III. COMPANY CERTIFICATION
The undersigned officer of the Company hereby certifies, on behalf of the Company, as follows:
A. The information contained in this application is true and correct. The Company is aware that
any material misrepresentation made in this application constitutes an act of fraud, resulting in
termination of participation in the Monroe on the Job program.
B. The Company understands the terms and conditions of the program noted above.
C. The Company and all officers owning minimum of 20%, are current and will remain current
throughout the term of this agreement, on a all real property, federal, state, sales, income
and withholding taxes.
D. The Company will maintain its headquarters at a nonresidential address in Monroe County.
E. If a company has received payment from the Monroe On the Job program, and relocates
outside Monroe County within two (2) years after receipt, the total amount must be paid back in full.
F. The Company understands qualification for participation in the program is to be determined by
Monroe County in its sole discretion.
IN WITNESS WHEREOF, the undersigned has executed this company’s certificate as of this date:
Date:
Company’s Name:
Signature:
Print Name & Title:
* Employee must be employed in Monroe County
match at least 50% of the total program cost. Employee wages are not eligible training costs.
* The program is a reimbursement, and funds will be paid directly to the Employer
upon satisfactory evidence of training completion.
* The Monroe On the Job program is available to eligible employees of a company
as determined by Monroe County in its sole discretion.
* Training must lead to an industry recognized certification or transferable credential.
* Awards may not exceed $4,000 per employee or $16,000 per company. Employer must
MONROE ON THE JOB PROGRAM APPLICATION
Monroe County Economic Development
50 West Main Street, Suite 8100
Rochester, New York 14614-1218
(585) 753-2000 Fax (585) 753-2002
monroecounty.gov
