OMB Control No. 1205-0NEW |
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Expiration Date: XX/XX/XXX |
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ETA Form 9209 |
DATA ELEMENT NO. |
DATA ELEMENT NAME |
DATA TYPE/ FIELD LENGTH |
DATA ELEMENT DEFINITIONS/INSTRUCTIONS |
CODE VALUE |
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PROGRAM SPONSOR INFORMATION |
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B-100 |
Employer Identification Number |
IN 9 |
For any sponsor that is also an employer, record the Federal Employer Identification Number of the Sponsor. |
XXXXXXXXX |
B-101 |
Program Number |
AN 13 |
Record the Program Number assigned by the Registration Agency. |
XXXXXXXXXXXXX |
B-102 |
Sponsor Name |
AN 25 |
Record the name of the program's sponsor. |
XXXXXXXXXXX |
B-103 |
Program Registration Status |
IN 1 |
Record the current registration status of the program. Record 1 if the program was active during the report period. Record 2 if the program voluntarily deregistered during the report period. Record 3 if the program's registration was suspended during the report period.
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1 = Active 2 = Voluntary Deregistration 3 = Suspended |
B-104 |
Doing Business As (DBA) |
AN 25 |
If the sponsor is doing business as a name other than the name recorded as their Sponsor Name, record the name that the sponsor is doing business as. |
XXXXXXXXXXX |
B-105 |
Sponsor Address - Line 1 |
AN 50 |
Record the street address of the sponsor's primary location.
Please verify the address and zip code using the USPS address validation system: https://tools.usps.com/go/ZipLookupAction!input.action |
XXXXXXXXXXX |
B-106 |
Sponsor Address - Line 2 |
AN 10 |
Record the Apartment/Suite/Unit/Room number, if applicable. |
XXXXXXXXXXX |
B-107 |
Sponsor Address - City |
AN 25 |
Record the city of the sponsor's primary location. |
XXXXXXXXXXX |
B-108 |
Sponsor Address - State |
AN 2 |
Record the 2 letter USPS state code for the state of the sponsor's primary location. |
XX |
B-109 |
Sponsor Address - Zip Code |
IN 5 |
Report the 5-digit zip code of the sponsor's primary location.
Please verify the address and zip code using the USPS address validation system: https://tools.usps.com/go/ZipLookupAction!input.action |
XXXXX |
B-110 |
Sponsor Address - County |
IN 3 |
Report the 3-digit FIPS code of the county of the sponsor's primary location. |
XXX |
B-111 |
Sponsor Website |
AN 200 |
Record the URL of the sponsor's website. |
XXXXXXXXXXX |
B-112 |
Sponsor Telephone Number |
AN 55 |
Record the sponsor's primary telephone contact number, including extensions if applicable. |
XXXXXXXXXX |
B-113 |
Sponsor Cell Phone Number |
AN 55 |
Record the sponsor's cellphone contact number, if different from the Sponsor Telephone Number. |
XXXXXXXXXX |
B-114 |
Sponsor Email Address |
AN 20 |
Record the sponsor's primary email address contact. |
XXXXXXXXXXX |
B-115 |
Sponsor Relevant Recruitment Area |
AN 2500 |
Record a description of the sponsor's relevant recruitment area for the program. |
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B-116 |
Sponsor Point of Contact - Last Name |
AN 20 |
Record the last name of the Sponsor's designated point of contact. |
XXXXXXXXXXX |
B-117 |
Sponsor Point of Contact - First Name |
AN 20 |
Record the first name of the Sponsor's designated point of contact. |
XXXXXXXXXXX |
B-118 |
Sponsor Point of Contact - Middle Initial |
AN 1 |
Record the middle initial of the Sponsor's designated point of contact. |
X |
B-119 |
Sponsor Point of Contact - Title |
AN 20 |
Record the title of the Sponsor's designated point of contact. |
XXXXXXXXXXX |
B-120 |
Sponsor Point of Contact's Address - Line 1 |
AN 50 |
If different from the sponsor's primary location, record the street address of the sponsor's point of contact's address.
Please verify the address and zip code using the USPS address validation system: https://tools.usps.com/go/ZipLookupAction!input.action |
XXXXXXXXXXX |
B-121 |
Sponsor Point of Contact's Address - Line 2 |
AN 10 |
If different from the sponsor's primary location, record the sponsor's point of contact's Apartment/Suite/Unit/Room number, if applicable. |
XXXXXXXXXXX |
B-122 |
Sponsor Point of Contact's - City |
AN 25 |
If different from the sponsor's primary location, record the city of the the sponsor's point of contact's address. |
XXXXXXXXXXX |
B-123 |
Sponsor Point of Contact's -State |
AN 2 |
If different from the sponsor's primary location, record the 2 letter USPS state code for the state of the sponsor's point of contact's address. |
XX |
B-124 |
Sponsor Point of Contact's - Zip Code |
IN 5 |
If different from the sponsor's primary location, report the 5-digit zip code of the sponsor's point of contact's address.
Please verify the address and zip code using the USPS address validation system: https://tools.usps.com/go/ZipLookupAction!input.action |
XXXXX |
B-125 |
Sponsor Point of Contact's - County |
IN 3 |
If different from the sponsor's primary location, report the 3-digit FIPS code of the county the sponsor's point of contact's address. |
XXX |
B-126 |
Sponsor Point of Contact's Telephone Number |
AN 55 |
If different from the sponsor's telephone number, record the sponsor's point of contact's telephone number, including extensions if applicable. |
XXXXXXXXXX |
B-127 |
Sponsor Point of Contact's Cell Phone Number |
AN 55 |
Record the sponsor point of contact's cellphone number, if different from the Sponsor Point of Contact's Telephone Number. |
XXXXXXXXXX |
B-128 |
Sponsor Point of Contact's Email Address |
AN 20 |
Record the sponsor point of contact's email address. |
XXXXXXXXXXX |
B-129 |
Sponsor Type |
IN 7 |
Record the sponsor's applicable types of organizations: Record 1 if the sponsor is an Institution of Higher Education - Community College. Institution of Higher Education means the term given in sec. 101(a) of the Higher Education Act of 1965 (https://www.law.cornell.edu/uscode/text/20/1001). Record 2 if the sponsor is an Institution of Higher Education - 4-Year Degree Granting Institution. Institution of Higher Education means the term given in sec. 101(a) of the Higher Education Act of 1965 (https://www.law.cornell.edu/uscode/text/20/1001). REcord 3 if the sponsor is an intermediary. Record 4 if the sponsor is a Local Education Agency. Record 5 if the sponsor is a State CTE Agency Record 6 if the sponsor is a State Educational Agency. Record 7 if the sponsor is a type other than those provided above.
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1 =IHE - Community College 2 = IHE - 4-Year Degree Granting Institution 3 = Intermediary 4 = Local Education Agency 5 = State CTE Agency 6 = State Educational Agency 7 = Other |
B-130 |
Sponsor NAICS (Industry) Code |
IN 6 |
Record the North American Industry Classification System (NAICS) Code associated with the sponsor. The NAICS Code means the standard used by Federal statistical agencies in classifying business establishments for the purpose of collecting, analyzing, and publishing statistical data related to the U.S. business economy. For more information on NAICS, please go to the following website: https://www.census.gov/naics/. |
XXXXXX |
B-131 |
Perkins Eligible Recipient/Institution |
IN 1 |
Record 1 if the program sponsor is a Perkin's eligible recipient or institution. Record 0 if the program sponsor is not a Perkin's eligible recipient or institituion. |
1 = Yes 0 = No |
B-132 |
Perkins Eligible Recipient/Institution - Designated Intermediary |
IN 2 |
Record 1 if the sponsor has been designated by a Perkins eligible recipient or institution, State CTE Agency, or State Educational Agency as an intermediary. Record 2 if the sponsor has not been designated by a Perkins eligible recipient or institution, State CTE Agency, or State Educational Agency as an intermediary. Record 0 if the sponsor is a Perkins eligible recipient or institution. |
1 = Yes 2 = No 0 = Not Applicable |
B-133 |
Registration Agency Name |
AN 100 |
Record the name of Registration Agency that will review the program registration for approval. |
XXXXXXXXXXX |
B-134 |
State CTE Agency Name |
AN 100 |
Record the name of the State CTE Agency that approved the CTE Program included in the CTE apprenticeship-related instruction. |
XXXXXXXXXXX |
B-135 |
Collective Bargaining Agreement - Status |
IN 1 |
Record 1 if the program is covered by a Collective Bargaining Agreement. Record 0 if the program is not covered by a Collective Bargaining Agreement. |
1=Yes 0=No |
B-136 |
Collective Bargaining Agreement - Name |
AN 25 |
If the program is covered by a Collective Bargaining Agreement, record the name of the agreement. |
XXXXXXXXXXX |
B-137 |
Collective Bargaining Agreement - Union Waivers |
IN 1 |
Record 1 if the union waives any privileges under this program in instances where: (1) a program is registered by an employer or employers' association, (2) a collective bargaining agreement exists, and (3) the union elects not to participate in the operation of substantive matters of the apprenticeship program. Record 2 if the union does not waive any privileges under this program in instances where (1) a program is registered by an employer or employers' association, (2) a collective bargaining agreement exists, and (3) the union elects not to participate in the operation of substantive matters of the apprenticeship program. Record 0 if the program does not have a Collective Bargaining Agreement. |
1=Yes 2=No 0=Not Applicable |
B-138 |
Incarcerated Individuals Program |
IN 1 |
Record 1 if the program allows incarcerated individuals to be CTE apprentices. Record 0 if the program does not allow incarcerated individuals to be CTE apprentices. |
1=Yes 0=No |
B-139 |
Program Outcome Description |
AN 3000 |
Describe how completion of the program will result in CTE apprentices’ selection into an apprenticeship program registered under 29 CFR Part 29 subpart A (including any advanced standing granted), enrollment in a postsecondary educational program, or employment. |
XXXXXXXXXX |
B-140 |
OJT Employment Description |
AN 3000 |
Describe the employment in which CTE apprentices will be employed in on-the-job training. |
XXXXXXXXXX |
B-141 |
Competency Attainment Measurement |
AN 3000 |
Provide a description of the methods used during the course of the registered CTE apprenticeship program to measure progress on competency attainment |
XXXXXXXXXX |
B-142 |
Advanced Standing Status |
IN 1 |
Record 1 if the program provides advanced standing to CTE apprentices with previous education or experience. Record 0 if the program does not provide advanced standing to apprenticeship with previous education or experience. |
1=Yes 0=No |
B-143 |
Advanced Standing Verification |
AN 2500 |
Describe how the program verifies credit for advanced standing |
XXXXXXXXXXX |
B-144 |
Complaint Contact - Last Name |
AN 20 |
Record the last name of the Sponsor's complaint contact. |
XXXXXXXXXXX |
B-145 |
Complaint Contact - First Name |
AN 20 |
Record the first name of the Sponsor's complaint contact. |
XXXXXXXXXXX |
B-146 |
Complaint Contact - Middle Initial |
AN 1 |
Record the middle initial of the Sponsor's complaint contact. |
X |
B-147 |
Complaint Contact - Title |
AN 20 |
Record the title of the Sponsor's complaint contact. |
XXXXXXXXXXX |
B-148 |
Complaint Contact - Address - Line 1 |
AN 50 |
Record the street address of the sponsor's complaint contact's address.
Please verify the address and zip code using the USPS address validation system: https://tools.usps.com/go/ZipLookupAction!input.action |
XXXXXXXXXXX |
B-149 |
Complaint Contact - Address - Line 2 |
AN 10 |
Record the sponsor's complaint contact's Apartment/Suite/Unit/Room number, if applicable. |
XXXXXXXXXXX |
B-150 |
Complaint Contact - Address - City |
AN 25 |
Record the city of the the sponsor's complaint contact's address. |
XXXXXXXXXXX |
B-151 |
Complaint Contact - State |
AN 2 |
Record the 2 letter USPS state code for the state of the sponsor's complaint contact's address. |
XX |
B-152 |
Complaint Contact - Zip Code |
IN 5 |
Report the 5-digit zip code of the sponsor's complaint contact's address.
Please verify the address and zip code using the USPS address validation system: https://tools.usps.com/go/ZipLookupAction!input.action |
XXXXX |
B-153 |
Complaint Contact - Phone Number |
AN 55 |
Record the sponsor's complaint contact's telephone number, including extensions if applicable. |
XXXXXXXXXX |
B-154 |
Complaint Contact - Cell Phone Number |
AN 55 |
Record the sponsor's complaint contact's cellphone number, if different from the sponsorcomplaint contact's telephone number. |
XXXXXXXXXX |
B-155 |
Complaint Contact - Email Address |
AN 20 |
Record the sponsor complaint contact's email address. |
XXXXXXXXXXX |
B-156 |
Program Initial Application Date |
DT 8 |
Record the date on which the program initially submitted a complete application. |
YYYYMMDD |
B-157 |
Program Registration Date |
DT 8 |
Record the date on which the program was registered. |
YYYYMMDD |
B-158 |
Date of Most Recent Revision to Program's Standards |
DT 8 |
Record the most recent date on which the program's standards were revised. If the standards have not been revised since the first registration date, leave this element blank. |
YYYYMMDD |
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INDUSTRY SKILLS FRAMEWORK AND CTE APPRENTICE EMPLOYMENT AND PROGRAM INFORMATION |
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B - 200 |
CTE Apprentice Job Title |
AN 100 |
Report the CTE apprentice's job title, based off the description of the CTE apprentice's on-the-job training employment. |
XXXXXXXXXX |
B - 201 |
CTE Apprentice Job Title O*NET Code |
IN 8 |
Record the 8-digit O*NET SOC 2019 taxonomy occupational code (database version 25.1 or later) that best describes the occupation associated with the program. Note: If all 8 digits of the O*NET occupational code are not collected, record at least the first 6 digits. |
XXXXXXXX |
B - 202 |
Term Length - CTE Apprenticeship RI |
IN 5 |
Record the number of hours of CTE-apprenticeship related instruction that will be provided to the CTE apprentice prior to completion of the program. |
XXXXX |
B - 203 |
Term Length - OJT |
IN 5 |
Record the number of hours of on-the-job training that will be provided to the CTE apprentice prior to completion of the program. |
XXXXX |
B - 204 |
Probationary Period |
IN 5 |
Record the number of hours of on-the-job training that the apprentice will serve as the CTE apprentice's probationary period.
Note: the probationary period cannot exceed 25 percent of the term length of the program, or one (1) year, whichever is shorter. |
XXXXX |
B - 205 |
On-The-Job Training Outline |
IN 1 |
Record 1 if there is an OJT outline aligned to an approved Industry Skills Framework for the program. This OJT outline must be shared in a separate attachment. Record 0 if there is not an OJT outline aligned to an approved Industry Skills Framework for the program. Sponsors without an OJT outline aligned to an approved Industry Skills Framework must work with the Registration Agency to develop a work process schedule. |
1=Yes 0=No |
B - 206 |
Industry Skills Framework Name |
AN 255 |
Record the name of the approved Industry Skills Framework. |
XXXXXXXXXX |
B - 207 |
Industry Skills Framework Certification Number |
AN 255 |
Record the Industry Skills Framework certification number. |
XXXXXXXXXX |
B - 208 |
ISF RAPIDS Code |
IN 11 |
Record the Occupation RAPIDS code for the occupation associated with the program. |
XXXXXXXXXXX |
B - 209 |
ISF NAICS (Industry) Code |
IN 6 |
Record the North American Industry Classification System (NAICS) Code associated with the Industry Skills Framework. The NAICS Code means the standard used by Federal statistical agencies in classifying business establishments for the purpose of collecting, analyzing, and publishing statistical data related to the U.S. business economy. For more information on NAICS, please go to the following website: https://www.census.gov/naics/. |
XXXXXX |
B - 210 |
Ratio - CTE Apprentices |
IN 2 |
Record the number of CTE apprentices in the CTE Apprentice to Journeyworker Ratio. |
XX |
B - 211 |
Ratio - Journeyworkers |
IN 2 |
Record the number of journeyworkers in the CTE Apprentice to Journeyworker Ratio. |
XX |
B - 212 |
Number of Journeyworkers Employed |
IN 5 |
Record the number of Journeyworkers currently employed as of the end of the report period. |
XXXXX |
B - 213 |
Unreimbursed Costs |
IN 1 |
Record 1 if the sponsor charges any unreimbursed costs, fees, and expenses to CTE apprentices. Record 0 if the sponsor does not charge any unreimbursed costs, fees, and expenses to apprentices. |
1 = Has Unreimbursed Costs 0 = No Unreimbursed Costs |
B - 214 |
Unreimbursed Costs - Detail |
AN 3000 |
If the sponsor changes unreimbursed costs, fees, or expenses, report a description of each cost and the approximate amount for each. |
XXXXXXXXXX |
B - 215 |
[Threaded comment]
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Comment:
Update to item 10a and 10b for ETA Form XX, Part I - RCTEA program registration
Advance Standing Process Description |
AN 3000 |
Describe the process by which the sponsor will reduce the usual term of on-the-job training or CTE apprenticeship-related instruction as a result of a registered CTE apprentice’s prior learning, training, or acquired experience, or as a result of accelerated progress in the attainment of occupational competencies that is made by an apprentice during their participation in the registered CTE apprenticeship program. Such process must be fair, transparent, and equitable in objectively identifying, assessing, and documenting a CTE apprentice’s prior learning, training, acquired experience, or accelerated progress. |
XXXXXXXXX |
B - 216 |
Advance Standing Wage Progression |
IN 1 |
Record 1 if the the sponsor provides an increased wage for a CTE apprentice that is commensurate with any progression granted by the sponsor. Record 0 if the sponsor does not provide an increased wage for a CTE apprentice that is commensurate with any progression granted by the sponsor |
1 = Yes 0 - No |
B - 217 |
Instructor and Trainer Qualifications |
IN 1 |
Record 1 if the sponsor has provided documentation showing that the qualification and experience of the trainings and instructors that provide on-the-job trainers and CTE apprenticeship-related instruction to CTE apprentices satisfies the requirements described in 29 CFR § 29.12 and § 29.8(a)(7). Record 0 is the sponsor has not provided the documentation described above. |
1 = Yes 0 - No |
B - 218 |
Health and Safety Trainings |
IN 1 |
Record 1 if the program provides industry-recognized health or safety trainings to CTE apprentices during the program. Record 0 if the program does not provide industry-recognized health or safety trainings to CTE apprentices during the program. |
1 = Yes 0 = No |
B - 219 |
Health and Safety Trainings - Narrative |
AN 3000 |
If the program provides industry-recognized health or safety trainings to CTE apprentices during the program, list the names of those trainings. |
Text |
B - 220 |
Hours When OJT is Conducted |
IN 5 |
Record all of the allotment of hours types when the OJT compent of the registered CTE apprenticeship program is to be conducted. Record 1 if OJT is conducted during the day. Record 2 if OJT is conducted during the night. Record 3 if OJT is conducted during the weekends. Record 4 if Ojt is conducted during the summer. Record 5 if OJT is conducted during school hours.
For programs with more than one allotment of hours type applies, please provide all applicable in this field. For example, if both "nights" and "hweekends" apply, record "23" |
1=Days 2=Nights 3=Weekends 4=During the Summer 5=During School Hours |
B - 221 |
Wages Paid During CTE Apprenticeship-Related Instruction |
DE 9.2 |
Record the total amount of wages paid during the CTE apprenticeship-related instruction. If wages are not paid during CTE apprenticeship-related instruction, report "0000000.00" |
XXXXXXX.XX |
B - 222 |
Hours When CTE Apprenticeship-Related Instruction is Provided |
IN 3 |
Record 1 if CTE Apprenticeship-Related Instruction is provided only during work hours. Record 2 if CTE Apprenticeship-Related Instruction is provided only outside of work hours. Record 3 if CTE Apprenticeship-Related Instruction is provide both during and outside of work hours. |
1=During Work Hours 2=Not During Work Hours 3=Both During and Not During Work Hours |
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RELATED INSTRUCTION INFORMATION |
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B - 300 |
Primary - CTE Apprenticeship-Related Instruction Provider Name |
AN 25 |
Record the name of the primary CTE apprenticeship-related instruction provider. |
XXXXXXXXXX |
B - 301 |
Primary - CTE Apprenticeship-Related Instruction Provider Address - Line 1 |
AN 50 |
Record the street address of the Primary CTE Apprenticeship-Related Instruction Provider's primary location.
Please verify the address and zip code using the USPS address validation system: https://tools.usps.com/go/ZipLookupAction!input.action |
XXXXXXXXXX |
B - 302 |
Primary - CTE Apprenticeship-Related Instruction Provider Address - Line 2 |
AN 10 |
Record the Apartment/Suite/Unit/Room number of the CTE Apprenticeship-Related Instruction Provider's primary location, if applicable. |
XXXXXXXXXX |
B - 303 |
Primary - CTE Apprenticeship-Related Instruction Provider Address - City |
AN 25 |
Record the city of the of the CTE Apprenticeship-Related Instruction Provider's primary location. |
XXXXXXXXXX |
B - 304 |
Primary - CTE Apprenticeship-Related Instruction Provider Address - State |
AN 2 |
Record the 2 letter USPS state code for the state of the of the CTE Apprenticeship-Related Instruction Provider's primary location. |
XX |
B - 305 |
Primary - CTE Apprenticeship-Related Instruction Provider Address - Zip Code |
IN 5 |
Report the 5-digit zip code of the CTE Apprenticeship-Related Instruction Provider's primary location
Please verify the address and zip code using the USPS address validation system: https://tools.usps.com/go/ZipLookupAction!input.action |
XXXXX |
B - 306 |
Primary - CTE Apprenticeship-Related Instruction Provider Website |
AN 200 |
Record the URL of the CTE Apprenticeship-Related Instruction Provider's website. |
XXXXXXXXXX |
B - 307 |
Primary - Name of State-approved CTE Program |
AN 255 |
Record the name of the State-approved CTE Program. |
Text |
B - 308 |
Primary - Postsecondary Credit Hours Awarded |
IN 3 |
Record the number of postsecondary credit hours the CTE Apprenticeship-related instruction provider will award toward the required 12 postsecondary credit hours. |
XXX |
B - 309 |
Primary - CTE Apprenticeship-Related Instruction - Instruction Method |
IN 3 |
Indicate the instruction method of the CTE Apprenticeship-Related Instruction:
Record 1 for Classroom/In-person Record 2 for Correspondence Record 3 for Virtual/Web-based
For programs with more than one CTE apprenticeship-related instruction method, please report all that apply in this field. For example, if both "Classroom/In-person" and "Virtual/Web-based" apply, record "13" |
1=Classroom/In-person 2=Correspondence 3=Virtual/Web-based |
B - 310 |
Primary - CTE Apprenticeship-Related Instruction Provider Type |
IN 5 |
Indicate the provider type for the CTE Apprenticeship-Related Instruction:
Record 1 if the provider is the program sponsor. Record 2 if the provider is a community college. Record 3 if the provider is a technical school. Record 4 if the provider is a vocational school. Record 5 if the provider is a 4-year degree granting institution Record 6 if the provider is a type other than those provided above.
For programs with where more than one provider type applies, please provide all applicable in this field. For example, if both "program sponsor" and "technical school" apply, record "13" |
1=Sponsor 2=Community College 3=Technical School 4=Vocational School 5=4-Year Degree Granting Institution 6=Other |
B - 311 |
Primary - CTE Apprenticeship-Related Instruction Length |
IN 5 |
Record the number of hours required to complete the program. |
XXXXX |
B - 312 |
Primary - CTE Apprenticeship-Related Instruction Outline Plan |
IN 1 |
Record 1 if there is an established CTE apprenticeship-related instruction outline. These outlines must be provided in a separate attachment. Record 0 if there is not an established CTE apprenticeship-related instruction outline. Sponsors must work with the Registration Agency to develop an outline/plan. |
1=Yes 0=No |
B - 313 |
Secondary - Contact Person First Name |
AN 20 |
Record the first name of the Sponsor's complaint contact. |
XXXXXXXXXXX |
B - 314 |
Secondary - Contact Person Last Name |
AN 20 |
Record the last name of the Sponsor's complaint contact. |
XXXXXXXXXXX |
B - 315 |
Secondary - Contact Person Telephone Number |
IN 9 |
Record the sponsor's complaint contact's telephone number. |
XXX-XXX-XXXX |
B - 316 |
Secondary - Contact Person Email Address |
AN 20 |
Record the sponsor complaint contact's email address. |
XXXXXXXXXXX |
B - 317 |
Secondary - CTE Apprenticeship-Related Instruction Provider Name |
AN 25 |
Record the name of the primary CTE apprenticeship-related instruction provider. |
XXXXXXXXXXX |
B - 318 |
Secondary - CTE Apprenticeship-Related Instruction Provider Address - Line 1 |
AN 50 |
Record the street address of the Primary CTE Apprenticeship-Related Instruction Provider's primary location.
Please verify the address and zip code using the USPS address validation system: https://tools.usps.com/go/ZipLookupAction!input.action |
XXXXXXXXXXX |
B - 319 |
Secondary - CTE Apprenticeship-Related Instruction Provider Address - Line 2 |
AN 10 |
Record the Apartment/Suite/Unit/Room number of the CTE Apprenticeship-Related Instruction Provider's primary location, if applicable. |
XXXXXXXXXXX |
B - 320 |
Secondary - CTE Apprenticeship-Related Instruction Provider Address - City |
AN 25 |
Record the city of the of the CTE Apprenticeship-Related Instruction Provider's primary location. |
XXXXXXXXXXX |
B - 321 |
Secondary - CTE Apprenticeship-Related Instruction Provider Address - State |
AN 2 |
Record the 2 letter USPS state code for the state of the of the CTE Apprenticeship-Related Instruction Provider's primary location. |
XX |
B - 322 |
Secondary - CTE Apprenticeship-Related Instruction Provider Address - Zip Code |
IN 5 |
Report the 5-digit zip code of the CTE Apprenticeship-Related Instruction Provider's primary location
Please verify the address and zip code using the USPS address validation system: https://tools.usps.com/go/ZipLookupAction!input.action |
XXXXX |
B - 323 |
Secondary - CTE Apprenticeship-Related Instruction Provider Website |
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Record the URL of the CTE Apprenticeship-Related Instruction Provider's website. |
|
B - 324 |
Secondary - Name of State-approved CTE Program |
AN 255 |
Record the name of the State-approved CTE Program. Leave blank if the State-approved CTE Program does not apply to the secondary CTE apprenticeship-related instruction provider. |
XXXXXXXXXX |
B - 325 |
Secondary - Postsecondary Credit Hours Awarded |
IN 3 |
Record the number of postsecondary credit hours the CTE Apprenticeship-related instruction provider will award toward the required 12 postsecondary credit hours. |
XXX |
B - 326 |
Secondary - CTE Apprenticeship-Related Instruction - Instruction Method |
IN 3 |
Indicate the instruction method of the CTE Apprenticeship-Related Instruction:
Record 1 for Classroom/In-person Record 2 for Correspondence Record 3 for Virtual/Web-based
For programs with more than one CTE apprenticeship-related instruction method, please report all that apply in this field. For example, if both "Classroom/In-person" and "Virtual/Web-based" apply, record "13" |
1=Classroom/In-person 2=Correspondence 3=Virtual/Web-based |
B - 327 |
Secondary - CTE Apprenticeship-Related Instruction Provider Type |
IN 5 |
Indicate the provider type for the CTE Apprenticeship-Related Instruction:
Record 1 if the provider is the program sponsor. Record 2 if the provider is a community college. Record 3 if the provider is a technical school. Record 4 if the provider is a vocational school. Record 5 if the provider is a 4-year degree granting institution. Record 6 if the provider is a type other than those provided above.
For programs with where more than one provider type applies, please provide all applicable in this field. For example, if both "program sponsor" and "technical school" apply, record "13" |
1=Sponsor 2=Community College 3=Technical School 4=Vocational School 5=4-Year Degree Granting Institution 6=Other |
B - 328 |
Secondary - CTE Apprenticeship-Related Instruction Length |
IN 5 |
Record the number of hours required to complete the program. |
XXXXX |
B - 329 |
Secondary - CTE Apprenticeship-Related Instruction Outline Plan |
IN 1 |
Record 1 if there is an established CTE apprenticeship-related instruction outline. These outlines must be provided in a separate attachment. Record 0 if there is not an established CTE apprenticeship-related instruction outline. Sponsors must work with the Registration Agency to develop an outline/plan. |
1=Yes 0=No |
B - 330 |
Secondary - Contact Person First Name |
AN 20 |
Record the first name of the Sponsor's complaint contact. |
XXXXXXXXXXX |
B - 331 |
Secondary - Contact Person Last Name |
AN 20 |
Record the last name of the Sponsor's complaint contact. |
XXXXXXXXXXX |
B - 332 |
Secondary - Contact Person Telephone Number |
AN 55 |
Record the sponsor's complaint contact's telephone number. |
XXXXXXXXXX |
B - 333 |
Secondary - Contact Person Email Address |
AN 20 |
Record the sponsor complaint contact's email address. |
XXXXXXXXXXX |
|
REGISTERED APPRENTICESHIP PROGRAM PARTNERSHIP |
|
|
|
B- 400 |
Registered Apprenticeship Program Partnership |
IN 1 |
Record 1 if the program has a documented partnership with any with a registered apprenticeship program under subpart A for the placement of apprentices. Record 0 if the program does not have a documented partnership with any with a registered apprenticeship program under subpart A for the placement of CTE apprentices. |
1 = Yes 0 = No |
B- 401 |
Registered Apprenticeship Program Partnership - Narrative |
AN 3000 |
Record the list of the names of the registered apprenticeship program under subpart A in which the sponsor has a documented partnership for the placement of CTE apprentices. Leave blank if the program does not have a documented partnerships with any with a registered apprenticeship program under subpart A for the placement of apprentices. |
XXXXXXXXXX |
B- 402 |
Registered Apprenticeship Advanced Standing |
IN 1 |
Record 1 if the program awards advanced standing for completion of a registered CTE apprenticeship program for the placement of CTE apprentices. Record 0 if the program does not award advanced standing for the completion of a registered CTE apprenticeship program for the placement of CTE apprentices. |
1 = Advanced Standing 0 = No Advanced Standing |
B- 403 |
Registered Apprenticeship Advanced Standing - OJT Credit |
IN 3 |
Record the number of OJT credit hours that the program awards to CTE apprentices for completion of the registered CTE apprenticeship program. Leave blank if the program does not have a documented partnership with a with a registered apprenticeship program under subpart A. |
XXX |
B- 404 |
Registered Apprenticeship Advanced Standing - RI Credit |
IN 3 |
Record the number of Related Instruction credit hours that the program awards to CTE apprentices for completion of a registered CTE apprenticeship program. Leave blank if the program does not have a documented partnership with a with a registered apprenticeship program under subpart A. |
XXX |
|
INSTITUTION OF HIGHER EDUCATION PARTNERSHIP |
|
|
|
B - 500 |
Institution of Higher Education Partnership |
IN 1 |
Record 1 if the program has a documented partnership with any institutions of higher education to facilitate the enrollment of CTE apprentices in a credit-bearing program. Record 0 if the program does not have a documented partnership with any institution of higher education to facilitate the enrollment of CTE apprentices in a credit-bearing program. |
1 = Yes 0 = No |
B - 501 |
Institution of Higher Education Partnership - Narrative |
AN 3000 |
Record the list of the names of the instituions of higher education in which the sponsor has a documented partnership for the enrollment of CTE apprentices. Leave blank if the program does not have a documented partnership with any institutions of higher education to facilitate the enrollment of CTE apprentices in a credit-bearing program leave this blank. |
XXXXXXXXXX |
B - 502 |
Institution of Higher Education Enrollment |
IN 1 |
Record 1 if any of the listed institutions of higher education award credit that counts toward a culminating postsecondary recognized credential, including a degree, for the completion of a registered CTE apprenticeship program? Record 0 if none of the listed institutions of higher education award credit that counts toward a culminating postsecondary recognized credential, including a degree, for the completion of a registered CTE apprenticeship program. |
1 = Advanced Standing 0 = No Advanced Standing |
B - 503 |
Institution of Higher Education Credit |
IN 3 |
Record the number of credit hours that count toward a culminating degree awarded to the CTE apprentice for completion of the registered CTE apprenticeship program. Leave blank if the program does not have a documented partnership with any instituion of higher education or if none of the listed instituions of higher education award credit to a CTE apprentice for completing a registered CTE apprenticeship program. |
XXX |
|
SUPPORTIVE SERVICE INFORMATION |
|
|
|
B - 600 |
Supportive Services |
IN 2 |
Record 1 if the program provides CTE apprentices access to supportive services provided by the sponsor during the program. Record 2 if the program provides CTE apprentices access to supportive services provided only by someone other than the sponsor during the program. Record 0 if the program does not provide CTE apprentices access to supportive services during the program. |
1=Yes, sponsor provided 2= Yes, other than sponsor 0=No |
B - 601 |
Supportive Services Types |
IN 6 |
Record all of the types of supportive services provided, whether funded directly by the program or another source. Record 1 if Transportation assistance is provided. Record 2 if Housing assistance is provided. Record 3 if Tools, Supplies, or Uniforms assistance is provided. Record 4 if Child/Dependent Care assistance is provided Record 5 if Needs Related Payments are provided. Record 6 if supportive services other than those listed above are provided. Record 0 if supportive services are not provided.
For programs with where more than one suportive service type applies, please provide all applicable in this field. For example, if both "transportation" and "housing" apply, record "12" |
1 = Transportation 2 = Housing 3 = Tools, Supplies, Uniforms 4 = Child/Dependent Care 5 = Needs Related Payments 6 = Other 0 = No supportive services |
|
PROGRESSIVE WAGE SCHEDULE INFORMATION |
|
|
|
B - 700 |
Wage Rate |
IN 1 |
Record 1 if the wage rates for all wage progressions are expressed as a percentage (%) of the CTE apprentice's final wage. Record 2 if the wage rates for all wage progressions are expressed in dollars ($) per hour. Record 3 if the wage rates for all wage progressions are expressed as as a percentage (%) of the CTE apprentice's Final Wage or in dollars ($) per hour, depending on which wage progression the CTE Apprentice is in. |
1 = Percent of CTE Apprentice Final Wage 2 = Dollars per Hour 3 = Both |
B - 701 |
CTE Apprentice's Entry Wage (Dollars Per Hour) |
DE 6.2 |
Record the number associated with the CTE apprentice's entry wage rate for this program, expressed in dollars per hour . |
XXXX.XX |
B - 702 |
CTE Apprentice's Final Wage (Dollars Per Hour) |
DE 6.2 |
Record the number associated with the CTE apprentice's final wage rate for this program, expressed in dollars per hour . |
XXXX.XX |
B - 703 |
Wage Rate Duration #1 |
IN 4 |
Record the duration in number of hours that wage rate #1 will be applicable. |
XXXX |
B - 704 |
Wage Rate Competencies #1 |
IN 2 |
Record the number of competencies a CTE apprentice will obtain during wage progression #1. |
XX |
B - 705 |
Wage Rate #1 (Dollars Per Hour) |
DE 6.2 |
If wage progression #1 is expressed in Dollars Per Hour, Record the wage rate in dollars per hour associated with the wage progression #1 for this program. |
XXXX.XX |
B - 706 |
Wage Rate #1 (% of CTE Apprentice Final Wage) |
DE 4.2 |
If wage progression #1 is expressed as a percent of CTE Apprentice Final Wage, Record the wage rate in percent of CTE Apprentice Final Wage associated with the wage progression #1 for this program. |
XX.XX |
B - 707 |
Wage Rate Duration #2 |
IN 4 |
Record the duration in number of hours that wage rate #2 will be applicable. |
XXXX |
B - 708 |
Wage Rate Competencies #2 |
IN 2 |
Record the number of competencies a CTE apprentice will obtain during wage progression #2. |
XX |
B - 709 |
Wage Rate #2 (Dollars Per Hour) |
DE 6.2 |
If wage progression #2 is expressed in Dollars Per Hour, Record the wage rate in dollars per hour associated with the wage progression #2 for this program. |
XXXX.XX |
B - 710 |
Wage Rate #2 (% of CTE Apprentice Final Wage) |
DE 4.2 |
If wage progression #2 is expressed as a percent of CTE Apprentice Final Wage, Record the wage rate in percent of CTE Apprentice Final Wage associated with the wage progression #2 for this program. |
XX.XX |
B - 711 |
Wage Rate Duration #3 |
IN 4 |
Record the duration in number of hours that wage rate #3 will be applicable. |
XXXX |
B - 712 |
Wage Rate Competencies #3 |
IN 2 |
Record the number of competencies a CTE apprentice will obtain during wage progression #3. |
XX |
B - 713 |
Wage Rate #3 (Dollars Per Hour) |
DE 6.2 |
If wage progression #3 is expressed in Dollars Per Hour, Record the wage rate in dollars per hour associated with the wage progression #3 for this program. |
XXXX.XX |
B - 714 |
Wage Rate #3 (% of CTE Apprentice Final Wage) |
DE 4.2 |
If wage progression #3 is expressed as a percent of CTE Apprentice Final Wage, Record the wage rate in percent of CTE Apprentice Final Wage associated with the wage progression #3 for this program. |
XX.XX |
B - 715 |
Wage Rate Duration #4 |
IN 4 |
Record the duration in number of hours that wage rate #4 will be applicable. |
XXXX |
B - 716 |
Wage Rate Competencies #4 |
IN 2 |
Record the number of competencies a CTE apprentice will obtain during wage progression #4. |
XX |
B - 717 |
Wage Rate #4 (Dollars Per Hour) |
DE 6.2 |
If wage progression #4 is expressed in Dollars Per Hour, Record the wage rate in dollars per hour associated with the wage progression #4 for this program. |
XXXX.XX |
B - 718 |
Wage Rate #4 (% of CTE Apprentice Final Wage) |
DE 4.2 |
If wage progression #4 is expressed as a percent of CTE Apprentice Final Wage, Record the wage rate in percent of CTE Apprentice Final Wage associated with the wage progression #4 for this program. |
XX.XX |
B - 719 |
Wage Rate Duration #5 |
IN 4 |
Record the duration in number of hours that wage rate #5 will be applicable. |
XXXX |
B - 720 |
Wage Rate Competencies #5 |
IN 2 |
Record the number of competencies a CTE apprentice will obtain during wage progression #5. |
XX |
B - 721 |
Wage Rate #5 (Dollars Per Hour) |
DE 6.2 |
If wage progression #5 is expressed in Dollars Per Hour, Record the wage rate in dollars per hour associated with the wage progression #5 for this program. |
XXXX.XX |
B - 722 |
Wage Rate #5 (% of CTE Apprentice Final Wage) |
DE 4.2 |
If wage progression #5 is expressed as a percent of CTE Apprentice Final Wage, Record the wage rate in percent of CTE Apprentice Final Wage associated with the wage progression #5 for this program. |
XX.XX |
B - 723 |
Wage Rate Duration #6 |
IN 4 |
Record the duration in number of hours that wage rate #6 will be applicable. |
XXXX |
B - 724 |
Wage Rate Competencies #6 |
IN 2 |
Record the number of competencies a CTE apprentice will obtain during wage progression #6. |
XX |
B - 725 |
Wage Rate #6 (Dollars Per Hour) |
DE 6.2 |
If wage progression #6 is expressed in Dollars Per Hour, Record the wage rate in dollars per hour associated with the wage progression #6 for this program. |
XXXX.XX |
B - 726 |
Wage Rate #6 (% of CTE Apprentice Final Wage) |
DE 4.2 |
If wage progression #6 is expressed as a percent of CTE Apprentice Final Wage, Record the wage rate in percent of CTE Apprentice Final Wage associated with the wage progression #6 for this program. |
XX.XX |
B - 727 |
Wage Rate Duration #7 |
IN 4 |
Record the duration in number of hours that wage rate #7 will be applicable. |
XXXX |
B - 728 |
Wage Rate Competencies #7 |
IN 2 |
Record the number of competencies a CTE apprentice will obtain during wage progression #7. |
XX |
B - 729 |
Wage Rate #7 (Dollars Per Hour) |
DE 6.2 |
If wage progression #7 is expressed in Dollars Per Hour, Record the wage rate in dollars per hour associated with the wage progression #7 for this program. |
XXXX.XX |
B - 730 |
Wage Rate #7 (% of CTE Apprentice Final Wage) |
DE 4.2 |
If wage progression #7 is expressed as a percent of CTE Apprentice Final Wage, Record the wage rate in percent of CTE Apprentice Final Wage associated with the wage progression #7 for this program. |
XX.XX |
B - 731 |
Wage Rate Duration #8 |
IN 4 |
Record the duration in number of hours that wage rate #8 will be applicable. |
XXXX |
B - 732 |
Wage Rate Competencies #8 |
IN 2 |
Record the number of competencies a CTE apprentice will obtain during wage progression #8. |
XX |
B - 733 |
Wage Rate #8 (Dollars Per Hour) |
DE 6.2 |
If wage progression #8 is expressed in Dollars Per Hour, Record the wage rate in dollars per hour associated with the wage progression #8 for this program. |
XXXX.XX |
B - 734 |
Wage Rate #8 (% of CTE Apprentice Final Wage) |
DE 4.2 |
If wage progression #8 is expressed as a percent of CTE Apprentice Final Wage, Record the wage rate in percent of CTE Apprentice Final Wage associated with the wage progression #8 for this program. |
XX.XX |
B - 735 |
Wage Rate Duration #9 |
IN 4 |
Record the duration in number of hours that wage rate #9 will be applicable. |
XXXX |
B - 736 |
Wage Rate Competencies #9 |
IN 2 |
Record the number of competencies a CTE apprentice will obtain during wage progression #9. |
XX |
B - 737 |
Wage Rate #9 (Dollars Per Hour) |
DE 6.2 |
If wage progression #9 is expressed in Dollars Per Hour, Record the wage rate in dollars per hour associated with the wage progression #9 for this program. |
XXXX.XX |
B - 738 |
Wage Rate #9 (% of CTE Apprentice Final Wage) |
DE 4.2 |
If wage progression #9 is expressed as a percent of CTE Apprentice Final Wage, Record the wage rate in percent of CTE Apprentice Final Wage associated with the wage progression #9 for this program. |
XX.XX |
B - 739 |
Wage Rate Duration #10 |
IN 4 |
Record the duration in number of hours that wage rate #10 will be applicable. |
XXXX |
B - 740 |
Wage Rate Competencies #10 |
IN 2 |
Record the number of competencies a CTE apprentice will obtain during wage progression #10. |
XX |
B - 741 |
Wage Rate #10 (Dollars Per Hour) |
DE 6.2 |
If wage progression #10 is expressed in Dollars Per Hour, Record the wage rate in dollars per hour associated with the wage progression #10 for this program. |
XXXX.XX |
B - 742 |
Wage Rate #10 (% of JCTE Apprentice Final Wage) |
DE 4.2 |
If wage progression #10 is expressed as a percent of CTE Apprentice Final Wage, Record the wage rate in percent of CTE Apprentice Final Wage associated with the wage progression #10 for this program. |
XX.XX |
B - 743 |
Fringe Benefits |
IN 7 |
If the sponsor or any participating employer provides fringe benefits to CTE apprentices, record all of the types of benefits that apply: Record 1 if the sponsor or any participating employer provides Health Insurance Contributions. Record 2 if the sponsor or any participating employer provides Life Insurance. Record 3 if the sponsor or any participating employer provides Pension/Retirement Contributions. Record 4 if the sponsor or any participating employer provides paid vacation days. Record 5 if the sponsor or any participating employer provides paid sick leave. Record 6 if the sponsor or any participating employer provides paid holidays. Record 7 if the sponsor or any participating employer provides other "bona fide" fringe benefits. Record 0 if the sponsor or any participating employer does not provide fringe benefits. If the sponsor or any participating employer provides more than one applicable type fringe benefit, please provide all applicable in this field. For example, if both "paid sick leave" and "paid holiday" apply, record "56"
Fringe Benefits refers to contributions irrevocably made to a trustee or third party pursuant to a bona fide fringe benefit fund plan or program; and/or the rate of costs incurred in providing bona fide fringe benefits pursuant to an enforceable commitment to carry out a financially responsible plan or program and communicated to the CTE apprentices in writing. However, payments required by Federal, State, or local law are not fringe benefit contributions; accordingly, payments required to fund Social Security, unemployment compensation, and workers’ compensation programs, as required by law, do not count as fringe benefits. For more information, visit: https://www.dol.gov/agencies/whd/government-contracts/construction/faq/fringe-benefits. |
1=Health Insurance Contributions 2=Life Insurance 3=Pension/Retirement Contributions 4=Paid Vacation Days 5=Paid Sick Leave 6=Paid Holidays 7=Other "bona fide" fringr benefit |
B - 744 |
Fringe Benefits - Approximate Value |
DE 6.2 |
If the sponsor or any participating employer provides fringe benefits, record the approximate hourly value of the fringe benefits provided. |
XXXXXX.XX |
|
ACADEMIC CREDIT AND INTERIM CREDENTIALS |
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|
|
B - 800 |
High School Diploma |
IN 1 |
Record 1 if program participants receive a high school diploma for participating in the registered CTE apprenticeship program. Record 0 if program participants do not receive a high school diploma for participating in the registered CTE apprenticeship program. |
1=Yes 0=No |
B - 801 |
High School Equivalency |
IN 1 |
Record 1 if program participants receive a high school equivalency for participating in the registered CTE apprenticeship program. Record 0 if program participants do not receive a high school equivalency for participating in the registered CTE apprenticeship program. |
1=Yes 0=No |
B - 802 |
Postsecondary Credit Hours - Requirement |
IN 1 |
Record 1 if the program provides at least 12 postsecondary credit hours. Record 0 if the program does not provide at least 12 postsecondary credit hours. |
1=Yes 0=No |
B - 803 |
Postsecondary Credit Hours - Name of Entity Providing Credit |
AN 25 |
Record the name of the entity awarding the postsecondary credit hours provided through this program. Leave blank if this does not apply. |
XXXXXXXXXX |
B - 804 |
Postsecondary Credit Hours - Total |
IN 4 |
Record the total number of postsecondary credit hours awarded for completing this program. |
XXXX |
B - 805 |
Interim Credentials provided |
IN 1 |
Record 1 if there are interim credentials awarded at any point during and as a result of participation in this program. Record 0 if there are no interim credentials awarded during and as a result of participation in this program. |
1=Yes 0=No |
B - 806 |
Interim Credential #1 - Type |
IN 1 |
Indicate the type of interim credential awarded :
Record 1 for industry recognized certificate. Record 2 for industry certification. Record 3 for license recognized by local, State or Federal Government. Record 4 for Associate's Degree. Record 5 for Bachelor's Degree. Record 6 for Master's Degree. Record 7 for Doctorate Degree.
|
1=Industry Recognized Certificate 2=Industry Certification 3=License recognized by local, State or Federal Government 4=Associate's Degree 5=Bachelor's Degree 6=Master's Degree 7=Doctorate Degree |
B - 807 |
Interim Credential #1 - Name |
AN 25 |
Record the name of the interim credential. |
XXXXXXXXXX |
B - 808 |
Interim Credential #1 - Name of Entity Awarding Credential |
AN 25 |
Record the name of the entity awarding the credential. |
XXXXXXXXXX |
B - 809 |
Interim Credential #1 - Type of Entity Awarding Credential |
IN 1 |
If more than 1 interim credentials can be awarded, indicate the entity type that awarded the 2nd credential:
Record 1 if the entity is a secondary school. Record 2 if the entity is a community college. Record 3 if the entity is a technical school. Record 4 if the entity is a vocational school. Record 5 if the entity is a 4-year degree granting instituion. Record 6 if the entity is a labor union. Record 7 if the entity is a federal, state, or local government. Record 8 if the entity is an industry association. Record 9 if the entity is an organization other than those listed above. |
1=Secondary School 2=Community College 3=Technical School 4=Vocational School 5=4-Year Degree Granting Institution 6=Labor Union 7=Federal/State/Local Government 8=Industry Association 9=Other Credentialing Organization |
B - 810 |
Interim Credential #2 - Type |
IN 1 |
If more than 1 interim credentials can be awarded, indicate the 2nd type of interim credential awarded :
Record 1 for industry recognized certificate. Record 2 for industry certification. Record 3 for license recognized by local, State or Federal Government. Record 4 for Associate's Degree. Record 5 for Bachelor's Degree. Record 6 for Master's Degree. Record 7 for Doctorate Degree.
|
1=Industry Recognized Certificate 2=Industry Certification 3=License recognized by local, State or Federal Government 4=Associate's Degree 5=Bachelor's Degree 6=Master's Degree 7=Doctorate Degree |
B - 811 |
Interim Credential #2 - Name |
AN 25 |
If more than 1 interim credentials can be awarded, record the name of the 2nd interim credential. |
XXXXXXXXXX |
B - 812 |
Interim Credential #2 - Name of Entity Awarding Credential |
AN 25 |
If more than 1 interim credentials can be awarded, record the name of the entity awarding the 2nd credential. |
XXXXXXXXXX |
B - 813 |
Interim Credential #2 - Type of Entity Awarding Credential |
IN 1 |
If more than 1 interim credentials can be awarded, indicate the entity type that awarded the 2nd credential:
Record 1 if the entity is a secondary school. Record 2 if the entity is a community college. Record 3 if the entity is a technical school. Record 4 if the entity is a vocational school. Record 5 if the entity is a 4-year degree granting instituion. Record 6 if the entity is a labor union. Record 7 if the entity is a federal, state, or local government. Record 8 if the entity is an industry association. Record 9 if the entity is an organization other than those listed above. |
1=Secondary School 2=Community College 3=Technical School 4=Vocational School 5=4-Year Degree Granting Institution 6=Labor Union 7=Federal/State/Local Government 8=Industry Association 9=Other Credentialing Organization |
B - 814 |
Interim Credential #3 - Type |
IN 1 |
If more than 2 interim credentials can be awarded, indicate the 3rd type of interim credential awarded :
Record 1 for industry recognized certificate. Record 2 for industry certification. Record 3 for license recognized by local, State or Federal Government. Record 4 for Associate's Degree. Record 5 for Bachelor's Degree. Record 6 for Master's Degree. Record 7 for Doctorate Degree.
|
1=Industry Recognized Certificate 2=Industry Certification 3=License recognized by local, State or Federal Government 4=Associate's Degree 5=Bachelor's Degree 6=Master's Degree 7=Doctorate Degree |
B - 815 |
Interim Credential #3 - Name |
AN 25 |
If more than 2 interim credentials can be awarded, record the name of the 3rd interim credential. |
XXXXXXXXXX |
B - 816 |
Interim Credential #3 - Name of Entity Awarding Credential |
AN 25 |
If more than 2 interim credentials can be awarded, record the name of the entity awarding the 3rd credential. |
XXXXXXXXXX |
B - 817 |
Interim Credential #3 - Type of Entity Awarding Credential |
IN 1 |
If more than 2 interim credentials can be awarded, indicate the entity type that awarded the 3rd credential:
Record 1 if the entity is a secondary school. Record 2 if the entity is a community college. Record 3 if the entity is a technical school. Record 4 if the entity is a vocational school. Record 5 if the entity is a 4-year degree granting instituion. Record 6 if the entity is a labor union. Record 7 if the entity is a federal, state, or local government. Record 8 if the entity is an industry association. Record 9 if the entity is an organization other than those listed above. |
1=Secondary School 2=Community College 3=Technical School 4=Vocational School 5=4-Year Degree Granting Institution 6=Labor Union 7=Federal/State/Local Government 8=Industry Association 9=Other Credentialing Organization |
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REGISTERED CTE APPRENTICESHIP SPONSOR PROGRAM REGISTRATION WRITTEN PLAN |
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B- 900 |
Written Plan - Equity |
AN 5000 |
Describe how the program will ensure the students who are selected to participate in the registered CTE apprenticeship program reflect a diverse and inclusive cross-section of the current student body enrollment of the participating secondary or postsecondary school(s) consistent with the requirements of 29 CFR part 30. |
XXXXXXXXXX |
B- 901 |
Written Plan - Industry Skills Framework |
AN 5000 |
Describe how the CTE program’s training and curriculum align with an approved Industry Skills Framework. |
XXXXXXXXXX |
B- 902 |
Written Plan - Credit Hours |
AN 5000 |
Provide a description of the secondary credits or recognized postsecondary credit hours and credentials the program may provide, including how the program confers such credits and credentials, and its usefulness for CTE apprentices’ entry into employment, a registered apprenticeship program under subpart A of this part, or a postsecondary educational program. |
XXXXXXXXXX |
B- 903 |
Written Plan - Safety |
AN 5000 |
Provide a description how you as the sponsor will ensure each employer has an established record of maintaining a safe and inclusive workplace that is free from discrimination, violence, harassment, intimidation, and retaliation against employees. |
XXXXXXXXXX |
B- 904 |
Written Plan - Career and Supportive Services |
AN 5000 |
Provide a description of how the CTE apprentices participating in the program will have access to a broad range of career services and supportive services that enable participation in, and successful completion of, the registered CTE apprenticeship program. |
XXXXXXXXXX |
B- 905 |
Written Plan - Oversight |
AN 5000 |
Provide a description of the routine monitoring and oversight conducted by the sponsor of all aspects of the registered CTE apprenticeship program. |
XXXXXXXXXX |
B- 906 |
Written Plan - EEO Implementation |
AN 5000 |
Provide a description of how the sponsor will implement, upon registration, the affirmative steps to provide equal employment opportunity in apprenticeship required by 29 CFR § 30.3(b). |
XXXXXXXXXX |
B- 907 |
Written Plan - EEO POC |
AN 5001 |
Identify the individual or individuals that will be responsible and accountable for overseeing the sponsor’s commitment to equal opportunity in registered CTE apprenticeship |
XXXXXXXXXX |
B- 908 |
Written Plan - EEO Pledge |
AN 5002 |
Identify the publications or other documents where the sponsor’s equal opportunity pledge will be published and the physical or digital locations where the sponsor’s equal opportunity pledge will be posted. |
XXXXXXXXXX |
B- 909 |
Written Plan - EEO Orientation |
AN 5003 |
Describe the planned schedule for orientation and information sessions for individuals connected with the administration or operation of the registered CTE apprenticeship program, including all CTE apprentices and journeyworkers who regularly work with CTE apprentices, to inform and remind such individuals of the sponsor’s EEO policy with regard to registered CTE apprenticeship. |
XXXXXXXXXX |
B- 910 |
Written Plan - EEO Recruitment Source |
AN 5004 |
Provide a list of current recruitment sources that will generate referrals from all demographic groups within the relevant recruitment area, including the identity of a contact person, mailing address, telephone number, and email address for each recruitment source. |
XXXXXXXXXX |
B- 911 |
Written Plan - EEO Anti- Harassment |
AN 5005 |
Describe the sponsor’s procedures to ensure that its CTE apprentices are not harassed or otherwise subjected to discrimination because of their race, color, religion, national origin, sex, sexual orientation, age (40 or older), genetic information, or disability and to ensure that its apprenticeship program is free from intimidation and retaliation. This description must specifically include: (1) the planned schedule and content source for the required anti-harassment training to all individuals connected with the administration or operation of the registered CTE apprenticeship program; and (2) the sponsor’s procedures for handling and resolving complaints about harassment and intimidation. |
XXXXXXXXXX |
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PROGRAM ELIGIBILITY AND SELECTION PROCEDURES |
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|
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B - 1000 |
Selection Procedures |
IN 1 |
Record 1 if the program has an established Selection Procedure. Record 0 if the program does not have an established Selection Procedure. |
1=Yes 0=No |
B - 1001 |
Selection Procedure - Description |
AN 3000 |
Describe the selection procedures. |
XXXXXXXXXX |
B - 1002 |
Selection Procedures - Veterans Preference |
IN 1 |
Record 1 if the program provides a preference to veteran applicants or specifically provides outreach to veterans as part of its selection procedures Record 0 if the program does not provide a preference to veteran applicants or specifically provides outreach to veterans as part of its selection procedures |
1=Yes 0=No |
B - 1003 |
Selection Procedures - Veterans Preference Description |
AN 3000 |
Describe the program’s preference or strategy for hiring veterans. |
XXXXXXXXXX |
B - 1004 |
Minimimum Eligibility Requirements - Age |
IN 2 |
If applicable, record the minimum age required for an individual to be eligible to enter the program (in years). If the program does not have a minimum age requirement, record 00. |
XX |
B - 1005 |
Minimimum Eligibility Requirements - Education |
AN 1000 |
If applicable, record a brief description of the minimum educational requirements for an individual to be eligible to enter the program. |
XXXXXXXXXX |
B - 1006 |
Minimimum Eligibility Requirements - Physical |
AN 1000 |
If applicable, record a brief description of the physical requirements for an individual to be eligible to enter the program. |
XXXXXXXXXX |
B - 1007 |
Minimimum Eligibility Requirements - Aptitude Tests |
AN 1000 |
If applicable, record a brief description of the aptitude test requirements for an individual to be eligible to enter the program. |
XXXXXXXXXX |
B - 1008 |
Minimimum Eligibility Requirements - Other |
AN 1000 |
If applicable, record a brief description of any minimum requirements other than age, education, physical, and aptitude tests that are necessary for an individual to be eligible to enter the program. |
XXXXXXXXXX |
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Program Application Approval Questions |
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DATA TYPE/ FIELD LENGTH KEY: This column is composed of two parts: (1) the data type, which is represented by a two letter code, and (2) a number, which represents the maximum length of a response for that element. This means that an "IN 1" element with 4 options (1,2,3,4) can only report one of those 4 options, but an "IN 4" element with 4 options can report any combination of those 4 (e.g. 124, 13, 4, etc).
Data Type Codes: AN = AlphaNumeric, aka numbers and letters allowed, sometimes called a text field IN = Integer, only whole numbers allowed DT = Date, typically dates are best reported yyyymmdd to simplify sorting/ordering DE = Decimal floating point, used for numeric values where a decimal point is needed, such as a wage/earnings value |
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OMB Control No. 1205-0NEW |
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Expiration Date: XX/XX/XXXX |
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ETA Form 9209 |
DATA ELEMENT NO. |
DATA ELEMENT NAME |
DATA TYPE/ FIELD LENGTH |
DATA ELEMENT DEFINITIONS/INSTRUCTIONS |
CODE VALUE |
B - 1100 |
Employer Identification Number |
IN 9 |
Record the Federal Employer Identification Number of the Sponsor. |
XXXXXXXXX |
B - 1101 |
Employer's Name |
AN 25 |
Record the organizational name of the employer. |
XXXXXXXXXX |
B - 1102 |
Employer Address - Line 1 |
AN 50 |
Record the street address of the employer's primary location.
Please verify the address and zip code using the USPS address validation system: https://tools.usps.com/go/ZipLookupAction!input.action |
XXXXXXXXXXX |
B - 1103 |
Employer Address - Line 2 |
AN 10 |
Record the Apartment/Suite/Unit/Room number, if applicable. |
XXXXXXXXXXX |
B - 1104 |
Employer Address - City |
AN 25 |
Record the city of the employer's primary location. |
XXXXXXXXXXX |
B - 1105 |
Employer Address - State |
AN 2 |
Record the 2 letter USPS state code for the state of the employer's primary location. |
XX |
B - 1106 |
Employer Address - Zip Code |
IN 5 |
Report the 5-digit zip code of the employer's primary location.
Please verify the address and zip code using the USPS address validation system: https://tools.usps.com/go/ZipLookupAction!input.action |
XXXXX |
B - 1107 |
Employer Address - County |
IN 3 |
Report the 3-digit FIPS code of the county of the employer's primary location. |
XXX |
B - 1108 |
Employer Telephone Number |
AN 55 |
Record the employer's primary telephone contact number. |
XXXXXXXXX |
B - 1109 |
Employer Email Address |
AN 20 |
Record the employer's primary email address contact. |
XXXXXXXXXXX |
B - 1110 |
Employer NAICS (Industry) Code |
IN 6 |
Record the North American Industry Classification System (NAICS) Code associated with the employer. The NAICS Code means the standard used by Federal statistical agencies in classifying business establishments for the purpose of collecting, analyzing, and publishing statistical data related to the U.S. business economy. For more information on NAICS, please go to the following website: https://www.census.gov/naics/. |
XXXXXX |
B - 1111 |
Size of Workforce |
IN 6 |
Record the total number of employees in the employer's workforce. |
XXXXXX |
B - 1112 |
[Threaded comment]
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Comment:
Here is how I revised the field sin the Part IA tear-off:
Name of Participating Employer; Participating Employer's Primary POC (Last, First, MI); Address; City; State; Zip Code; Telephone Number; e-mail address; cell phone number (optional).
We could lessen the number of fields in this tab or update the language in the 671. For ETLS review.
"If the program type is a group program, please list for each participating employer the employer’s name and the employer’s primary point of contact information (first name, middle initial, last name, title, address, telephone number, cell phone number (optional), e-mail address, and Program Standards Adoption Agreement(s) (as applicable) below or in a separate attachment.)"
Employer Primary Point of Contact - First Name |
AN 20 |
Record the first name of the Employer's Primary point of contact. |
XXXXXXXXXXX |
B - 1113 |
Employer Primary Point of Contact - Last Name |
AN 20 |
Record the last name of the Employer's Primary point of contact. |
XXXXXXXXXXX |
B - 1114 |
Employer Primary Point of Contact - Title |
IN 9 |
Record the title of the Employer's Primary point of contact. |
XXXXXXXXX |
B - 1115 |
Employer Primary Point of Contact - Phone Number |
AN 20 |
Record the Employer's Primary point of contact's telephone number. |
XXX-XXX-XXXX |
B - 1116 |
Employer Primary Point of Contact - Email |
AN 35 |
Record the sponsor complaint contact's email address. |
[email protected] |
B - 1117 |
Employer Primary Point of Contact - Cell Phone Number |
AN 20 |
Record the Employer's Primary point of contact's cellphone number. |
XXX-XXX-XXXX |
B - 1118 |
Wage Rate |
IN 1 |
Record 1 if the wage rates for all wage progressions are expressed as a percentage (%) of the CTE apprentice's final wage. Record 2 if the wage rates for all wage progressions are expressed in dollars ($) per hour. Record 3 if the wage rates for all wage progressions are expressed as as a percentage (%) of the CTE apprentice's Final Wage or in dollars ($) per hour, depending on which wage progression the CTE Apprentice is in. |
1 = Percent of CTE Apprentice Final Wage 2 = Dollars per Hour 3 = Both |
B - 1119 |
CTE Apprentice's Entry Wage (Dollars Per Hour) |
DE 6.2 |
Record the number associated with the CTE apprentice's entry wage rate for this program, expressed in dollars per hour . |
XXXX.XX |
B - 1120 |
CTE Apprentice's Final Wage (Dollars Per Hour) |
DE 6.2 |
Record the number associated with the CTE apprentice's final wage rate for this program, expressed in dollars per hour . |
XXXX.XX |
B - 1121 |
Wage Rate Duration #1 |
IN 4 |
Record the duration in number of hours that wage rate #1 will be applicable. |
XXXX |
B - 1122 |
Wage Rate Competencies #1 |
IN 2 |
Record the number of competencies a CTE apprentice will obtain during wage progression #1. |
XX |
B - 1123 |
Wage Rate #1 (Dollars Per Hour) |
DE 6.2 |
If wage progression #1 is expressed in Dollars Per Hour, Record the wage rate in dollars per hour associated with the wage progression #1 for this program. |
XXXX.XX |
B - 1124 |
Wage Rate #1 (% of CTE Apprentice Final Wage) |
DE 4.2 |
If wage progression #1 is expressed as a percent of CTE Apprentice Final Wage, Record the wage rate in percent of CTE Apprentice Final Wage associated with the wage progression #1 for this program. |
XX.XX |
B - 1125 |
Wage Rate Duration #2 |
IN 4 |
Record the duration in number of hours that wage rate #2 will be applicable. |
XXXX |
B - 1126 |
Wage Rate Competencies #2 |
IN 2 |
Record the number of competencies a CTE apprentice will obtain during wage progression #2. |
XX |
B - 1127 |
Wage Rate #2 (Dollars Per Hour) |
DE 6.2 |
If wage progression #2 is expressed in Dollars Per Hour, Record the wage rate in dollars per hour associated with the wage progression #2 for this program. |
XXXX.XX |
B - 1128 |
Wage Rate #2 (% of CTE Apprentice Final Wage) |
DE 4.2 |
If wage progression #2 is expressed as a percent of CTE Apprentice Final Wage, Record the wage rate in percent of CTE Apprentice Final Wage associated with the wage progression #2 for this program. |
XX.XX |
B - 1129 |
Wage Rate Duration #3 |
IN 4 |
Record the duration in number of hours that wage rate #3 will be applicable. |
XXXX |
B - 1130 |
Wage Rate Competencies #3 |
IN 2 |
Record the number of competencies a CTE apprentice will obtain during wage progression #3. |
XX |
B - 1131 |
Wage Rate #3 (Dollars Per Hour) |
DE 6.2 |
If wage progression #3 is expressed in Dollars Per Hour, Record the wage rate in dollars per hour associated with the wage progression #3 for this program. |
XXXX.XX |
B - 1132 |
Wage Rate #3 (% of CTE Apprentice Final Wage) |
DE 4.2 |
If wage progression #3 is expressed as a percent of CTE Apprentice Final Wage, Record the wage rate in percent of CTE Apprentice Final Wage associated with the wage progression #3 for this program. |
XX.XX |
B - 1133 |
Wage Rate Duration #4 |
IN 4 |
Record the duration in number of hours that wage rate #4 will be applicable. |
XXXX |
B - 1134 |
Wage Rate Competencies #4 |
IN 2 |
Record the number of competencies a CTE apprentice will obtain during wage progression #4. |
XX |
B - 1135 |
Wage Rate #4 (Dollars Per Hour) |
DE 6.2 |
If wage progression #4 is expressed in Dollars Per Hour, Record the wage rate in dollars per hour associated with the wage progression #4 for this program. |
XXXX.XX |
B - 1136 |
Wage Rate #4 (% of CTE Apprentice Final Wage) |
DE 4.2 |
If wage progression #4 is expressed as a percent of CTE Apprentice Final Wage, Record the wage rate in percent of CTE Apprentice Final Wage associated with the wage progression #4 for this program. |
XX.XX |
B - 1137 |
Wage Rate Duration #5 |
IN 4 |
Record the duration in number of hours that wage rate #5 will be applicable. |
XXXX |
B - 1138 |
Wage Rate Competencies #5 |
IN 2 |
Record the number of competencies a CTE apprentice will obtain during wage progression #5. |
XX |
B - 1139 |
Wage Rate #5 (Dollars Per Hour) |
DE 6.2 |
If wage progression #5 is expressed in Dollars Per Hour, Record the wage rate in dollars per hour associated with the wage progression #5 for this program. |
XXXX.XX |
B - 1140 |
Wage Rate #5 (% of CTE Apprentice Final Wage) |
DE 4.2 |
If wage progression #5 is expressed as a percent of CTE Apprentice Final Wage, Record the wage rate in percent of CTE Apprentice Final Wage associated with the wage progression #5 for this program. |
XX.XX |
B - 1141 |
Wage Rate Duration #6 |
IN 4 |
Record the duration in number of hours that wage rate #6 will be applicable. |
XXXX |
B - 1142 |
Wage Rate Competencies #6 |
IN 2 |
Record the number of competencies a CTE apprentice will obtain during wage progression #6. |
XX |
B - 1143 |
Wage Rate #6 (Dollars Per Hour) |
DE 6.2 |
If wage progression #6 is expressed in Dollars Per Hour, Record the wage rate in dollars per hour associated with the wage progression #6 for this program. |
XXXX.XX |
B - 1144 |
Wage Rate #6 (% of CTE Apprentice Final Wage) |
DE 4.2 |
If wage progression #6 is expressed as a percent of CTE Apprentice Final Wage, Record the wage rate in percent of CTE Apprentice Final Wage associated with the wage progression #6 for this program. |
XX.XX |
B - 1145 |
Wage Rate Duration #7 |
IN 4 |
Record the duration in number of hours that wage rate #7 will be applicable. |
XXXX |
B - 1146 |
Wage Rate Competencies #7 |
IN 2 |
Record the number of competencies a CTE apprentice will obtain during wage progression #7. |
XX |
B - 1147 |
Wage Rate #7 (Dollars Per Hour) |
DE 6.2 |
If wage progression #7 is expressed in Dollars Per Hour, Record the wage rate in dollars per hour associated with the wage progression #7 for this program. |
XXXX.XX |
B - 1148 |
Wage Rate #7 (% of CTE Apprentice Final Wage) |
DE 4.2 |
If wage progression #7 is expressed as a percent of CTE Apprentice Final Wage, Record the wage rate in percent of CTE Apprentice Final Wage associated with the wage progression #7 for this program. |
XX.XX |
B - 1149 |
Wage Rate Duration #8 |
IN 4 |
Record the duration in number of hours that wage rate #8 will be applicable. |
XXXX |
B - 1150 |
Wage Rate Competencies #8 |
IN 2 |
Record the number of competencies a CTE apprentice will obtain during wage progression #8. |
XX |
B - 1151 |
Wage Rate #8 (Dollars Per Hour) |
DE 6.2 |
If wage progression #8 is expressed in Dollars Per Hour, Record the wage rate in dollars per hour associated with the wage progression #8 for this program. |
XXXX.XX |
B - 1152 |
Wage Rate #8 (% of CTE Apprentice Final Wage) |
DE 4.2 |
If wage progression #8 is expressed as a percent of CTE Apprentice Final Wage, Record the wage rate in percent of CTE Apprentice Final Wage associated with the wage progression #8 for this program. |
XX.XX |
B - 1153 |
Wage Rate Duration #9 |
IN 4 |
Record the duration in number of hours that wage rate #9 will be applicable. |
XXXX |
B - 1154 |
Wage Rate Competencies #9 |
IN 2 |
Record the number of competencies a CTE apprentice will obtain during wage progression #9. |
XX |
B - 1155 |
Wage Rate #9 (Dollars Per Hour) |
DE 6.2 |
If wage progression #9 is expressed in Dollars Per Hour, Record the wage rate in dollars per hour associated with the wage progression #9 for this program. |
XXXX.XX |
B - 1156 |
Wage Rate #9 (% of CTE Apprentice Final Wage) |
DE 4.2 |
If wage progression #9 is expressed as a percent of CTE Apprentice Final Wage, Record the wage rate in percent of CTE Apprentice Final Wage associated with the wage progression #9 for this program. |
XX.XX |
B - 1157 |
Wage Rate Duration #10 |
IN 4 |
Record the duration in number of hours that wage rate #10 will be applicable. |
XXXX |
B - 1158 |
Wage Rate Competencies #10 |
IN 2 |
Record the number of competencies a CTE apprentice will obtain during wage progression #10. |
XX |
B - 1159 |
Wage Rate #10 (Dollars Per Hour) |
DE 6.2 |
If wage progression #10 is expressed in Dollars Per Hour, Record the wage rate in dollars per hour associated with the wage progression #10 for this program. |
XXXX.XX |
B - 1160 |
Wage Rate #10 (% of CTE Apprentice Final Wage) |
DE 4.2 |
If wage progression #10 is expressed as a percent of CTE Apprentice Final Wage, Record the wage rate in percent of CTE Apprentice Final Wage associated with the wage progression #10 for this program. |
XX.XX |
B - 1161 |
Fringe Benefits |
IN 7 |
If the sponsor or any participating employer provides fringe benefits to CTE apprentices, record all of the types of benefits that apply: Record 1 if the sponsor or any participating employer provides Health Insurance Contributions. Record 2 if the sponsor or any participating employer provides Life Insurance. Record 3 if the sponsor or any participating employer provides Pension/Retirement Contributions. Record 4 if the sponsor or any participating employer provides paid vacation days. Record 5 if the sponsor or any participating employer provides paid sick leave. Record 6 if the sponsor or any participating employer provides paid holidays. Record 7 if the sponsor or any participating employer provides other "bona fide" fringe benefits. If the sponsor or any participating employer provides more than one applicable type fringe benefit, please provide all applicable in this field. For example, if both "paid sick leave" and "paid holiday" apply, record "56"
Record 0 if the sponsor or any participating employer does not provide fringe benefits. Fringe Benefits refers to contributions irrevocably made to a trustee or third party pursuant to a bona fide fringe benefit fund plan or program; and/or the rate of costs incurred in providing bona fide fringe benefits pursuant to an enforceable commitment to carry out a financially responsible plan or program and communicated to the CTE apprentices in writing. However, payments required by Federal, State, or local law are not fringe benefit contributions; accordingly, payments required to fund Social Security, unemployment compensation, and workers’ compensation programs, as required by law, do not count as fringe benefits. For more information, visit: https://www.dol.gov/agencies/whd/government-contracts/construction/faq/fringe-benefits. |
1=Health Insurance Contributions 2=Life Insurance 3=Pension/Retirement Contributions 4=Paid Vacation Days 5=Paid Sick Leave 6=Paid Holidays 7=Other "bona fide" fringr benefit |
B - 1162 |
Fringe Benefits - Approximate Value |
DE 6.2 |
If the sponsor or any participating employer provides fringe benefits, record the approximate hourly value of the fringe benefits provided. |
XXXXXX.XX |
OMB Control No. 1205-0NEW |
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Expiration Date: XX/XX/XXXX |
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ETA Form 9209 |
DATA ELEMENT NO. |
DATA ELEMENT NAME |
DATA TYPE/ FIELD LENGTH |
DATA ELEMENT DEFINITIONS/INSTRUCTIONS |
CODE VALUE |
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DEMOGRAPHIC INFORMATION |
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B - 1200 |
Program Number |
AN 13 |
Record the program number assigned by the Registration Agency to the Registered CTE Apprenticeship program the CTE apprentice is participating in. |
XXXXXXXXXXXXX |
B - 1201 |
CTE Apprentice Identification Number |
AN12 |
Record the CTE Apprentice Idenification Number assigned to the CTE apprentice by the Registration Agency. |
XXXXXXXXXXXX |
B - 1202 |
First Name |
AN35 |
Record the first name of the CTE apprentice . |
XXXXXXXXXX |
B - 1203 |
Last Name |
AN35 |
Record the last name (sometimes called a surname or family name) of the CTE apprentice . |
XXXXXXXXXX |
B - 1204 |
Middle Name |
AN35 |
Record the middle name, if applicable, of the CTE apprentice . |
XXXXXXXXXX |
B - 1205 |
Suffix |
AN4 |
Record the name suffix, if applicable, of the CTE apprentice (e.g. Jr., Sr., II, III, etc). |
XXXX |
B - 1206 |
Telephone Number |
IN9 |
Record the CTE apprentice 's primary telephone contact number. Do not include any dashes. |
XXXXXXXXX |
B - 1207 |
Email Address |
AN35 |
Record the CTE apprentice 's primary email address contact. |
[email protected] |
B - 1208 |
Social Security Number |
IN9 |
Record the Social Security Number (SSN) assigned to the CTE apprentice . |
XXXXXXXXX |
B - 1209 |
Date of Birth |
DT8 |
Record the CTE Apprentice's Date of Birth |
YYYYMMDD |
B - 1210 |
Gender |
IN1 |
Record 1 if the participant indicates that he is male. Record 2 if the participant indicates that she is female. Record 3 if the participant indicates that they are non-binary. Record 9 if the participant did not self-identify their gender. |
1 = Male 2 = Female 3=Non-Binary 9 = Participant did not self-identify |
B - 1211 |
Ethnicity: Hispanic/Latino |
IN1 |
Record 1 if the participant indicates that they are a person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture in origin, regardless of race. Record 0 if the participant indicates that they do not meet any of these conditions. Record 9 if the participant did not self-identify their ethnicity. |
1 = Yes 0 = No 9 = Participant did not self-identify
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B - 1212 |
American Indian / Alaska Native |
IN1 |
Record 1 if the participant indicates that they are a member of an Indian tribe, band, nation, or other organized group or community, including any Alaska Native village or regional or village corporation as defined in or established pursuant to the Alaska Native Claims Settlement Act (85 Stat. 688) [43 U.S.C. 1601 et seq.], which is recognized as eligible for the special programs and services provided by the United States to Indians because of their status as Indians. Record 0 if the participant indicates that they do not meet any of these conditions. Record 9 if the participant did not self-identify their race. |
1 = Yes 0 = No 9 = Participant did not self-identify
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B - 1213 |
Asian |
IN1 |
Record 1 if the participant indicates that they are a person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian Subcontinent (e.g., India, Pakistan, Bangladesh, Sri Lanka, Nepal, Sikkim, and Bhutan). This area includes, for example, Cambodia, China, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam. Record 0 if the participant indicates that they do not meet any of these conditions. Record 9 if the participant did not self-identify their race. |
1 = Yes 0 = No 9 = Participant did not self-identify
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B - 1214 |
Black / African American |
IN1 |
Record 1 if the participant indicates that they are a person having origins in any of the black racial groups of Africa. Record 0 if the participant indicates that they do not meet any of these conditions. Record 9 if the participant did not self-identify their race. |
1 = Yes 0 = No 9 = Participant did not self-identify
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B - 1215 |
Native Hawaiian / Other Pacific Islander |
IN1 |
Record 1 if the participant indicates that they are a person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands. Record 0 if the participant indicates that they do not meet any of these conditions. Record 9 if the participant did not self-identify their race. |
1 = Yes 0 = No 9 = Participant did not self-identify
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B - 1216 |
White |
IN1 |
Record 1 if the participant indicates that they are a person having origins in any of the original peoples of Europe, the Middle East, or North Africa. Record 0 if the participant indicates that they do not meet any of these conditions. Record 9 if the participant did not self-identify their race. |
1 = Yes 0 = No 9 = Participant did not self-identify
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B - 1217 |
Disability Status |
IN1 |
Record 1 if the participant indicates that they have any "disability”, as defined in Section 3(2)(a) of the Americans with Disabilities Act of 1990 (42 U.S.C. 12102). Under that definition, a "disability" is a physical or mental impairment that substantially limits one or more of the person's major life activities. Record 0 if the participant indicates that they do not have a disability that meets the definition. Record 9 if the participant did not self-identify their disability status. |
1 = Yes 0 = No 9 = Participant did not self-identify
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B - 1218 |
Veteran Status |
IN1 |
Record 1 if the participant is a person has served in the active military, naval, air, or space service of the United States, and who was discharged or released therefrom under conditions other than dishonorable. Record 2 if the participant is a person who is a dependent spouse or child—or the surviving spouse or child—of a Veteran, and who is eligible for certain G.I. Bill and other VA-administered educational assistance benefits provided under Title 38 of the U.S. Code. Record 3 if the participant is a Veteran who is eligible for certain G.I. Bill and other VA-administered educational assistance benefits provided under Title 38 of the U.S. Code. Record 0 if the participant does not meet the condition described above. Record 9 if participant does not disclose veteran status. |
1 = Veteran 2 = Non-Veteran, Other Eligible Individual 3 = Veteran, Eligible 0 = Non-Veteran 9 = Status not known |
B - 1219 |
Education Level at Program Entry |
IN1 |
Use the appropriate code to record the participant's highest educational level completed by the participant at program entry. Record 1 if the participant attained a secondary school diploma or equivalent. Record 2 if the participant completed one or more years of postsecondary education. Record 3 if the participant attained an Associate's Degree. Record 4 if the participant attained a Bachelor's Degree. Record 5 if the participant attained a Master's Degree. Record 6 if the participant attained a Doctorate Degree. Record 0 if no educational level was attained. |
1 = High School Graduate (including equivalency) 2 = Some College 3 = Associate's Degree 4 = Bachelor’s Degree 5 = Master’s Degree 6 = Doctorate Degree 0 = Not a High School Graduate |
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CTE APPRENTICE STATUS UPDATES |
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B - 1300 |
Apprenticeship Status |
IN 1 |
Record the current status of the CTE apprentice as of the date of the report. Record 1 if the CTE apprentice is active in the Registered CTE Apprenticeship program. Record 2 if the CTE apprentice is currently in suspended status. Record 3 if the CTE apprentice 's participation in the Registered CTE Apprenticeship program was cancelled at the request of the CTE apprentice . Record 4 if the CTE apprentice 's participation in the Registered CTE Apprenticeship program was cancelled as a result of a sponsor's determination. Record 0 if the CTE apprentice has completed the program. |
1=Active Apprentice 2=Suspended 3=Cancelled (At CTE Apprentice Request) 4=Cancelled (Sponsor Determination) 0=Completed |
B - 1301 |
Most Recent Date of Change in Apprenticeship Status |
DT 8 |
Record the most recent date that the CTE apprentice 's status changed. |
YYYYMMDD |
B - 1302 |
Current Wage Progression |
IN 2 |
Record the step number of the CTE apprentice 's current wage progression. |
XX |
B - 1303 |
Date of most recent wage progression |
DT 8 |
Record the most recent date that the step number of the CTE apprentice 's wage progression status changed. |
YYYYMMDD |
B - 1304 |
Received Supportive Service |
IN 4 |
Record the funding source(s) of the supportive services that were received by the CTE apprentice . Record 1 if the CTE apprentice received supportive services funded by a Workforce Innovation and Opportunity Act (WIOA) program. Record 2 if the CTE apprentice received supportive services funded by the program sponsor. Record 3 if the CTE apprentice received supportive services funded by an Apprenticeship grant. Record 4 if the CTE apprentice recieved supportive services funded by resources that were not federal resources and were not funded by the program sponsor. Record 0 if the CTE apprentice did not receive supportive services. |
1= Funded by WIOA 2= Funded by the program sponsor 3= Funded by Apprenticeship Grants 4= Funded by non-federal resources 0= Did Not Receive Supportive Services |
B - 1305 |
Supportive Service Types |
IN 6 |
Record all of the types of supportive services received by the CTE apprentice , whether funded directly by the program or another source. Record 1 if the CTE apprentice received Transportation assistance. Record 2 if the CTE apprentice received Housing assistance. Record 3 if the CTE apprentice received Tools, Supplies, or Uniforms assistance. Record 4 if the CTE apprentice received Child/Dependent Care assistance. Record 5 if the CTE apprentice received Needs Related Payments. Record 6 if the CTE apprentice received supportive services other than those listed above. Record 0 if the CTE apprentice did not receive supportive services.
For CTE apprentice s where more than one suportive service type was recieved, please provide all applicable in this field. For example, if both "transportation" and "housing" apply, record "12" |
1 = Transportation 2 = Housing 3 = Tools, Supplies, Uniforms 4 = Child/Dependent Care 5 = Needs Related Payments 6 = Other 0 = No supportive services |
B - 1306 |
Placement on a Job Site eligible for Apprenticeship-related tax credit |
IN 3 |
Record whether the CTE apprentice had, at any time during program participation, been placed on a job site that was eligible for any Apprenticeship-related tax credits: Record 1 if the CTE apprentice was placed at a job site that was eligible for Federal tax credit. Record 2 if the CTE apprentice was placed at a job site that was eligible for an State tax credit. Record 0 if the CTE apprentice was not placed at a job site that was eligible for a tax credit. For CTE apprentice s where more than one response is applicable, please provide all applicable in this field. For example, if both "IRA" and "Federal" apply, record "12" |
1= Other Federal Tax Credit 2= State Tax Credit 0= No |
B - 1307 |
CTE Apprenticeship Agreement Start Date |
DT 8 |
Record the Registered CTE Apprenticeship Start Date from the CTE Apprenticeship Agreement |
YYYYMMDD |
B - 1308 |
Date CTE Apprentice begins on-the-job training |
DT 8 |
Record the date that the CTE apprentice began receiving on-the-job training. |
YYYYMMDD |
B - 1309 |
Date CTE Apprentice begins CTE-apprenticeship related instruction |
DT 8 |
Record the date that the CTE apprentice began receiving CTE apprenticeship-related instruction. |
YYYYMMDD |
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POSTSECONDARY CREDIT HOURS ATTAINED FROM/DURING REGISTERED CTE APPRENTICESHIP |
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B - 1400 |
Postsecondary Credit Hours Attainted #1 |
IN 2 |
Record the number of postsecondary credit hours that the CTE apprentice has attained from or during the Registered CTE Apprenticeship program. |
XX |
B - 1401 |
Most Recent Date Attained Credit Hours #1 |
DT 8 |
Record the date, from or during the Registered CTE Apprenticeship Program, that the CTE apprentice attained postsecondary credit hours #1. |
YYYYMMDD |
B - 1402 |
Postsecondary Credit Hours Attainted #2 |
IN 2 |
Record the number of postsecondary credit hours that the CTE apprentice has attained from or during the Registered CTE Apprenticeship program. |
XX |
B - 1403 |
Most Recent Date Attained Credit Hours #2 |
DT 8 |
Record the date, from or during the Registered CTE Apprenticeship Program, that the CTE apprentice attained postsecondary credit hours #2. |
YYYYMMDD |
B - 1404 |
Postsecondary Credit Hours Attainted #3 |
IN 2 |
Record the number of postsecondary credit hours that the CTE apprentice has attained from or during the Registered CTE Apprenticeship program. |
XX |
B - 1405 |
Most Recent Date Attained Credit Hours #3 |
DT 8 |
Record the date, from or during the Registered CTE Apprenticeship Program, that the CTE apprentice attained postsecondary credit hours #3. |
YYYYMMDD |
B - 1406 |
Postsecondary Credit Hours Attainted #4 |
IN 2 |
Record the number of postsecondary credit hours that the CTE apprentice has attained from or during the Registered CTE Apprenticeship program. |
XX |
B - 1407 |
Most Recent Date Attained Credit Hours #4 |
DT 8 |
Record the date, from or during the Registered CTE Apprenticeship Program, that the CTE apprentice attained postsecondary credit hours #4. |
YYYYMMDD |
B - 1408 |
Postsecondary Credit Hours Attainted #5 |
IN 2 |
Record the number of postsecondary credit hours that the CTE apprentice has attained from or during the Registered CTE Apprenticeship program. |
XX |
B - 1409 |
Most Recent Date Attained Credit Hours #5 |
DT 8 |
Record the date, from or during the Registered CTE Apprenticeship Program, that the CTE apprentice attained postsecondary credit hours #5. |
YYYYMMDD |
B - 1410 |
Postsecondary Credit Hours Attainted #6 |
IN 2 |
Record the number of postsecondary credit hours that the CTE apprentice has attained from or during the Registered CTE Apprenticeship program. |
XX |
B - 1411 |
Most Recent Date Attained Credit Hours #6 |
DT 8 |
Record the date, from or during the Registered CTE Apprenticeship Program, that the CTE apprentice attained postsecondary credit hours #6. |
YYYYMMDD |
B - 1412 |
Total Postsecondary Credit Hours Attainted |
IN 2 |
Record the total number of postsecondary credit hours that the CTE apprentice has attained from or during the Registered CTE Apprenticeship program. |
XX |
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CREDENTIALS ATTAINED FROM/DURING REGISTERED CTE APPRENTICESHIP |
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B - 1500 |
Date Attained Credential #1 |
DT 8 |
Record the date, from or during the Registered CTE Apprenticeship Program, that the CTE apprentice attained credential #1. |
YYYYMMDD |
B - 1501 |
Credential #1 Type |
IN 1 |
Indicate the type of credential attained for Credential #1 :
Record 1 for industry recognized certificate. Record 2 for industry certification. Record 3 for license recognized by local, State or Federal Government. Record 4 for Associate's Degree. Record 5 for Bachelor's Degree. Record 6 for Master's Degree. Record 7 for Doctorate Degree. |
1=Industry Recognized Certificate 2=Industry Certification 3=License recognized by local, State or Federal Government 4=Associate's Degree 5=Bachelor's Degree 6=Master's Degree 7=Doctorate Degree |
B - 1502 |
Date Attained Credential #2 |
DT 8 |
Record the date, from or during the Registered CTE Apprenticeship Program, that the CTE apprentice attained credential #2. |
YYYYMMDD |
B - 1503 |
Credential #2 Type |
IN 1 |
Indicate the type of credential attained for Credential #1 :
Record 1 for industry recognized certificate. Record 2 for industry certification. Record 3 for license recognized by local, State or Federal Government. Record 4 for Associate's Degree. Record 5 for Bachelor's Degree. Record 6 for Master's Degree. Record 7 for Doctorate Degree. |
1=Industry Recognized Certificate 2=Industry Certification 3=License recognized by local, State or Federal Government 4=Associate's Degree 5=Bachelor's Degree 6=Master's Degree 7=Doctorate Degree |
B - 1504 |
Date Attained Credential #3 |
DT 8 |
Record the date, from or during the Registered CTE Apprenticeship Program, that the CTE apprentice attained credential #3. |
YYYYMMDD |
B - 1505 |
Credential #3 Type |
IN 1 |
Indicate the type of credential attained for Credential #1 :
Record 1 for industry recognized certificate. Record 2 for industry certification. Record 3 for license recognized by local, State or Federal Government. Record 4 for Associate's Degree. Record 5 for Bachelor's Degree. Record 6 for Master's Degree. Record 7 for Doctorate Degree. |
1=Industry Recognized Certificate 2=Industry Certification 3=License recognized by local, State or Federal Government 4=Associate's Degree 5=Bachelor's Degree 6=Master's Degree 7=Doctorate Degree |
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POST-PARTICIPATION OUTCOMES |
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B - 1600 |
Date of Exit from Apprenticeship/Actual End Date of Apprenticeship |
DT 8 |
Date that CTE Apprentice left their Registered CTE Apprenticeship program, including completion of the program, voluntary withdrawal from the program, or a forced withdrawal from the program as a results of events that prevent the CTE apprentice 's continued participation (including incarceration, hospitalization, and death). |
YYYYMMDD |
B - 1601 |
Type of Exit from Apprenticeship |
IN 1 |
Record 1 if the CTE Apprentice exited the program because they completed the program. Record 2 if the CTE Apprentice exited the program because they voluntarily withdrew from the program. Record 3 if the CTE Apprentice transferred to another Registered CTE Apprenticeship program. Record 4 if the CTE Apprentice exited the program because they were forced to withdraw due to events that prevented the CTE apprentice 's continued participation (including incarceration, hospitalization, and death). Record 5 if the CTE Apprentice exited the program for reasons other than those described above. |
1 = Completed 2 = Voluntary Withdraw 3 = Transferred 4 = Forced Withdraw 5 = Other |
B - 1602 |
Employed at Completion |
IN 1 |
For CTE Apprentices who exited from the program because they completed the program: Record 1 if the CTE Apprentice was employed in unsubsidzed employment at the time of completion of the program. Record 0 if the CTE Apprentice was not employed in unsubsidzed employment at the time of completion of the program. Record 9 if the CTE Apprentice's employment status was unknown at the time of completion. Leave Blank if the CTE Apprentice has not exited the program or exited for reasons other than completion of the program. |
1 = Yes 2 = No 9 = Unknown |
B - 1603 |
Registered Apprenticeship at Completion |
IN 1 |
For CTE Apprentices who exited from the program because they completed the program: Record 1 if the CTE Apprentice was registered in a Registered Apprenticeship program at the time of completion of the program. Record 0 if the CTE Apprentice was not registered in a Registered Apprenticeship program at the time of completion of the program. Record 9 if the CTE Apprentice's Registered Apprenticeship status was unknown at the time of completion. Leave Blank if the CTE Apprentice has not exited the program or exited for reasons other than completion of the program. |
1 = Yes 0 = No 9 = Unknown |
B - 1604 |
Postsecondary Education at Completion |
IN 1 |
For CTE Apprentices who exited from the program because they completed the program: Record 1 if the CTE Apprentice was enrolled in Postsecondary Education at the time of completion of the program. Record 0 if the CTE Apprentice was not enrolled in Postsecondary Education at the time of completion of the program. Record 9 if the CTE Apprentice's Postsecondary Education status was unknown at the time of completion. Leave Blank if the CTE Apprentice has not exited the program or exited for reasons other than completion of the program. |
1 = Yes 0 = No 9 = Unknown |
B - 1605 |
Career Pathway Program at Completion |
IN 1 |
For CTE Apprentices who exited from the program because they completed the program: Record 1 if the CTE Apprentice was enrolled in a Career Pathway Program at the time of completion of the program. Record 0 if the CTE Apprentice was not enrolled in a Career Pathway Program at the time of completion of the program. Record 9 if the CTE Apprentice's Career Pathway Program status was unknown at the time of completion. Leave Blank if the CTE Apprentice has not exited the program or exited for reasons other than completion of the program. |
1 = Yes 0 = No 9 = Unknown |