TEXAS VETERANS

COMMISSION

APPROVAL FOR

On-The-Job Training Programs

(38 CFR 21.4262)

Return to:

Sue E. Jevning, Director

Veterans Education Department or Veterans Education Department

Texas Veterans Commission Texas Veterans Commission

P.O. Box 12277 1700 Congress Ave., Suite 450

Austin, TX 78711-2277 Austin, TX 78701

(512)463-3168 or (877)898-3833 Toll Free

SAA-OJT-01/2019

ELISEO “AL” CANTU, JR.

Major, US Army (Retired)

Chairman

KIMBERLEE SHANEYFELT

Captain, USAF (Retired)

Member

DANIEL P. MORAN

Captain, USMC (Retired)

Vice Chairman

LAURA KOERNER

US Navy Veteran

Member

KEVIN BARBER

US Army Veteran

Secretary TEXAS VETERANS COMMISSION THOMAS P. PALLADINO

Colonel, US Army (Retired)

Executive Director

Dear School Official,

Enclosed is your Application Packet for your approval to train VA eligible persons under the provisions of Title 38, United States Code.

Please do not reproduce this application on front to back settings. Each page must be printed separately and single-sided. Supporting

documents, i.e. catalogs and handbooks, are preferred on CD R/W Format with PDF attachments. Flash/thumb drives and electronic

submissions are not permitted.

APPLICATIONS SHALL BE SUBMITTED ANNUALLY OR ANY TIME DURING THE CALENDAR/ ACADEMIC YEAR AS

CHANGES OCCUR.

To process your approval, please submit one copy of each item (forms requiring a signature should have an original/ink signature):

Please note the following items:

• The job which is the objective of this training must be one in which progression and appointment to the next higher classification

are based upon skills learned through organized and supervised training on-the-job and not such factors as length of service or

normal turnover; (NOT COMMISSION BASED)

• The training content of the program must be adequate to qualify the VA eligible person for appointment to the job for which she or

he is to be trained;

• The job must customarily require a period of training of not less than 6 months and not more than 2 years of full-time training;

• The length of the training period must not be longer than that customarily required by other training establishments in the community

to provide the VA eligible person with the required skills, arrange for the acquiring of job knowledge, technical information, and

other facts which the VA eligible person will need to learn to become competent on the job for which she or he is being trained

• VA Forms: The VA Form 22-8794, Designation of Certifying Official(s), and VA Forms 20-8206, Statement of Assurance of

Compliance with Equal Opportunity Laws, are provided for annual submission.

• For any programs or certificates that are offered/operate within a third-party contract, the third party must also be an approved

facility or submit an entire application for approval. Supporting documentation must accompany application. (i.e. memorandum of

understanding or contract)

Please submit your approval packet within 60 days of receipt of this letter. Upon receipt of the above items we will begin processing

your current year’s approval. Failure to respond to this notice may result in any new programs or courses being offered by your

institution not being approved. Should you have questions, please feel free to contact us toll-free at (877) 898-3833 or by email at

education@tvc.texas.gov.

Sincerely,

Sue E. Jevning

Director

SAA-OJT-01/2019

TEXAS VETERANS COMMISSION Veterans Education Department

P. O. Box 12277 Austin, TX 78711-2277

(512) 463-3168 O (877) 898-3833 Toll Free

Application for Approval - On- the- Job Training (38 CFR 21.4262)

SECTION 1: TRAINING ESTABLISHMENT INFORMATION

1. Name of Training Establishment:

2. Physical Address:

Mailing Address:

3. Point of Contact: 4. Work Phone no.: 5. Email:

Fax no.:

6. Are you a Federal, State, or Local Government Agency? ☐ Yes Name:

(The wage increase requirement does not apply to a public on-the-job training programs.)

☐ No

7. DOT/ONET Code:

SECTION 2: PROGRAM INFORMATION

8. Title of Training Objective/Program:

9. Length of Training Period in months:

(minimum 6 months, maximum 24 months)

10. Total number of hours to complete training:

(do not include related instruction hours)

11. Number of Current Instructors: 12. Hours of Related Instruction outside of job required each year:

(if none, write “NONE”)

13. Number of Current Trainees:

14. Number of Hours in your Standard Work-Week:

(cannot be less than 30 hours per 38 CFR 21.4270)

15. Current Base Wage Rate for Fully Trained Employee (Journeyman Wage) $

☐ Per hour

(check either per hour or per week)

☐ Per week

16. Recognized Holidays: ☐ New Year Day ☐ Presidents Day ☐ Labor Day ☐ Martin Luther King Day ☐ Independence Day

☐ Memorial Day ☐ Thanksgiving ☐ Christmas ☐ Other:

SECTION 3: WAGE SCHEDULE

17. The beginning wage will be at least 50% of the wage for a fully trained employee, periodic wage increases will be granted, and by the last full month of training the wage will be at least 85% of the wage for a fully trained employee, unless your establishment is operated by a Federal, State or local government (38 CFR§21.4262)

Level/Phase Wage Amount Wage Rate – Per Hour, Week or Month (Select One) Duration

Beginning Wage: S @ ☐ Hour ☐ Weeks ☐Months

1st Increase $ @ ☐ Hour ☐ Weeks ☐Months

2nd Increase $ @ ☐ Hour ☐ Weeks ☐Months

3rd Increase $ @ ☐ Hour ☐ Weeks ☐Months

4th Increase @ ☐ Hour ☐ Weeks ☐Months

Final Paid Wage Upon Completion of Training: (At least 85% Journeyman Wage)

$

“Helping Veterans Starts Here”

SAA-OJT-01/2019

We certify that:

1. The entrance wage or salary paid by the training establishment to employees already trained in the kind of work for

which the VA eligible person is to be trained is $ _____per ______ (this figure and the Wage to be Paid upon

Completion of Training should be the same.)

2. The wages to be paid to the VA eligible person upon entrance into training are not less than wages paid to non-

veterans in the same training position and are at least 50 percent of the wages paid for the job for which he or she

is to be trained, and will be increased in regular periodic increments until, not later than the last full month of the

scheduled training period they will be at least 85 percent of the wages paid for the job for which the VA eligible

person is being trained. (Not applicable to Federal, state, and local government OJT)

3. There is reasonable certainty that the job for which the VA eligible person is to be trained, will be available to him

or her at the end of the training period.

4. Credit for previous training including training while in the military has been evaluated and credit has been awarded

and has reduced or shorten the length of the total training appropriately.

We further certify that:

1. The job which is the objective of this training is one in which progression and appointment to the next higher

classification are based upon skills learned through organized and supervised training on-the-job and not such factors as

length of service or normal turnover. (NOT COMMISSION BASED)

2. The training content of the program is adequate to qualify the VA eligible person for appointment to the job for which

she or he is to be trained.

3. The job customarily requires a period of training of not less than 6 months and not more than 2 years of full-time training.

4. The length of the training period is no longer than that customarily required by other training establishments in the

community to provide the VA eligible person with the required skills, arrange for the acquiring of job knowledge,

technical information, and other facts which the VA eligible person will need to learn to become competent on the job

for which she or he is being trained.

5. There is in the training establishment adequate space, equipment, instructional material, and instructor personnel to

provide satisfactory training on-the-job (if more than two, list available instructors on company letterhead).

Instructor Title

Instructor Title

6. Adequate records are kept showing the progress made by each veteran or eligible person toward her or his job objective;

7. The VA eligible person is not already qualified by training and experience for the job.

8. The requirements of 38 CFR 21.4262(b)(6) and (7), regarding incremental wage increases and job certainty, are met;

9. A signed copy of the training agreement for each VA eligible person, including the training program and wage schedule as approved by the State Approving Agency, is provided to the VA eligible person, the Department of Veterans Affairs (DVA), and the State Approving Agency (by the employer); and,

10. The course meets such other reasonable criteria as may be established by the State Approving Agency.

ANY CHANGES TO THIS APPLICATION FOR APPROVAL/REVISED WAGE SCHEDULE WILL BE

FORWARDED TO VETERANS EDUCATION (STATE APPROVING AGENCY) IMMEDIATELY.

PRINTED Name of Employer/Authorized Official Title

Signature of Employer/Authorized Official Date

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TRAINING OUTLINE

(Use additional pages or custom job curriculum with allotted training hours, if needed)

(DO NOT INCLUDE ANY RELATED INSTRUCTION HOURS)

Job Title:

Job Description Summary: CONSTRUCTION CARPENTER: Performs general carpentry work

involved in the erecting of wooden building frames, installing exterior and interior trim, laying

floor, building concrete forms, pouring chutes, wooden scaffolds, and similar work entailing the

cutting, shaping and fastening together of wood or material, such as fiber-board, that is treated and

used the same as wood.

Training Time

Hours

Example: SECTION A – Benchwork Operations

• Work materials with hand tools and portable power tools

• Bend metal with box, pan, and power brake

• Notch Materials

• Cut metal with power shears

• Roll cylindrical metal shapes

750 hours

Example: SECTION B – Performing Precision Measurement and Calculations

• Measure parts with semi-precision measuring tools

• Inspect parts with precision measuring tools

• Inspect parts with comparison measuring tools

• Inspect assemblies

• Calculate square footage

750 hours

Example: SECTION C– Installation & Construction

• Follow blueprints and building plans to meet needs of project

• Operate woodworking and steel machinery and tools

• Measure, cut, or shape wood, plastic, steel and other materials for installation

• Install structures and fixtures and erect level and install building framework with tools

• Inspect and replace worn or damaged structures

• Prepare and maintain construction material slips and work orders

500 hours

Total Length of Training Period:

(Total hours should equal total hours listed in Section 2, Box 10)

2000 hours

Job Description Summary:

Major Performance Area A with bullet highlights

Major Performance Area B with bullet highlights

Major Performance Area C with bullet highlights

Major Performance Area D with bullet highlights

Total Length (OJT hours only) of Training Period:

Is any part of the training provided by a third-party contract? (If yes, submit a copy of third party

agreement to the SAA with application.) ☐ Yes ☐ No

I certify that the information on this form (and/or attachment) is true and correct to the best of my knowledge and belief.

Print Name of Authorized School Official Title

Signature of Authorized School Official Date

WORK PROCESS / TRAINING TIME TRACKING RECORD

THIS FORM IS KEPT ON FILE WITH THE VETERANS RECORDS FOLDER,

ALONG WITH UPDATED MONTHLY WITH PROGRESS NOTES AND MADE AVAILABLE TO THE SAA DURING COMPLIANCE VISITS. (This is an example; local forms may be used but must include the information provided here.)

Name of Trainee: Start Date:

Last 4 of SS#: Chapter:

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LIS TIN G OF J OB S EC TION S

D UTIES P ER A P P R OVA L1/1 1/1 1/2 1/3 1/4 1/7 1/8 1/9 1/10 1/11 1/14 1/15 1/16 1/17 1/18 1/21 1/22 1/232 1/24 1/25 1/28 1/29 1/31

M T W TH F M T W TH F M T W TH F M T W TH F M T W

TO TAL HO URS WO RKED

TRAINING AGREEMENT (ON-THE-JOB TRAINING OR UNREGISTERED APPRENTICESHIP)

A COPY OF THIS FORM & THE TRAINING PROGRAM OUTLINE MUST BE SENT TO THE STATE APPROVING

AGENCY (SAA) FOR VETERANS EDUCATION AND DVA

Training Establishment

Address

Trainee SSN/C #

Address Chapter

Instructor Name Title

Job Objective (refer to SAA issued approval notice)

Standard Work Week (Hours) (cannot be less than 30 hours per work week, 38 CFR 21.4270)

Trainee Start Date Date of 1st wage change (wage changes must be in accordance with the

Date of 2nd wage change Application for Approval/Revised Wage Schedule) Date of 3rd wage change Date of 4th wage change Date of 5th wage change Training Program Ending Date:

Non-Public sector OJT programs fill out below: (effective 07/14/06, the wage requirement does not apply to public-sector OJT

training programs)

Standard Work-Week is (hrs.) Beginning OJT Wage is (hrs.) Ending OJT Wage is (hrs.)

We certify that: 1. Wages paid to the veteran or eligible person are not less than wages paid to non-veterans in the same training position. 2. There is reasonable certainty that the job for which the veteran or eligible person is training for will be available to her or him at

the end of the training period. 3. The trainee’s previous education and job experience has been evaluated and credit has been awarded and current training has been

adjusted in length. 4. Provision has been made for hours of related instruction for this veteran or eligible person. 5. The Veteran or eligible person is not already qualified by training and experience for the job. 6. Unsatisfactory attendance, conduct and progress will be reported to the Department of Veterans Affairs as required. 7. The training establishment will continue to comply with the approval criteria outlined in 38 CFR 21.4262(c). 8. This training agreement is in accordance with the Application for Approval or Revised Wage Schedule and the currently eligible

Veteran or eligible trainee will be certified accordingly. (The attached training program outline MUST be signed by the trainee and establishment.)

9. We hereby agree to train the above-mentioned Veteran or eligible person in accordance with the provisions of Section 3677, Title 38, United States Code.

10. The training program outline signed by the establishment and trainee is attached. 11. Any change affecting this training agreement will be forwarded to the State Approving Agency and the Department of Veterans

Affairs. Trainee Date Supervisor Date

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Credit for previous training: (The school must maintain a written record of previous education and training of the veteran or

eligible person which clearly indicates that appropriate credit has been given by the school for previous education and training

with the training period shorten appropriately.)

Total length (months) of training program: Length of Probationary

Period

Less credit for previous education/training: (if any)

Adjusted length of training program:

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STATEMENT OF ASSURANCE OF COMPLIANCE

WITH EQUAL OPPORTUNITY LAWS ______________________________________________________________________________(hereinafter called the "Signatory").

(Name of Organization, Institution, or Individual)

HEREBY AGREES THAT

it will comply with Title VI of the Civil Rights Act of 1964 (42 U.S.C. 2000d et seq.), Title IX of the Education Amendments of 1972,

as amended (20 U.S.C. 1681 et seq.), Section 504 of the Rehabilitation Act of 1973 (29 U.S.C. 794), the Age Discrimination Act of

1975 (42 U.S.C. 6101 et seq.), and all Federal regulations adopted to carry out such laws. This assurance is directed to the end that no

person in the United States shall, on the ground of race, color, national origin (Title VI), handicap (Section 504), sex (Title IX, in

education programs and activities only), or age (Age Discrimination Act) be excluded from participation in, to be denied the benefits

of, or be subjected to discrimination under any program or activity of the Signatory receiving Federal financial assistance or other

benefits under statutes administered by VA (Department of Veterans Affairs), the ED (Department of Education), or any other Federal

agency. This assurance applies whether assistance is given directly to the recipient or indirectly through benefits paid to a student,

trainee, or other beneficiary because of enrollment or participation in a program of the Signatory.

The Signatory HEREBY GIVES ASSURANCE that it will promptly take measures to effect this agreement.

If any real property or structure thereon is provided or improved with the aid of Federal financial assistance extended to the Signatory

by VA or ED, this assurance shall obligate the Signatory, or in the case of transfer of such property, any transferee, for the period

during which the real property or structure is used for the purpose for which the Federal financial assistance is extended or for another

purpose involving the provision of similar services or benefits. In all cases, this assurance shall obligate the Signatory for the period

during which the Federal financial assistance is extended to any of its programs by VA, ED or any other Federal agency.

THIS ASSURANCE is given in consideration of and for the purpose of obtaining Federal financial assistance, including facilities

furnished or payments made under sections 104 and 244(1) of Title 38, U.S.C. Also, sections 1713, 1720, 1720a, 1741-1743, 2408,

5902(a)(2), 8131-8137, 8151-8156 (formerly 613, 620, 620a, 641-643, 1008, 3402(a)(2), 5031-5037, 5051-5056 respectively) and 38

U.S.C. chapters 30, 31, 32, 33, 35, 36, 82, and 10 U.S.C. chapter 106. Under the terms of an agreement between VA and ED, this

assurance also includes Federal financial assistance given by ED through programs administered by that agency. Federal financial

assistance is understood to include benefits paid directly to the Signatory and/or benefits paid to a beneficiary contingent upon the

beneficiary's enrollment in a program or using services offered by the Signatory.

The Signatory agrees that Federal financial assistance or other benefits will be extended in reliance on the representations and

agreements made in this assurance; that VA or ED will withhold financial assistance, facilities, or other benefits to assure compliance

with the equal opportunity laws; and that the United States shall have the right to seek judicial enforcement of this assurance.

THIS ASSURANCE is binding on the Signatory, its successors, transferees, and assignees for the period during which assistance is

provided. The Signatory assures that all contractors, subcontractors, subgrantees, or others with whom it arranges to provide services

or benefits to its students or trainees in connection with the Signatory's programs or services are not discriminating against those

students or trainees in violation of the above statutes.

The person whose signature appears below is authorized to sign this assurance.

(Date) (Signature of authorized official)

(Date) (Title of authorized official)

(Mailing address)

VA Form 20-8206 May 2006

SUPERSEDES VA FORM 27-8206, FEB 1992, WHICH WILL NOT BE USED.

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DESIGNATION OF CERTIFYING OFFICIAL(S) GENERAL INSTRUCTIONS

1. This form MUST ONLY be completed by a responsible official with the authority to designate certifying officials for the school or training establishment.

2. This form must be completed whenever there is a change in any of the information. Include the names, titles, and signatures

of all certifying officials, not just the changed information.

SPECIFIC INSTRUCTIONS 1. Item 1: Enter the complete name and address of the school or training establishment.

2. Item 2: Enter the certifying official's telephone number.

3. Item 3: Enter the certifying official's fax number.

4. Item 4: Enter the certifying official's e-mail address. As an alternative, you may enter the e-mail address for the office where the certifying official works.

5. Item 5A: Enter the complete name and title for each designated certifying official. Have each person sign the form on the same line as his or her name and title. If any of the certifying officials have limited jurisdiction, note such limitations in Item 6, "Remarks". Use space below if needed.

6. Item 5B: If facsimile (e.g., rubber stamp) signatures will be used for any certifying officials, enter a sample in the appropriate block.

In addition, have the individual initial next to the sample.

7. Item 5C: If veterans and other eligible persons will be claiming individualized tutorial assistance, complete these blocks.

8. Items 7 and 8: Sign and date the form. The person signing the form must be a person of significant authority, i.e., registrar, academic

dean, or higher. PURPOSE: This form is used to provide the names and signatures of those individuals who are authorized to certify enrollment

information to the Department of Veterans Affairs.

1. NAME AND ADDRESS OF SCHOOL OR TRAINING ESTABLISHMENT (Include ZIP Code)

FOR VA USE ONLY

2. TELEPHONE NUMBER(S) OF CERTIFYING

OFFICIAL(S) (Include Area Code) 3. FAX NUMBER OF CERTIFYING OFFICIAL(S) (Include Area Code)

4. E-MAIL ADDRESS OF CERTIFYING OFFICIAL(S)

5. THE FOLLOWING ARE DESIGNATED AS CERTIFYING OFFICIALS OF THIS SCHOOL OR TRAINING ESTABLISHMENT A. OFFICIALS DESIGNATED TO SIGN VA ENROLLMENT CERTIFICATIONS, CERTIFICATIONS OF CHANGE IN STUDENT STATUS, CERTIFICATIONS OF DELIVERY OF ADVANCE PAYMENTS, CERTIFICATIONS OF PURSUIT, ATTENDANCE, FLIGHT TRAINING, ON-THE-JOB OR APPRENTICESHIP TRAINING (AS APPLICABLE), OTHER CERTIFICATIONS OF ENROLLMENT ARE:

NO. NAME TITLE SIGNATURE

(1)

(2)

(3)

(4)

B. THE USE OF THE FOLLOWING FACSIMILE (e.g., rubber stamp) SIGNATURES FOR THE OFFICIALS LISTED IN ITEM 5A ABOVE ARE AUTHORIZED.

(1)

(2)

(3)

(4)

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5. THE FOLLOWING ARE DESIGNATED AS CERTIFYING OFFICIALS OF THIS SCHOOL OR TRAINING ESTABLISHMENT (Continued)

C. FOR POSTSECONDARY EDUCATIONAL INSTITUTIONS ONLY - OFFICIALS DESIGNATED TO SIGN THE SCHOOL PORTION OF VA FORM 22-1990T, APPLICATION AND ENROLLMENT CERTIFICATION FOR INDIVIDUALIZED TUTORIAL ASSISTANCE, ARE: NO. NAME TITLE SIGNATURE

(1)

(2)

(3)

6. REMARKS

It is acknowledged that each of the individuals designated as certifying officials must successfully complete online training for new

certifying officials prior to being granted access to VA's certification system. It is hereby certified that the Department of Veterans Affairs

will be notified of any changes in the designations shown on this form as they occur.

7. SIGNATURE AND TITLE OF DESIGNATING OFFICIAL

8. DATE

PENALTY - The law provides that whoever makes any statement of a material fact knowing it to be false shall be punished by fine

or imprisonment or both.

PRIVACY ACT NOTICE: VA will not disclose information collected on this form to any source other than what has been authorized under the

Privacy Act of 1974 or Title 38, Code of Federal Regulations 1.576 for routine uses as identified in the VA system of records, 58VA21/22/28,

Compensation, Pension, Education, Vocational Rehabilitation and Employment Records - VA, and published in the Federal Register. An example

of a routine use (e.g., VA sends educational forms or letters with a veteran's identifying information to the veteran's school or training establishment

to (1) assist the veteran in the completion of claims forms or (2) for VA to obtain further information as may be necessary from the school for VA to

properly process the veteran's education claim or to monitor his or her progress during training). Your obligation to respond is required to obtain or

retain education benefits. VA cannot recognize you as the proper certifying official unless the information is furnished as required by existing law

(38 U.S.C. 3680(g)). The responses you submit are considered confidential (38 U.S.C. 5701). Any information provided by applicants, recipients,

and others is subject to verification through computer matching programs with other agencies.

RESPONDENT BURDEN: We need this information to identify you as the certifying official for your school or job training establishment when

reporting pursuit of training for veterans and other eligible persons (38 U.S.C. 3684). Title 38, United States Code, allows us to ask for this

information. We estimate that you will need an average of 10 minutes to review the instructions, find the information, and complete this form. VA

cannot conduct or sponsor a collection of information unless a valid OMB control number is displayed. You are not required to respond to a

collection of information if this number is not displayed. Valid OMB control numbers can be located on the OMB Internet Page at www.reginfo.

gov/public/do/PRAMain. If desired, you can call 1-888-GI-BILL-1 (1-888-442-4551) to get information on where to send comments or suggestions

about this form.

VA FORM 22-8794 EXISTING STOCKS OF VA FORM 22-8794,

MAY 2011 JAN 2007, WILL NOT BE USED