate description for each title below.

Add Additional Job Description

Job Description

Complete a separate description for each title.

Thank you for submitting this form!

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