Fillable TEXAS WORKFORCE COMMISSION REQUEST FOR TRAINING SKILLS DEVELOPMENT (Northwest Vista College)

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TEXAS WORKFORCE COMMISSION REQUEST FOR TRAINING SKILLS DEVELOPMENT (Northwest Vista College)

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TEXAS
WORKFORCE
COMMISSION
REQUEST FOR TRAINING
SKILLS DEVELOPMENT FUND
COVID-19 SPECIAL INITIATIVE
Grantee:
BUSINESS PARTNER REVIEW AND REQUIRED INFORMATION:
BUSINESS PARTNER INFORMATION
Legal Name of Business Partner:
Contact Name & Job Title:
Contact Email Address
Contact Phone Number:
Business Street Address (physical location
required):
City:
County, State:
9-Digit ZIP Code:
Total Number of Employees Corporatewide:
TWC Account Number: (Account # under
which business partner reports employee
wages to TWC Tax Department)
4-Digit NAICS Code that Identifies
Industry: (You can find these codes here:
http:/www.census.gov/eos/www/naics .)
BUSINESS PARTNER EMPLOYMENT BENEFITS
Medical Insurance
Prescriptions
Educational Assistance
Workers’ Compensation
Vacation
401K/Pension Plan
Dental Insurance
Holidays
Profit Sharing
Life Insurance
Sick Days
Other:
Important: TWC conducts internal reviews on all potential Skills Development Fund business partners.
TWC’s review includes an analysis of the fiscal stability of the business, as well as a regulatory integrity
review of the business partner’s standing with federal, state, and local governments (including confirming
payment of all taxes, determining the existence of pending administrative or court actions, and determining
whether there are any adverse factors related to the business partner that could impact the participation in a
grant).
Job Title
Number of
Employees in
this
Occupation to
Receive
Training
Hourly Wage
Range
Minimum
Wage
Hourly Wage
Range
Maximum
Wage
This occupation is
currently:
*Working Full-Time
*Furloughed Worker
*Laid-Off Worker
*Other (Describe below)
Wages for each occupation must be equal to or greater than the prevailing wage for that occupation in the
local labor market pursuant to 40 Texas Administrative Code § 803.13. TWC staff will confirm that the
minimum wage listed meets this requirement.
Skills Development Fund Grant Reporting Requirements:
1. Skills Development Fund grants require specific data on each participating trainee. This includes
information such as the trainee’s full name, Social Security Number (SSN), mailing address, birth date,
and other relevant information pertaining to the participant and training. *
There is NO alternative to the use of an SSN as the identifier of individual trainees participating in
Skills Development Fund projects at this time. TWC requires reports to contain an SSN for individual
trainees. There is no exception.
*TWC staff, Local Workforce Development Board (Board) staff, and TWC grantees must ensure the
security of personally identifiable and other sensitive information, and maintain such information in
accordance with TWC standards and security measures.
2. With regard to the above requirement, please address the following:
a) Has your company/organization adopted any policies that would prevent you from meeting the
reporting requirements outlined above? *
Applicant Response:
b) If so, how will you meet the reporting requirement outlined above if a Skills Development Fund
grant is awarded for the proposed project?
Applicant Response:
3. Please read the Business Partner Acknowledgement and Assurances on Page 3, and sign (e-signature
acceptable) to indicate understanding of as well as agreement to roles and responsibilities for
participation in approved training.
Business Partner Acknowledgement and Assurances:
By signing below, the business partner hereby assures and acknowledges the following:
• The business partner provides equal opportunity without regard to race, color, sex, religion, national
origin, age, disability, or political affiliation or belief.
• The business partner conforms to all applicable federal and state laws, rules, guidelines, regulations, and
executive orders, and provides equal employment opportunities in all employment and employee
relations.
• The business partner will comply with the Fair Labor Standards Act (FLSA), 29 U.S.C. Chapter 8.
• The business partner does not serve on the Board of the Grantee.
• The business partner agrees to adhere to all reporting requirements, as well as the rules and regulations
governing this funding, including, but not limited to: Texas Administrative Code, Title 40, Part 20,
Chapter 803 and Texas Labor Code, Chapter 303.
• Project participants are full-time employees of the contracted business partner;
• The contracted business partner is contributing Texas Unemployment Insurance taxes for participants
that receive training under this grant award;
• By the completion of the training project, the wages paid to project participants under this grant award
meet or exceed the approved prevailing wage corresponding to their respective job titles; and
• To employ project participants for at least ninety (90) days after completion of training.
Authorized Signature representing Business Partner
Title
(e-signature acceptable)
Date
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TEXAS WORKFORCE COMMISSION REQUEST FOR TRAINING SKILLS DEVELOPMENT (Northwest Vista College)

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Completed 7 October 2020

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