Fillable Economic Development Division Workforce Training Assistance Application (City of Beaverton)

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Economic Development Division Workforce Training Assistance Application (City of Beaverton)

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Economic Development Division
City of Beaverton 4755 SW Griffith Drive PO Box 4755 Beaverton, OR 97076 www.BeavertonOregon.gov
Q:WTA Application Rev11 073014kp
Workforce Training Assistance Application
Program Description:
The City of Beaverton (COB) is committed to assisting key industries with their efforts to grow and
expand in Beaverton. Our goal is to provide Workforce Training Assistance (WTA) to organizations
interested in relocating to, or already located in, Beaverton with an emphasis on the following key
industry sectors: Software & Information Services, Scientific & Medical Instrumentation, Electrical &
Electronics Equipment Manufacturing, Sporting Goods & Apparel, and Food Processing.
Purpose:
To promote access to training funds that result in traded sector job growth of skilled, family-wage
jobs in Beaverton. This program is targeted to employers who create new full-time employment
positions, or fill existing positions with employees who have been unemployed for a minimum of 30
days at the date of hire.
Eligibility:
Any eligible traded sector business as previously described may apply. The Economic Development
Division (EDD) may approve an application if:
• The business can demonstrate the capacity to increase employment in Beaverton
• The business is committed to providing family wage positions in Oregon
• Funds are available in the WTA program at the time of the application
• The business is not requesting training for retail, seasonal, or contract employment
Program Guidelines:
• Maximum amount is 50% of eligible training costs - An eligible business may apply for up to
50% reimbursement of their training costs up to a maximum of $2,500 per employee to
offset those expenses during an initial period of employment.
• Any new employee must be
recruited through the iMatch Skills Program run by WorkSource
Oregon, or by a competitive hiring process approved by the City.
• Any new employee must be paid a salary (wage and benefits) of at least 150% of Oregon
minimum wage.
• Funding from the WTA program may not exceed $20,000 per calendar year for any singl
e
company
.
• Any new, full-time position must be held by the employee for a minimum period of 90 days
after the initial training period is completed.
• Applicants can be made up of private individuals or legal business entities located within
the City of Beaverton, Oregon.
• Applicants must maintain all currently existing positions in their Beaverton facility at least until all
Workforce Training funds are disbursed.
• WTA program funds will only be disbursed once all conditions of the agreement have been
compl
eted for each employee hired. The applicant will receive the WTA Agreement once the
application has been processed.
Prospective applicants of the WTA Program must complete an application and submit it
to the EDD for review. Application materials must be complete, including all necessary
attachments and required signatures of company officials. If more room is needed to
answer a question, please attach additional sheet(s) and label accordingly.
D-13-13512 WTA Q:WTA Application Rev11 073014kp page 2 of 4
Workforce Training Assistance Application
A complete application will help expedite the application processing time. Applicants may schedule
an appointment with City of Beaverton EDD staff to discuss the components of their application or
ask questions about their specific situation. Generally, applicants will receive notification of their
request within two to three weeks of submission. For more information, please call 503-350-4037 or
visit our website at www.BeavertonOregon.gov/econdev.
1.
Fees. There are no fees to apply for this program.
2.
Borrower information.
CEO/President/Owner
Title
Business name
Telephone
Fax
Business address
City
State
Zip
Email address
Primary business contact for WTA
Title
Telephone
Email address
Accountant/CPA/Financial Agent
Title
Telephone
Email address
Business Type
Target Market
Sole Proprietorship
Software & Information Services
C-Corp
Scientific & Medical Instrumentation
S-Corp
Electrical & Electronics Manufacturing
Partnership
Sporting Goods & Apparel
LLC
Food Processing
Date business established
Date of incorporation
State of incorporation
DUNS Number
IRS number
NAICS code
Oregon business ID # (OR Dept. of Revenue)
3. Company Ownership. Provide name, title, address, and percentage owned of proprietor,
partners, officers, directors, or other owners of more than five percent of company. (Attach
separate page as needed.)
D-13-13512 WTA Q:WTA Application Rev11 073014kp page 3 of 4
4. Describe what your business does in Beaverton. (Attach separate page as needed.)
5.
Describe company’s present facility.
Present facility: own/lease
Lease expiration date (MM/DD/YYYY)
Landlord
Landlord’s address and contact information (including phone number and email)
6. Describe your workforce training program: Who provides the training, how many hours of
training are provided, what the subject matter of the training is, how completion of the training is
documented, how success of the training is determined, and what the estimated training cost is
per employee? (Attach separate page as needed.)
7. Projected hire completion date:
(
MM/DD/YYYY)
8.
Current Employment information
Current number of full-time equivalent (FTE) employees
(To convert part-time employees to full-time equivalent (FTE), total the annual hours of full and part-time
employees, then divide by 2080.)
9. Recipient training cost estimate: (Breakdown of expenses - Attach separate page as needed.)
Employee Position
# Anticipated
Training $ per Employee
Total Estimated Cost
a.
b.
c.
10. Projected number of new employees and annual wages.
Number of Employees
Annual Wages per Employee
Managerial
Office
Sales
Technical/Professional
Production
Total number of projected new full-time employees resulting from this project.
D-13-13512 WTA Q:WTA Application Rev11 073014kp page 4 of 4
Please provide the following attachments:
Attachment A - Management Outline
Provide an organization chart of the company showing key position and functions. Attach
resumes or biographies of key management.
Attachment B - Executive Summary or Business Plan
Provide an executive summary or current business plan if company is less than three years old.
DNB Report - The City will request its own DNB Report and if the company’s score does
not meet a “Medium Risk” or better, the City may require up to three years of financial
statements for the company. City will notify company if any such financial statements are
required.
Applicant Certification
The undersigned certifies that he/she is the (title)
for (applicant business) applying for the WTA Program
from the COB and that he/she is familiar with the records of the applicant and the contents of this
application. The information contained in this application including all attachments is, to the best of
the knowledge of the undersigned, complete, current and accurate, and presents fairly the condition
of the applicant and projects accurately its intended operations for the period set forth in this
application.
The undersigned
further certifies that, except as described in this application: (a) no litigation or legal
proceeding is current, pending or threatened in any court, in any way affecting the eligibility of the
applicant to apply for this program or the ability of the applicant to complete the project; (b) there are
no known material unasserted claims outstanding against the company or any of its principals; and
(c) neither the company nor its affiliates, its owners or officers have filed for bankruptcy or been
investigated by the National Association of Securities Dealers in the past ten years, unless so
indicated in this application. Materia
l misrepresentation of fact in this application is unlawful and is
grounds for COB to deny or withdraw its financial commitment at any time.
In the opinion of
the undersigned, this application contains accurate information in response to
requested information and no material information has been knowingly withheld. The undersigned
also acknowledges, on behalf of the applicant, any of its principals and any related business
organization, that COB is authorized to investigate the creditworthiness and business standing of the
applicant, any of its principals or guarantors and any related business organization, and further, to
take action which COB deems necessary to evaluate and verify any statement or material submitted
in connection with the application.
In addition, as a condition of compliance with this program, the undersigned agrees to permit EDD
access to its
Oregon State Employment service information.
COMPANY NAME (print)
FINANCIAL AGENT (Accountant/CPA, etc.)
By (signature)
By (signature)
Name (print)
Name (print)
Title
Title
Date
Date
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Economic Development Division Workforce Training Assistance Application (City of Beaverton)

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Completed 15 January 2021

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