Registered Apprenticeship Sponsor – RACC Application

U.S. Department of Labor
Employment and Training Administration
Office of Apprenticeship
OMB Approval No. 1205-0512
Expiration Date:
XX/XX/XXXX

Registered Apprenticeship-College Consortium (RACC)
Attachment A:
Multiple Training Centers and Post-Secondary Institutions
Please duplicate and fill out a copy of this Attachment for each of your training centers and each two- or
four-year post-secondary institution with which you have articulation agreements.

Point of Contact at Local Training Center
__________________________________________________________________
Name of Training Center
______________________________________________________________________________
Address of Training
Center__________________________________________________________________
Street, City, State,
Zip______________________________________________________________________
Phone Number ___________________________________
Website Address (if different from national website)___________________________________________
Point of Contact at two- or four-year post-secondary institution
__________________________________________________________________
Name of
Institution____________________________________________________________________________
Address of
Institution____________________________________________________________________________
Phone_________________________
Website Address
___________________________________________________________________________________
How many credits do you articulate to college credit for completing a Registered Apprenticeship
certificate? ____________
Do you articulate any credentials or industry certificates towards college credit?

Yes

No

If yes, what credentials or certificates and how much credit:

Public reporting burden for this collection of information, which is voluntary, is estimated to average 10 minutes per application,
including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and
completing and reviewing the information. Send comments regarding this burden estimate or any other aspect of this collection of
information, including suggestions for reducing this burden, to the U.S. Department of Labor, Employment and Training
Administration, Office of Apprenticeship, Room C-5317, Washington, D.C. 20210 (Paperwork Reduction Project 1205-0512)