Job Seeker Services
Education and Training Choices Provider Application

GENERAL INFORMATION AND INSTRUCTIONS

The Workforce Investment Act (WIA) of 1998 establishes a voucher system requiring local Regional Workforce Boards (RWB) and the State of Indiana to certify eligible education and training programs and providers. The intent of the Act is to allow job seekers who qualify for training services through WIA to obtain a voucher that they can redeem at the training provider of their choice in order to obtain needed training in a demand occupation skill.

REASON FOR APPLICATION

Service providers of program(s) that focus on demand occupations and whose performance qualifies them to receive WIA funding will be placed on a statewide listing of eligible education and training providers. Participants eligible for training will receive a voucher that may be used at the training provider of their choice selected from the statewide training list. The applicable program(s) offered by a training provider must be on the statewide list to be eligible to redeem WIA training vouchers.

WHO QUALIFIES AS A TRAINING PROVIDER?

The following organizations may apply to certify their training programs:

1.) All programs provided by postsecondary educational institutions under Title IV of the Higher Education Act of 1996 that lead to associate degrees, baccalaureate degrees, and/or certificates;

2.) All programs provided under the National Apprenticeship Act; and

3.) Any other training providers including former JTPA providers. Eligible programs must be consider high wage, high demand occupations.

HOW DO I GET ON THE STATEWIDE LIST?

Organizations with eligible programs must submit an application to a Regional Workforce Board Workforce or a Workforce Investment Board (WIB) in Indiana. Performance data must meet the approval of the RWB/WIB in order to be forwarded to the State for approval and inclusion on the statewide education and training list. Applications must be submitted by PROGRAM, not organization. If your organization offers more than one program, separate applications must be completed for each program.

IMPORTANT: Only one successful application must be submitted to any RWB/WIB in the state to be published on the statewide training provider list. Duplicate applications are not necessary to multiple boards.

To check to see if your program is already on the state listing, check the following website https://secure.in.gov/apps/dwd/crs/dwd_etc.

Applications received and approved by RWB/WIB will be forwarded to the Indiana Department of Workforce Development (IDWD). Approval by IDWD is signified by inclusion on the statewide training list. This application is MANDATORY for all providers who wish to provide training supported by funds authorized by the Workforce Investment Act of 1998.

CAN MY ORGANIZATION EXPECT REFERRALS AND FUNDING BY BEING INCLUDED ON THE STATEWIDE LIST?

Completion of an application and inclusion on the statewide training list does not guarantee referrals of funding in any way.

Please complete the following electronic form in its entirety for submission to be added to the list of Education & Choices Training Providers list. Incomplete submissions will need to be resubmitted.
Please contact the WorkOne Administration team for questions related to this application via our Contact Form.

ORGANIZATION INFORMATION
Organization Name
Chief Administrator Name
Title
Email
Telephone
Website
PROGRAM INFORMATION

Program name - Provide the name for which your organization is applying for certification. If your organization plans to certify several programs, a separate application must be completed for each program with related statistics.
Program name (limit of 40 characters)
Career Cluster
PROGRAM LOCATION

This is the physical location where training will occur.
Contact Name
Title
Phone (Direct)
Email
Program Address
City
State
ZIP Code
County
PROGRAM DESCRIPTION

Describe the program for which the application is being made. Include the following information:

  • Program length
  • Format of instruction (number of contact hours with instructors, computers, classroom)
  • Skills attained upon completion
  • Employer-specific and industry connections to employment opportunities.
PROGRAM DETAIL
Program Length
Degree Type
Program Description (no longer than 2000 characters)
PROGRAM COST

Round to the nearest dollar

Tuition and fees - Charges assessed to students for educational purposes. Excludes charges for room, board, and other services rendered by auxiliary enterprises.

Books and supplies - Books and supply costs related to enrollment in the training program.

Financial aid resources available - Mark the appropriate boxes if your organization accepts federal Pell Grants, other federal financial aid, state financial aid, or offers private fund student tuition assistance.
Tuition
Registration
Books
Supplies
Tools
Other
Do you accept Pell Grants? Yes No
Do you accept other Federal student financial aid? Yes No
Do you accept State financial aid? Yes No
Do you offer private fund student tuition assistance? Yes No
PERFORMANCE MEASUREMENT FOR ALL STUDENTS

All performance is measured on a per-site basis. Multiple sites will require multiple submissions.
Total Enrollees
Total Graduates
Total employed in a related field (optional)
Total Employed
Average Starting Hourly Wage (rounded to the nearest dollar)
If your organization has not collected portions of this data, please provide justification for such, and indicate how this information will be made available at recertification.
PERFORMANCE MEASUREMENTS FOR WIA-FUNDED STUDENTS
Total Enrollees
Total Graduates
Total Employed
Total employed six months after placement
Average starting hourly wage six months after employed
Licensure/wage certification rate
If your organization has not collected portions of this data, please provide justification for such, and indicate how this information will be made available at recertification.
CERTIFICATION

By submitting this application, I certify that the information given is accurate and true to the best of my knowledge and was prepared in accordance with the accompanying instructions. False statements on this application will deem my organization ineligible to provide services under the Workforce Investment Act of 1998, P.L. 105-220, Title I, Sec. 122 (f).
 
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