ETPL Training Program Application - Virginia Career Works

Education program information-General Information

Name of training Organization

Name and title of contactName and Title

Education Program Name

Education Program Description

This program leads to a credential or degree

YesNo

Name of associated credential

OtherPlease specify

Certification/License Title

Certification License Type

Green Job training?See definiton

YesNo

Business partnership?

YesNo

Please describe the partnership or plans to development partnership (max 800 chars)(supporting documentation may be required):

0 / 800

Education Program Information:Additional details

URL of training program

Financial Aid availablepick one!

Pell GrantInstitutional scholarshipFederal LoanOther

Minimum entry requirirements(Max 800 chars)

0 / 800

Date program first offered

Please provide a reasonable explanation regarding why this is a new program(Max 800 chars)

0 / 800

Minimum class size# of students

Maximum class size# of students

Number of instructors

Describe qualifications of all instructors(Max 800 chars)

0 /

Grievance Procedure(Max 2000 chars)

0 / 2000

Grievance Procedure URL

Refund Policy(Max 2000 chars)

0 / 2000

Refund Policy URL

Related Occupations

0 /

Related Occupational Skills

0 /

Duration titlePrimary duration

Primary Duration

YesNo

Schedule intensity

Full timePart time

Weekly schedule

0 /

Classes offered

DayNightWeekendSummer

Program Length - Clock/Contact Hours:Per week

Program Length - Full-time Weeks:

Education Program Information - Locations

Physical Address

Billing Address

Costs

Tuition/Fee

Books

Tools

Other costs

Total costs

Education Program Information - Performance

Total enrolled (WIOA)

Total enrolled (all students)

Total exited (WIOA)

Total exited (all students)

Program completers (WIOA)

Program completers (all students)

Credential rate (WIOA)

Credential rate (all students)

Employment rate 6 months (WIOA)6 months after exit

Employment rate 6 months (all students)6 months after exit

Employment rate 12 months (WIOA)12 months after exit

Employment rate 12 months (all students)12 months after exit

Median Earnings 6 months (WIOA)6 months after exit

Median Earning 6 months (all students)6 months after exit

* Providers requesting approval or re-approval of a training program must agree to the statement below.

The Program Description and Program Costs I am Posting on the website are currently listed in my catalog/brochure. The programs offered are available to the general public on a tuition basis. I agree to complete the information required on the web site at the time of my approval request. This includes the completion information of all students registered in the program for the last and current Program Year.

Agreement

Yes, I agree to the above statement. Please submit this educational program for WIOA Approval.No, do not submit this educational program for WIOA Approval at this time.