Hennepin Carver Workforce Development Board
Workforce Category Verification Form
Thank you for your expressed interest in serving on the Hennepin Carver Workforce Development Board (HC
WDB). We value your interest and expressed commitment to workforce development within our service area.
Please complete the following information as it relates to the workforce organization you represent.
Applicant Information
Applicant Name:
Applicant Address:
Applicant Phone Number:
Applicant Email Address:
Applicant Position Title:
Workforce Organization
Name:
Organization Address:
HC WDB Term of Service:
Workforce Category
Are you representing a labor organization?
Yes No
OR
Are you representing a joint labor-management, or union affiliated, registered apprenticeship program within
the area who is a training director or a member of a labor organization?
Yes No
OR
Are you representing a community based organization that has demonstrated experience and expertise in
addressing the employment, training or education needs of individuals with barriers to employment?
Yes No
OR
Are you representing organizations that have demonstrated experience and expertise in addressing the
employment, training or education needs of eligible youth?
Yes No
Please identify who recommends/nominates you to serve on this board as a workforce representative:
Name: _____________________________________________________
Agency: _____________________________________________________
Position: _____________________________________________________
Address: _____________________________________________________
Phone: _____________________________________________________
Labor representatives are appointed from among individuals who are nominated by local labor federations
(or, for a local area in which no employees are represented by such organizations, other representatives of
employees).
Overview & Definitions
Governance of the Hennepin-Carver Workforce Development Board
Chief local elected officials are required by law to establish a formal nomination and appointment process,
consistent with the criteria established by the Governor and State WDB under sec. 107(b)(1) of WIOA. For
Workforce Development Area (WDA) 9 of Suburban Hennepin & Carver Counties. For WDA 9, the chief local
elected official is the Hennepin County board, and by extension, the chair of the board.
Workforce Seats
At least 20 percent of the members of the Local WDB must be workforce representatives
Essential Requirements
Workforce representatives must
1
:
1. Include 2 or more labor representatives
2. Include 1 joint labor-management, or union affiliated, registered apprenticeship program within the
area who must be a training director or a member of a labor organization
3. May include one or more representatives of community-based organizations that have demonstrated
experience and expertise in addressing the employment, training or education needs of individuals with
barriers to employment
4. May include one or more representatives of organizations that have demonstrated experience and
expertise in addressing the employment, training, or education needs of eligible youth
1
WIOA Section 107(b)(2)(B) and Minn. Statute § 116L.666, Subd. 3
Describe your experience relating to the position:
Thank you again for your time and consideration. If you have any further questions please contact Nola Speiser
at 612-558-6399 or via email at anne.kilzer@hennepin.us