22-8864 Training Agreement for Apprenticeship and Other On-the-J

TRAINING AGREEMENT FOR APPRENTICESHIP AND OTHER ON-THE-JOB TRAINING PROGRAMS
(Title 38 U.S.C. 3677 and 3687)

INSTRUCTIONS TO ESTABLISHMENT
We are sending you this form as you have expressed interest in providing on-the-job or apprenticeship training
to veterans, their eligible dependents, and members of the Selected Reserve. If you want additional information
or need assistance in completing this form, contact your VA Education Liaison Representative (ELR). If you
do not have this person’s contact information, you can request it as follows:
Access our education Internet site: www.gibill.va.gov
Click on the "INFORMATION FOR EDUCATION PROFESSIONALS" link.
Click on the "INFORMATION RESOURCES" link.
Click on the "EDUCATION LIAISON REPRESENTATIVE" link. (Scroll down to the State for your
mailing address.)
Click on the link for that State. (This action shows the name, telephone number and e-mail address for our
ELR (Educational Liaison Representative). Contact that person using the e-mail address or telephone
number shown. He or she will provide you with the information or assistance.
INSTRUCTIONS FOR COMPLETED FORM
Complete the entire form. Be sure that you and the VA trainee sign this form. Then take the following
actions:
Mail two copies (Copy 1 and Copy 2) to the ELR. (Obtain this mailing address from the ELR.)
Keep a copy (Copy 3) for your records.
Give a copy (Copy 4) to the VA trainee.
PRIVACY ACT NOTICE: VA will not disclose information collected on this form to any source other than what has
been authorized under the Privacy Act of 1974 or Title 38, Code of Federal Regulations 1.576 for routine uses as
identified in the VA system of records, 58VA21/22/28, Compensation, Pension, Education, and Vocational
Rehabilitation and Employment Records - VA, and published in the Federal Register. An example of a routine use allows
VA to send educational forms or letters with a veteran’s identifying information to the veteran’s school or training
establishment to (1) assist the veteran in the completion of claims forms or (2) for VA to obtain further information as
may be necessary from the school for VA to properly process the veteran’s education claim or to monitor his or her
progress during training. Your obligation to respond is required to obtain or retain education benefits. Giving us your
SSN account information is voluntary, but you failure to give us your SSN could impede our processing of your claim.
Refusal to provide your SSN by itself will not result in the denial of benefits. VA will not deny an individual benefits for
refusing to provide his or her SSN unless the disclosure of the SSN is required by a Federal Statute of law enacted before
January 1, 1975, and still in effect. The requested information is considered relevant and necessary to determine the
maximum benefits under the law. While you do not have to respond, payment of education benefits cannot be made
unless the information is furnished as required by existing law. This information is a training agreement, as approved by
the Department of Veterans Affairs (VA), is completed both the employer and the trainee. The responses you submit are
considered confidential (38 U.S.C. 5701). Information submitted is subject to verification through computer matching
programs with other agencies.
RESPONDENT BURDEN: We need this information to determine the trainee’s eligibility for educational benefits
based on On-the-Job or Apprenticeship training (38 U.S.C. 3671). Title 38, United States Code, allows us to ask for this
information. We estimate that you will need an average of 30 minutes to review the instructions, find the information,
and complete this form. VA cannot conduct or sponsor a collection of information unless a valid OMB control number is
displayed. You are not required to respond to a collection of information if this number is not displayed. Valid OMB
control numbers can be located on the OMB Internet Page at http:www.reginfo.gov/public/do/PRAMain. If desired, you
can call 1-888-GI-BILL-1 (1-888-442-4551) to get information on where to send comments or suggestions about this
form.
VA FORM
DEC 2010

22-8864

EXISTING STOCKS OF VA FORM 22-8864, NOV 2007,
WILL BE USED.

OMB Approved No. 2900-0342
Respondent Burden: 30 minutes

TRAINING AGREEMENT FOR APPRENTICESHIP AND OTHER ON-THE-JOB TRAINING PROGRAMS
(Title 38 U.S.C. 3677 and 3687)
PART I - GENERAL INFORMATION
1. NAME AND ADDRESS OF ESTABLISHMENT ENTERING INTO TRAINING
AGREEMENT (Include e-mail address)

2. NAME AND ADDRESS OF TRAINEE ENTERING INTO TRAINING AGREEMENT

3. TRAINEE’S SOCIAL SECURITY NUMBER

4. TRAINEE’S VA FILE NUMBER

5. DATE OF BIRTH

7. LENGTH OF PROGRAM

8. CREDIT FOR PREVIOUS TRAINING/EXPERIENCE

10. DATE TRAINING BEGINS

11. LENGTH OF PROBATIONARY
PERIOD

6.TRAINEE’S JOB TITLE OR TRADE

9. LENGTH OF TIME REMAINING TO BE COMPLETED

12. FACILITY CODE

13. DOT CODE

FOR VA USE
ONLY

PART II - TRAINING AGREEMENT
14. SPECIFIC QUALIFICATIONS FOR TRAINEES

15. NUMBER OF TRAINEES PER INSTRUCTOR OR NUMBER
OF APPRENTICES TO JOURNEYWORKERS (Ratio)

16. WAGE PROGRESSION TOWARD THE JOURNEYWORKER WAGE

NOTE: Trainees who receive credit for previous experience shall be paid the wage rate of the period to which such credit
advances them.
A. PERIOD

B. NUMBER OF MONTHS

C. WAGE LEVEL

A. PERIOD B. NUMBER OF MONTHS

C. WAGE LEVEL

1ST

$

PER

6TH

$

PER

2ND

$

PER

7TH

$

PER

3RD
4TH

$
$

PER
PER

8TH
9TH

$
$

PER
PER

5TH

$

PER

10TH

$

PER

D. PRESENT FULLY TRAINED WAGE RATE OR JOURNEYWORKER WAGE RATE

$

PER
17A. WORK PROCESSES IN WHICH TRAINEE WILL RECEIVE INSTRUCTION OR WILL BE TRAINED
(List the various operations or tasks to be learned with a brief narrative description and the length of time
devoted to each. If additional space is required, please continue on a separate sheet)

17B. NUMBER OF HOURS OF TRAINING

TOTAL
18A. COURSE CURRICULUM UNITS, OR TRAINING OUTSIDE THE JOB NECESSARY
FOR THIS TRADE (If required)

18B. LOCATION OF RELATED TRAINING/INSTRUCTION

The Establishment and the Trainee enter into this agreement in conformity with the Training Standards shown on the
reverse side of this form which have been approved by the Department of Veterans Affairs. Carefully read these
standards before signing below.
19. SIGNATURE OF TRAINEE

20. SIGNATURE AND TITLE OF ESTABLISHMENT DESIGNEE

The signing of this agreement binds the parties to compliance with the Agreement and Training/Apprenticeship
Standards.
VA FORM
DEC 2010

22-8864

EXISTING STOCKS OF VA FORM 22-8864, NOV 2007,
WILL BE USED.

COPY 1

OTHER ON-THE-JOB TRAINING STANDARDS
I. HOURS AND SUPERVISION - The trainee shall work the same hours as the instructor and shall work under the supervision of the
instructor at all times.
II. SAFETY AND HEALTH TRAINING - The VA trainee will receive instruction on the job as to safe and healthful work practices.
Such instruction shall include training regarding safety regulations, reporting of accidents, and availability of first aid medical
facilities. The establishment shall also ensure that the trainee is trained in facilities and other environments that are safe and healthful.
III. ADMINISTRATIVE PROCEDURES - The following shall be the responsibility of the participating establishment:
A. To see that all VA trainees are covered by a written agreement.
B. To notify the VA Regional Processing Office in writing of any interruption or termination of training by each VA trainee.
C. To maintain a record of each VA trainee showing his or her experience and progress in learning the occupation until 3 years after
completion of the training program.
IV. COMPLIANCE WITH TITLE VI, CIVIL RIGHTS ACT OF 1964 - The establishment agrees to comply with the provisions of
Title VI, Civil Rights Acts of 1964.
V. COMPLIANCE WITH TRAINING STANDARDS - These standards, as approved by VA, become a part of the Training
Agreement applying hereto. The signing of the Agreement in Items 19 and 20 on the reverse, binds the parties to compliance with these
standards.
The employer will provide every VA trainee entering into an Other On-The-Job Training Agreement with a copy of the Agreement
with these Standards. The employer will send two copies of the completed Agreement to VA. The terms of this training agreement are
in compliance with the requirements of section 21.4262, Title 38, Code of Federal Regulations.

APPRENTICESHIP TRAINING STANDARDS
I. DEFINITION AND TERM OF APPRENTICESHIP - The term "apprentice" shall mean a person at least
years of age who is
employed to learn a skilled trade pursuant to the terms of a written Apprenticeship Agreement with the establishment. The Agreement
will provide for (a) not less than
years of reasonably continuous employment, (b) participation of the apprentice in an
approved schedule of work experience through employment, and (c) at least the number or hours per year of supplemental instruction
in subjects related to the trade specified by the U.S. DOL (Department of Labor). (The DOL usually requires at least 144 hours per
year.)
II. QUALIFICATIONS OF APPRENTICESHIP APPLICANTS - VA apprenticeship applicants for this trade shall be between the ages
of
and
and should be, if possible, high school graduates or the equivalent and be able to meet the requirements of the trade.
III. PROBATIONARY PERIOD - All apprentices employed in accordance with these standards shall be subject to a probationary
period not exceeding the first
of the term of apprenticeship. During this period, the Apprenticeship Agreement may be
terminated at the request of either party to the Agreement.
IV. HOURS AND SUPERVISION - The apprentice shall work the same hours as the journeyworker and shall work under the
supervision of the journeyworker at all times.
V. WAGE PROGRESSION - This standard must include a uniform, progressive schedule of wages.
VI. RELATED SCHOOL INSTRUCTION
A. Each apprentice shall enroll in and attend classes in subjects related to this trade for not less than the number of hours yearly
specified by the U.S. DOL during the term of apprenticeship. Apprentice related training should be arranged through local
education agencies, the Community College system, or private vocational schools. If institutional training is not available
locally, such related training may be given by a course applicable to the trade taken through correspondence (or other forms of
self-study approved by the registration/approval agency), or an individualized instruction program of classroom training in the
training establishment will be substituted.
B. Failure on the part of the apprentice to regularly attend class and/or progress satisfactorily in approved related training will
be deemed sufficient cause to drop the apprentice from the entire training program.
C. Trade journals, manuals, books, publications, etc., applicable to the trade may be used in supervised training.
D. The minimum number of related training hours per year are not classified as hours of employment unless given during regular
working hours for which wages are paid.
E. Curriculum content is described in Items 18A and 18B of the Apprenticeship Agreement.
VII. SAFETY AND HEALTH TRAINING - The apprentice shall receive instruction on the job as to safe and healthful work
practices. Such instruction shall include training regarding safety regulations, reporting of accidents, and availability of first aid
medical facilities.
VIII. ADMINISTRATIVE PROCEDURES - The following shall be the responsibility of the participating establishment:
A. To see that all apprentices are covered by a written agreement.
B. To notify the VA Regional Processing Office in writing of any interruption or termination of training by each apprentice.
C. To maintain a record of each apprentice showing his or her experience and progress in learning the occupation until 3 years
after completion of the training program.
IX. GRANTING CERTIFICATE OF COMPLETION OF APPRENTICESHIP - After satisfactory completion of apprenticeship under
these standards, each apprentice shall be furnished with a Certificate of Completion of Apprenticeship.
X. COMPLIANCE WITH TITLE VI, CIVIL RIGHTS ACT OF 1964 - The establishment agrees to comply with the provisions of Title
VI, Civil Rights Act of 1964.
XI. COMPLIANCE WITH APPRENTICESHIP STANDARDS - These standards, as approved by VA, are made a part of the
Apprenticeship Agreement applying hereto. The signing of the Agreement in Items 19 and 20 on the reverse, binds the parties to
compliance with these standards.
OTHER INFORMATION - Every apprentice entering into an Apprenticeship Training Agreement will be given a copy of these
standards. Two copies will be forwarded to VA. The terms of this training agreement are in compliance with the requirements of
section 21.4261, Title 38, Code of Federal Regulations.

VA FORM 22-8864, NOV
DEC 2010
2007

OMB Approved No. 2900-0342
Respondent Burden: 30 minutes

TRAINING AGREEMENT FOR APPRENTICESHIP AND OTHER ON-THE-JOB TRAINING PROGRAMS
(Title 38 U.S.C. 3677 and 3687)
PART I - GENERAL INFORMATION
1. NAME AND ADDRESS OF ESTABLISHMENT ENTERING INTO TRAINING
AGREEMENT (Include e-mail address)

2. NAME AND ADDRESS OF TRAINEE ENTERING INTO TRAINING AGREEMENT

3. TRAINEE’S SOCIAL SECURITY NUMBER

4. TRAINEE’S VA FILE NUMBER

5. DATE OF BIRTH

7. LENGTH OF PROGRAM

8. CREDIT FOR PREVIOUS TRAINING/EXPERIENCE

10. DATE TRAINING BEGINS

11. LENGTH OF PROBATIONARY
PERIOD

6.TRAINEE’S JOB TITLE OR TRADE

9. LENGTH OF TIME REMAINING TO BE COMPLETED

12. FACILITY CODE

13. DOT CODE

FOR VA USE
ONLY

PART II - TRAINING AGREEMENT
14. SPECIFIC QUALIFICATIONS FOR TRAINEES

15. NUMBER OF TRAINEES PER INSTRUCTOR OR NUMBER
OF APPRENTICES TO JOURNEYWORKERS (Ratio)

16. WAGE PROGRESSION TOWARD THE JOURNEYWORKER WAGE

NOTE: Trainees who receive credit for previous experience shall be paid the wage rate of the period to which such credit
advances them.
A. PERIOD

B. NUMBER OF MONTHS

C. WAGE LEVEL

A. PERIOD B. NUMBER OF MONTHS

C. WAGE LEVEL

1ST

$

PER

6TH

$

PER

2ND

$

PER

7TH

$

PER

3RD
4TH

$
$

PER
PER

8TH
9TH

$
$

PER
PER

5TH

$

PER

10TH

$

PER

D. PRESENT FULLY TRAINED WAGE RATE OR JOURNEYWORKER WAGE RATE

$

PER
17A. WORK PROCESSES IN WHICH TRAINEE WILL RECEIVE INSTRUCTION OR WILL BE TRAINED
(List the various operations or tasks to be learned with a brief narrative description and the length of time
devoted to each. If additional space is required, please continue on a separate sheet)

17B. NUMBER OF HOURS OF TRAINING

TOTAL
18A. COURSE CURRICULUM UNITS, OR TRAINING OUTSIDE THE JOB NECESSARY
FOR THIS TRADE (If required)

18B. LOCATION OF RELATED TRAINING/INSTRUCTION

The Establishment and the Trainee enter into this agreement in conformity with the Training Standards shown on the
reverse side of this form which have been approved by the Department of Veterans Affairs. Carefully read these
standards before signing below.
19. SIGNATURE OF TRAINEE

20. SIGNATURE AND TITLE OF ESTABLISHMENT DESIGNEE

The signing of this agreement binds the parties to compliance with the Agreement and Training/Apprenticeship
Standards.
VA FORM
DEC 2010

22-8864

EXISTING STOCKS OF VA FORM 22-8864, NOV 2007,
WILL BE USED.

COPY 2

OTHER ON-THE-JOB TRAINING STANDARDS
I. HOURS AND SUPERVISION - The trainee shall work the same hours as the instructor and shall work under the supervision of the
instructor at all times.
II. SAFETY AND HEALTH TRAINING - The VA trainee will receive instruction on the job as to safe and healthful work practices.
Such instruction shall include training regarding safety regulations, reporting of accidents, and availability of first aid medical
facilities. The establishment shall also ensure that the trainee is trained in facilities and other environments that are safe and healthful.
III. ADMINISTRATIVE PROCEDURES - The following shall be the responsibility of the participating establishment:
A. To see that all VA trainees are covered by a written agreement.
B. To notify the VA Regional Processing Office in writing of any interruption or termination of training by each VA trainee.
C. To maintain a record of each VA trainee showing his or her experience and progress in learning the occupation until 3 years after
completion of the training program.
IV. COMPLIANCE WITH TITLE VI, CIVIL RIGHTS ACT OF 1964 - The establishment agrees to comply with the provisions of
Title VI, Civil Rights Acts of 1964.
V. COMPLIANCE WITH TRAINING STANDARDS - These standards, as approved by VA, become a part of the Training
Agreement applying hereto. The signing of the Agreement in Items 19 and 20 on the reverse, binds the parties to compliance with these
standards.
The employer will provide every VA trainee entering into an Other On-The-Job Training Agreement with a copy of the Agreement
with these Standards. The employer will send two copies of the completed Agreement to VA. The terms of this training agreement are
in compliance with the requirements of section 21.4262, Title 38, Code of Federal Regulations.

APPRENTICESHIP TRAINING STANDARDS
I. DEFINITION AND TERM OF APPRENTICESHIP - The term "apprentice" shall mean a person at least
years of age who is
employed to learn a skilled trade pursuant to the terms of a written Apprenticeship Agreement with the establishment. The Agreement
will provide for (a) not less than
years of reasonably continuous employment, (b) participation of the apprentice in an
approved schedule of work experience through employment, and (c) at least the number or hours per year of supplemental instruction
in subjects related to the trade specified by the U.S. DOL (Department of Labor). (The DOL usually requires at least 144 hours per
year.)
II. QUALIFICATIONS OF APPRENTICESHIP APPLICANTS - VA apprenticeship applicants for this trade shall be between the ages
of
and
and should be, if possible, high school graduates or the equivalent and be able to meet the requirements of the trade.
III. PROBATIONARY PERIOD - All apprentices employed in accordance with these standards shall be subject to a probationary
period not exceeding the first
of the term of apprenticeship. During this period, the Apprenticeship Agreement may be
terminated at the request of either party to the Agreement.
IV. HOURS AND SUPERVISION - The apprentice shall work the same hours as the journeyworker and shall work under the
supervision of the journeyworker at all times.
V. WAGE PROGRESSION - This standard must include a uniform, progressive schedule of wages.
VI. RELATED SCHOOL INSTRUCTION
A. Each apprentice shall enroll in and attend classes in subjects related to this trade for not less than the number of hours yearly
specified by the U.S. DOL during the term of apprenticeship. Apprentice related training should be arranged through local
education agencies, the Community College system, or private vocational schools. If institutional training is not available
locally, such related training may be given by a course applicable to the trade taken through correspondence (or other forms of
self-study approved by the registration/approval agency), or an individualized instruction program of classroom training in the
training establishment will be substituted.
B. Failure on the part of the apprentice to regularly attend class and/or progress satisfactorily in approved related training will
be deemed sufficient cause to drop the apprentice from the entire training program.
C. Trade journals, manuals, books, publications, etc., applicable to the trade may be used in supervised training.
D. The minimum number of related training hours per year are not classified as hours of employment unless given during regular
working hours for which wages are paid.
E. Curriculum content is described in Items 18A and 18B of the Apprenticeship Agreement.
VII. SAFETY AND HEALTH TRAINING - The apprentice shall receive instruction on the job as to safe and healthful work
practices. Such instruction shall include training regarding safety regulations, reporting of accidents, and availability of first aid
medical facilities.
VIII. ADMINISTRATIVE PROCEDURES - The following shall be the responsibility of the participating establishment:
A. To see that all apprentices are covered by a written agreement.
B. To notify the VA Regional Processing Office in writing of any interruption or termination of training by each apprentice.
C. To maintain a record of each apprentice showing his or her experience and progress in learning the occupation until 3 years
after completion of the training program.
IX. GRANTING CERTIFICATE OF COMPLETION OF APPRENTICESHIP - After satisfactory completion of apprenticeship under
these standards, each apprentice shall be furnished with a Certificate of Completion of Apprenticeship.
X. COMPLIANCE WITH TITLE VI, CIVIL RIGHTS ACT OF 1964 - The establishment agrees to comply with the provisions of Title
VI, Civil Rights Act of 1964.
XI. COMPLIANCE WITH APPRENTICESHIP STANDARDS - These standards, as approved by VA, are made a part of the
Apprenticeship Agreement applying hereto. The signing of the Agreement in Items 19 and 20 on the reverse, binds the parties to
compliance with these standards.
OTHER INFORMATION - Every apprentice entering into an Apprenticeship Training Agreement will be given a copy of these
standards. Two copies will be forwarded to VA. The terms of this training agreement are in compliance with the requirements of
section 21.4261, Title 38, Code of Federal Regulations.

VA FORM 22-8864, DEC 2010

OMB Approved No. 2900-0342
Respondent Burden: 30 minutes

TRAINING AGREEMENT FOR APPRENTICESHIP AND OTHER ON-THE-JOB TRAINING PROGRAMS
(Title 38 U.S.C. 3677 and 3687)
PART I - GENERAL INFORMATION
1. NAME AND ADDRESS OF ESTABLISHMENT ENTERING INTO TRAINING
AGREEMENT (Include e-mail address)

2. NAME AND ADDRESS OF TRAINEE ENTERING INTO TRAINING AGREEMENT

3. TRAINEE’S SOCIAL SECURITY NUMBER

4. TRAINEE’S VA FILE NUMBER

5. DATE OF BIRTH

7. LENGTH OF PROGRAM

8. CREDIT FOR PREVIOUS TRAINING/EXPERIENCE

10. DATE TRAINING BEGINS

11. LENGTH OF PROBATIONARY
PERIOD

6.TRAINEE’S JOB TITLE OR TRADE

9. LENGTH OF TIME REMAINING TO BE COMPLETED

12. FACILITY CODE

13. DOT CODE

FOR VA USE
ONLY

PART II - TRAINING AGREEMENT
14. SPECIFIC QUALIFICATIONS FOR TRAINEES

15. NUMBER OF TRAINEES PER INSTRUCTOR OR NUMBER
OF APPRENTICES TO JOURNEYWORKERS (Ratio)

16. WAGE PROGRESSION TOWARD THE JOURNEYWORKER WAGE

NOTE: Trainees who receive credit for previous experience shall be paid the wage rate of the period to which such credit
advances them.
A. PERIOD

B. NUMBER OF MONTHS

C. WAGE LEVEL

A. PERIOD B. NUMBER OF MONTHS

C. WAGE LEVEL

1ST

$

PER

6TH

$

PER

2ND

$

PER

7TH

$

PER

3RD
4TH

$
$

PER
PER

8TH
9TH

$
$

PER
PER

5TH

$

PER

10TH

$

PER

D. PRESENT FULLY TRAINED WAGE RATE OR JOURNEYWORKER WAGE RATE

$

PER
17A. WORK PROCESSES IN WHICH TRAINEE WILL RECEIVE INSTRUCTION OR WILL BE TRAINED
(List the various operations or tasks to be learned with a brief narrative description and the length of time
devoted to each. If additional space is required, please continue on a separate sheet)

17B. NUMBER OF HOURS OF TRAINING

TOTAL
18A. COURSE CURRICULUM UNITS, OR TRAINING OUTSIDE THE JOB NECESSARY
FOR THIS TRADE (If required)

18B. LOCATION OF RELATED TRAINING/INSTRUCTION

The Establishment and the Trainee enter into this agreement in conformity with the Training Standards shown on the
reverse side of this form which have been approved by the Department of Veterans Affairs. Carefully read these
standards before signing below.
19. SIGNATURE OF TRAINEE

20. SIGNATURE AND TITLE OF ESTABLISHMENT DESIGNEE

The signing of this agreement binds the parties to compliance with the Agreement and Training/Apprenticeship
Standards.
VA FORM
DEC 2010

22-8864

EXISTING STOCKS OF VA FORM 22-8864, NOV 2007,
WILL BE USED.

COPY 3

OTHER ON-THE-JOB TRAINING STANDARDS
I. HOURS AND SUPERVISION - The trainee shall work the same hours as the instructor and shall work under the supervision of the
instructor at all times.
II. SAFETY AND HEALTH TRAINING - The VA trainee will receive instruction on the job as to safe and healthful work practices.
Such instruction shall include training regarding safety regulations, reporting of accidents, and availability of first aid medical
facilities. The establishment shall also ensure that the trainee is trained in facilities and other environments that are safe and healthful.
III. ADMINISTRATIVE PROCEDURES - The following shall be the responsibility of the participating establishment:
A. To see that all VA trainees are covered by a written agreement.
B. To notify the VA Regional Processing Office in writing of any interruption or termination of training by each VA trainee.
C. To maintain a record of each VA trainee showing his or her experience and progress in learning the occupation until 3 years after
completion of the training program.
IV. COMPLIANCE WITH TITLE VI, CIVIL RIGHTS ACT OF 1964 - The establishment agrees to comply with the provisions of
Title VI, Civil Rights Acts of 1964.
V. COMPLIANCE WITH TRAINING STANDARDS - These standards, as approved by VA, become a part of the Training
Agreement applying hereto. The signing of the Agreement in Items 19 and 20 on the reverse, binds the parties to compliance with these
standards.
The employer will provide every VA trainee entering into an Other On-The-Job Training Agreement with a copy of the Agreement
with these Standards. The employer will send two copies of the completed Agreement to VA. The terms of this training agreement are
in compliance with the requirements of section 21.4262, Title 38, Code of Federal Regulations.

APPRENTICESHIP TRAINING STANDARDS
I. DEFINITION AND TERM OF APPRENTICESHIP - The term "apprentice" shall mean a person at least
years of age who is
employed to learn a skilled trade pursuant to the terms of a written Apprenticeship Agreement with the establishment. The Agreement
will provide for (a) not less than
years of reasonably continuous employment, (b) participation of the apprentice in an
approved schedule of work experience through employment, and (c) at least the number or hours per year of supplemental instruction
in subjects related to the trade specified by the U.S. DOL (Department of Labor). (The DOL usually requires at least 144 hours per
year.)
II. QUALIFICATIONS OF APPRENTICESHIP APPLICANTS - VA apprenticeship applicants for this trade shall be between the ages
of
and
and should be, if possible, high school graduates or the equivalent and be able to meet the requirements of the trade.
III. PROBATIONARY PERIOD - All apprentices employed in accordance with these standards shall be subject to a probationary
period not exceeding the first
of the term of apprenticeship. During this period, the Apprenticeship Agreement may be
terminated at the request of either party to the Agreement.
IV. HOURS AND SUPERVISION - The apprentice shall work the same hours as the journeyworker and shall work under the
supervision of the journeyworker at all times.
V. WAGE PROGRESSION - This standard must include a uniform, progressive schedule of wages.
VI. RELATED SCHOOL INSTRUCTION
A. Each apprentice shall enroll in and attend classes in subjects related to this trade for not less than the number of hours yearly
specified by the U.S. DOL during the term of apprenticeship. Apprentice related training should be arranged through local
education agencies, the Community College system, or private vocational schools. If institutional training is not available
locally, such related training may be given by a course applicable to the trade taken through correspondence (or other forms of
self-study approved by the registration/approval agency), or an individualized instruction program of classroom training in the
training establishment will be substituted.
B. Failure on the part of the apprentice to regularly attend class and/or progress satisfactorily in approved related training will
be deemed sufficient cause to drop the apprentice from the entire training program.
C. Trade journals, manuals, books, publications, etc., applicable to the trade may be used in supervised training.
D. The minimum number of related training hours per year are not classified as hours of employment unless given during regular
working hours for which wages are paid.
E. Curriculum content is described in Items 18A and 18B of the Apprenticeship Agreement.
VII. SAFETY AND HEALTH TRAINING - The apprentice shall receive instruction on the job as to safe and healthful work
practices. Such instruction shall include training regarding safety regulations, reporting of accidents, and availability of first aid
medical facilities.
VIII. ADMINISTRATIVE PROCEDURES - The following shall be the responsibility of the participating establishment:
A. To see that all apprentices are covered by a written agreement.
B. To notify the VA Regional Processing Office in writing of any interruption or termination of training by each apprentice.
C. To maintain a record of each apprentice showing his or her experience and progress in learning the occupation until 3 years
after completion of the training program.
IX. GRANTING CERTIFICATE OF COMPLETION OF APPRENTICESHIP - After satisfactory completion of apprenticeship under
these standards, each apprentice shall be furnished with a Certificate of Completion of Apprenticeship.
X. COMPLIANCE WITH TITLE VI, CIVIL RIGHTS ACT OF 1964 - The establishment agrees to comply with the provisions of Title
VI, Civil Rights Act of 1964.
XI. COMPLIANCE WITH APPRENTICESHIP STANDARDS - These standards, as approved by VA, are made a part of the
Apprenticeship Agreement applying hereto. The signing of the Agreement in Items 19 and 20 on the reverse, binds the parties to
compliance with these standards.
OTHER INFORMATION - Every apprentice entering into an Apprenticeship Training Agreement will be given a copy of these
standards. Two copies will be forwarded to VA. The terms of this training agreement are in compliance with the requirements of
section 21.4261, Title 38, Code of Federal Regulations.

VA FORM 22-8864, DEC 2010

OMB Approved No. 2900-0342
Respondent Burden: 30 minutes

TRAINING AGREEMENT FOR APPRENTICESHIP AND OTHER ON-THE-JOB TRAINING PROGRAMS
(Title 38 U.S.C. 3677 and 3687)
PART I - GENERAL INFORMATION
1. NAME AND ADDRESS OF ESTABLISHMENT ENTERING INTO TRAINING
AGREEMENT (Include e-mail address)

2. NAME AND ADDRESS OF TRAINEE ENTERING INTO TRAINING AGREEMENT

3. TRAINEE’S SOCIAL SECURITY NUMBER

4. TRAINEE’S VA FILE NUMBER

5. DATE OF BIRTH

7. LENGTH OF PROGRAM

8. CREDIT FOR PREVIOUS TRAINING/EXPERIENCE

10. DATE TRAINING BEGINS

11. LENGTH OF PROBATIONARY
PERIOD

6.TRAINEE’S JOB TITLE OR TRADE

9. LENGTH OF TIME REMAINING TO BE COMPLETED

12. FACILITY CODE

13. DOT CODE

FOR VA USE
ONLY

PART II - TRAINING AGREEMENT
14. SPECIFIC QUALIFICATIONS FOR TRAINEES

15. NUMBER OF TRAINEES PER INSTRUCTOR OR NUMBER
OF APPRENTICES TO JOURNEYWORKERS (Ratio)

16. WAGE PROGRESSION TOWARD THE JOURNEYWORKER WAGE

NOTE: Trainees who receive credit for previous experience shall be paid the wage rate of the period to which such credit
advances them.
A. PERIOD

B. NUMBER OF MONTHS

C. WAGE LEVEL

A. PERIOD B. NUMBER OF MONTHS

C. WAGE LEVEL

1ST

$

PER

6TH

$

PER

2ND

$

PER

7TH

$

PER

3RD
4TH

$
$

PER
PER

8TH
9TH

$
$

PER
PER

5TH

$

PER

10TH

$

PER

D. PRESENT FULLY TRAINED WAGE RATE OR JOURNEYWORKER WAGE RATE

$

PER
17A. WORK PROCESSES IN WHICH TRAINEE WILL RECEIVE INSTRUCTION OR WILL BE TRAINED
(List the various operations or tasks to be learned with a brief narrative description and the length of time
devoted to each. If additional space is required, please continue on a separate sheet)

17B. NUMBER OF HOURS OF TRAINING

TOTAL
18A. COURSE CURRICULUM UNITS, OR TRAINING OUTSIDE THE JOB NECESSARY
FOR THIS TRADE (If required)

18B. LOCATION OF RELATED TRAINING/INSTRUCTION

The Establishment and the Trainee enter into this agreement in conformity with the Training Standards shown on the
reverse side of this form which have been approved by the Department of Veterans Affairs. Carefully read these
standards before signing below.
19. SIGNATURE OF TRAINEE

20. SIGNATURE AND TITLE OF ESTABLISHMENT DESIGNEE

The signing of this agreement binds the parties to compliance with the Agreement and Training/Apprenticeship
Standards.
VA FORM
DEC 2010

22-8864

EXISTING STOCKS OF VA FORM 22-8864, NOV 2007,
WILL BE USED.

COPY 4

OTHER ON-THE-JOB TRAINING STANDARDS
I. HOURS AND SUPERVISION - The trainee shall work the same hours as the instructor and shall work under the supervision of the
instructor at all times.
II. SAFETY AND HEALTH TRAINING - The VA trainee will receive instruction on the job as to safe and healthful work practices.
Such instruction shall include training regarding safety regulations, reporting of accidents, and availability of first aid medical
facilities. The establishment shall also ensure that the trainee is trained in facilities and other environments that are safe and healthful.
III. ADMINISTRATIVE PROCEDURES - The following shall be the responsibility of the participating establishment:
A. To see that all VA trainees are covered by a written agreement.
B. To notify the VA Regional Processing Office in writing of any interruption or termination of training by each VA trainee.
C. To maintain a record of each VA trainee showing his or her experience and progress in learning the occupation until 3 years after
completion of the training program.
IV. COMPLIANCE WITH TITLE VI, CIVIL RIGHTS ACT OF 1964 - The establishment agrees to comply with the provisions of
Title VI, Civil Rights Acts of 1964.
V. COMPLIANCE WITH TRAINING STANDARDS - These standards, as approved by VA, become a part of the Training
Agreement applying hereto. The signing of the Agreement in Items 19 and 20 on the reverse, binds the parties to compliance with these
standards.
The employer will provide every VA trainee entering into an Other On-The-Job Training Agreement with a copy of the Agreement
with these Standards. The employer will send two copies of the completed Agreement to VA. The terms of this training agreement are
in compliance with the requirements of section 21.4262, Title 38, Code of Federal Regulations.

APPRENTICESHIP TRAINING STANDARDS
I. DEFINITION AND TERM OF APPRENTICESHIP - The term "apprentice" shall mean a person at least
years of age who is
employed to learn a skilled trade pursuant to the terms of a written Apprenticeship Agreement with the establishment. The Agreement
will provide for (a) not less than
years of reasonably continuous employment, (b) participation of the apprentice in an
approved schedule of work experience through employment, and (c) at least the number or hours per year of supplemental instruction
in subjects related to the trade specified by the U.S. DOL (Department of Labor). (The DOL usually requires at least 144 hours per
year.)
II. QUALIFICATIONS OF APPRENTICESHIP APPLICANTS - VA apprenticeship applicants for this trade shall be between the ages
of
and
and should be, if possible, high school graduates or the equivalent and be able to meet the requirements of the trade.
III. PROBATIONARY PERIOD - All apprentices employed in accordance with these standards shall be subject to a probationary
period not exceeding the first
of the term of apprenticeship. During this period, the Apprenticeship Agreement may be
terminated at the request of either party to the Agreement.
IV. HOURS AND SUPERVISION - The apprentice shall work the same hours as the journeyworker and shall work under the
supervision of the journeyworker at all times.
V. WAGE PROGRESSION - This standard must include a uniform, progressive schedule of wages.
VI. RELATED SCHOOL INSTRUCTION
A. Each apprentice shall enroll in and attend classes in subjects related to this trade for not less than the number of hours yearly
specified by the U.S. DOL during the term of apprenticeship. Apprentice related training should be arranged through local
education agencies, the Community College system, or private vocational schools. If institutional training is not available
locally, such related training may be given by a course applicable to the trade taken through correspondence (or other forms of
self-study approved by the registration/approval agency), or an individualized instruction program of classroom training in the
training establishment will be substituted.
B. Failure on the part of the apprentice to regularly attend class and/or progress satisfactorily in approved related training will
be deemed sufficient cause to drop the apprentice from the entire training program.
C. Trade journals, manuals, books, publications, etc., applicable to the trade may be used in supervised training.
D. The minimum number of related training hours per year are not classified as hours of employment unless given during regular
working hours for which wages are paid.
E. Curriculum content is described in Items 18A and 18B of the Apprenticeship Agreement.
VII. SAFETY AND HEALTH TRAINING - The apprentice shall receive instruction on the job as to safe and healthful work
practices. Such instruction shall include training regarding safety regulations, reporting of accidents, and availability of first aid
medical facilities.
VIII. ADMINISTRATIVE PROCEDURES - The following shall be the responsibility of the participating establishment:
A. To see that all apprentices are covered by a written agreement.
B. To notify the VA Regional Processing Office in writing of any interruption or termination of training by each apprentice.
C. To maintain a record of each apprentice showing his or her experience and progress in learning the occupation until 3 years
after completion of the training program.
IX. GRANTING CERTIFICATE OF COMPLETION OF APPRENTICESHIP - After satisfactory completion of apprenticeship under
these standards, each apprentice shall be furnished with a Certificate of Completion of Apprenticeship.
X. COMPLIANCE WITH TITLE VI, CIVIL RIGHTS ACT OF 1964 - The establishment agrees to comply with the provisions of Title
VI, Civil Rights Act of 1964.
XI. COMPLIANCE WITH APPRENTICESHIP STANDARDS - These standards, as approved by VA, are made a part of the
Apprenticeship Agreement applying hereto. The signing of the Agreement in Items 19 and 20 on the reverse, binds the parties to
compliance with these standards.
OTHER INFORMATION - Every apprentice entering into an Apprenticeship Training Agreement will be given a copy of these
standards. Two copies will be forwarded to VA. The terms of this training agreement are in compliance with the requirements of
section 21.4261, Title 38, Code of Federal Regulations.

VA FORM 22-8864, DEC 2010