Job Skills Program (JSP) Application
*Note: This document is meant to be used as an aid and is not an official application. All applications must be sent to SBCTC
through the Online Grant Management System (OGMS)
Section 1
BUSINESS PARTICIPANT
1A. Project Name *
(If this is not a consortium project, please enter company name here.):
Characters: 75
1B. Business Partner (Full Company Name) *:
1C. CEO *:
Characters: 75
Characters: 75
1D. Location Address *:
1E. Contact Name *:
Characters: 125
Characters: 50
1F. Contact Phone (xxx) xxx-xxxx *:
1G. Contact Email *:
Characters: 14
Characters: 50
1H. Date the company was established in Washington state: (MM/DD/YYYY) *:
1I. Please provide a general description of the company, its industry, and markets.
(Example: This is a family-owned designer and manufacturer of boat components for
the marine industry that specializes in ….) *
Characters: 750
1J. Location(s) where the training will take place: Include the training site, the city,
AND the COUNTY. *
Characters: 200
1K. Is more than one company receiving training under this grant? *
s
Ye
No
1L. If the answer is "yes" above (more than one company is receiving training under
this grant) please answer 1B – 1I for each additional company.
Characters: 8000
1M. Has the business partner(s) used the Job Skills Program for training in the past? *
s
Ye
No
Job Skills Program (JSP) Application
*Note: This document is meant to be used as an aid and is not an official application. All applications must be sent to SBCTC
through the Online Grant Management System (OGMS)
If yes, when?
Characters: 2000
Section 2
PROJECT OVERVIEW
2A. Project Start Date (MM/DD/YYYY) *:
2B. Project End Date (MM/DD/YYYY) *:
2C. Amount of JSP Funding Request; please round to the nearest whole dollar. *:
2D. Provide a brief description of the purpose of the project. *
Characters: 750
JSP PROJECT INTENT
Which of the of the following intended JSP purposes does this project address?
Check all applicable boxes below and add corresponding explanations.
2E. Provides short-term training which has been designated for specific industries.
Explain
Characters: 1000
2F. Provides training for prospective employees before a new operation opens or when
existing industry expands.
Explain
Characters: 1000
2G. Includes training and retraining for workers already employed to avoid dislocation,
or where upgrading of existing employees would create new vacancies for unemployed
persons.
Explain
Characters: 1000
2H. Serves an area with high concentrations of economically disadvantaged persons
and high unemployment
Job Skills Program (JSP) Application
*Note: This document is meant to be used as an aid and is not an official application. All applications must be sent to SBCTC
through the Online Grant Management System (OGMS)
Explain
Characters: 1000
2I. Promotes the growth of industry clusters
Explain. Use this site to identify regional clusters and their rankings.
http://www.wtb.wa.gov/ClusterRankingsAllRegions.asp
If this project is part of a regional cluster, identify the cluster, its regional ranking, and
pertinent information such as its involvement with a Center of Excellence, skill panel,
Innovation Partnership Zone, etc.
Characters: 1000
2J. Serves an area where there is a shortage of skilled labor to meet job demands.
Explain
Characters: 1000
2K. Promotes the location of new industry in areas affected by economic
dislocation.
Explain
Characters: 1000
2L. Check here to confirm that the business has been informed of the Customized
Training Program (CTP) and understands that if JSP funds are not available the
business may opt to participate in the CTP. *
2M. Large projects and projects that start late in the fiscal year may need to continue
into the next fiscal year. Describe any project circumstances regarding the need for
continuation.
Characters: 750
2N. Please complete and attach the templates titled, "Project Outcomes" and
"Project Outcome Measurements" found in the Grant Info link near the top
right hand side of this page.
Section 3
EMPLOYEE AND TRAINEE INFORMATION
3A. Current total number of employees at this facility: *:
3B. Describe any planned changes in number of employees in the next 2 years. *
Remaining characters: 500
Job Skills Program (JSP) Application
*Note: This document is meant to be used as an aid and is not an official application. All applications must be sent to SBCTC
through the Online Grant Management System (OGMS)
3C. Expected total of employees at this facility when this JSP is completed. *:
3D. Total number of people to be trained in this project: *:
3E. Training Types: The sum of three training types below should equal the
number above in 3D.
New Hire Training – Trainees hired shortly before, during, or after the grant period:
Retraining – Training needed to retain or maintain employee at current level of
employment:
Upgrade Training - Training intended to lead to promotion or pay increases:
WAGE INFORMATION
3F. Check here to verify that the business is aware of the JSP wage threshold policy as
given in the current program guidelines. *
3G. What employee benefits are offered to trainees? Check all applicable boxes below.
Medical insurance
Dental insurance
Vision insurance
Prescription drug plan
Life insurance
Short-term disability insurance
Long-term disability insurance
Accidental death and dismemberment insurance
Pension plan
401(K) plan
Stock options
Discounted stock purchase plan
Education or tuition reimbursement
Employee assistance program
Job Skills Program (JSP) Application
*Note: This document is meant to be used as an aid and is not an official application. All applications must be sent to SBCTC
through the Online Grant Management System (OGMS)
Sick leave
Paid holiday leave
Paid vacation leave
Paid personal days
Dependent care reimbursement
3H. Benefits explanation (if needed)
Remaining characters: 250
3I. Please complete and attach the template titled, "Trainee and Wage
Information." found in the Grant Info link near the top right hand side of this
page.
Section 4
TRAINING SUMMARY
Please provide a response to each of the project elements below. Taken
together, the answers you provide should describe the entire scope of your
project.
4A. Project Description
Provide details about the project and the training plans. Describe the specific training
needs of the business, how these needs have been identified, how the project relates to
the company's business plan, and if further needs-assessment is necessary. Briefly
describe the training plan.
Characters: 2000
4B. Identify the training and any other deliverables (curriculum development,
assessment, etc.) that will be provided by each party below.
4C. College:
Characters: 750
4D. Sub-contractor:
Characters: 750
4E If the sub-contractor Is delivering a significant amount of the training, indicate
benefits the sub-contractor will provide to the college or the greater industry. Check all
boxes that apply.
Development of new curriculum that can be used outside the JSP project.
Job Skills Program (JSP) Application
*Note: This document is meant to be used as an aid and is not an official application. All applications must be sent to SBCTC
through the Online Grant Management System (OGMS)
Enhancement of existing curriculum that can be used outside the JSP project.
Faculty development opportunities
Student enhancement opportunities (field trips, internships, job shadowing, etc.)
Distance learning tools.
Digital learning tools.
Guest speakers (from the subcontractor or business) presenting to college classes
or industry groups.
Creation of assessments, tests, job aids, software, training models, etc. that can be
used again.
Other benefits the subcontractor will provide
Characters: 750
4F. Company:
Characters: 750
4G.Others: (WorkSource, economic development entities, community service providers,
etc.)
Characters: 750
4H.Project Timeline: Please outline the timeline for the project. Include start and end
dates and a brief description, if necessary, for the following phases: recruitment,
assessment, curriculum design, train-the-trainer, training session(s), trainee evaluation
or follow-up, and project evaluation. *
Characters: 4000
4I.Creative Commons: *
Creative Commons (CC) is a nonprofit corporation dedicated to making it easier for
people to share and build upon the educational and scientific work of others, consistent
with the rules of copyright.
SBCTC requires that all digital software, educational resources and knowledge produced
as part of competitive state grants be placed under the Attribution license from Creative
Commons. This license allows others to use, distribute, and create derivative works
based upon the digital works, while still allowing authors to receive credit for their
efforts. Please take the time to read the license and then check the "I agree" box
below.
I Agree
I hereby allow SBCTC to distribute the digital software, educational resources and
knowledge I create through this competitive grant under the terms of the Creative
Commons Attribution License available
Job Skills Program (JSP) Application
*Note: This document is meant to be used as an aid and is not an official application. All applications must be sent to SBCTC
through the Online Grant Management System (OGMS)
at http://creativecommons.org/licenses/by/3.0 *
I Agree
COURSES
4J. Enter the course information for courses. For "Target Audience" please
specify management, supervisors, production, clerical, etc.
1. Course Title or Type of Training *:
Characters: 75
Course ID (CIP) *:
Look up CIP Codes
Target Audience *:
Characters: 50
Training Start Date (MM/DD/YYYY) *:
Training End Date (MM/DD/YYYY) *:
Number of Trainees *:
Total Training Hours (per employee) *:
For each additional course copy, paste, and complete this information in the text area
below:
Title:
CIP:
Audience:
Start:
End:
Trainees:
Hours per Employee:
Characters: 4000
Section 5
Budget Narrative
5A. Describe how funds will be used for Instructional – Salaries, Wages, and Benefits.
Include all position titles, percentages of effort/FTEF/hourly wages, and a brief
description of duties as they relate to this grant activity. See JSP Fiscal Guidance for
examples.
Instructional
Salary and Wages
Characters: 1500
Instructional
Employee Benefits
Job Skills Program (JSP) Application
*Note: This document is meant to be used as an aid and is not an official application. All applications must be sent to SBCTC
through the Online Grant Management System (OGMS)
5B. Describe how funds will be used for Instructional – Goods and Services
Instructional
Goods and Services
Characters: 1500
5C. Describe how funds will be used for Instructional – Building Rental & Utilization
Instructional
Building Rental &
Utilizations
Characters: 1500
5D. Describe how funds will be used for Instructional – Travel
Instructional
Travel
Characters: 1500
5E. Describe how funds will be used for Instructional – Contracts. Include subcontractor
name, deliverables, and daily or hourly rates. See JSP Fiscal Guidance for examples.
Instructional
Contracts
Characters: 1500
5F. Describe how funds will be used for Program Development – Salaries, Wages, and
Benefits. Include all position titles, percentages of effort/FTEF/hourly wages, and a brief
description of duties as they relate to this grant activity. See JSP Fiscal Guidance for
examples.
Program Development
Salary and Wages
Program Development
Employee Benefits
Characters: 1500
5G. Describe how funds will be used for Program Development – Goods and Services.
Program Development
Goods and Services
Characters: 1500
5H. Describe how funds will be used for Program Development – Building Rental &
Utilization.
Job Skills Program (JSP) Application
*Note: This document is meant to be used as an aid and is not an official application. All applications must be sent to SBCTC
through the Online Grant Management System (OGMS)
Program Development
Building Rental &
Utilizations
Characters: 1500
5I. Describe how funds will be used for Program Development – Travel.
Program Development
Travel
Characters: 1500
5J. Describe how funds will be used for Program Development – Contracts.
Program Development
Contracts
Characters: 1500
5K. Describe how funds will be used for Administration – Salaries, Wages, and Benefits.
Include all position titles, percentages of effort/FTEF/hourly wages, and a brief
description of duties as they relate to this grant activity. See JSP Fiscal Guidance for
examples.
Administration
Salary and Wages
Administration
Employee Benefits
Characters: 1500
5L. Describe how funds will be used for Administration – Goods and Services.
Administration
Goods and Services
Characters: 1500
5M. Describe how funds will be used for Administration – Building Rental & Utilization.
Administration
Building Rental &
Utilizations
Characters: 1500
5N. Describe how funds will be used for Administration – Travel.
Administration
Travel
Job Skills Program (JSP) Application
*Note: This document is meant to be used as an aid and is not an official application. All applications must be sent to SBCTC
through the Online Grant Management System (OGMS)
Characters: 1500
5O. Describe how funds will be used for Administration – Contracts.
Administration
Contracts
Characters: 1500
Section 6
Company Match
6A. Match amount for cash:
6B. Match amount for trainee salaries and benefits:
Describe how match funds are calculated for trainee salaries and benefits, e.g., 10
production workers * 20 hours of training * average wage of $15/hour = $3,000.
Characters: 1500
6C. Match amount for other salaries and benefits:
Describe how match funds are calculated for other salaries and benefits. Include
position titles, a brief description of duties as they relate to this project, hourly pay
rate, and the total number of hours.
Characters: 1500
6D. Match amount for goods and services:
Describe the goods and services.
Characters: 1500
6E. Match amount for donated equipment:
Describe the donated equipment.
Characters: 1500
6F. Match amount for travel:
Describe the travel.
Characters: 1500
6G. Match amount for contracts:
Job Skills Program (JSP) Application
*Note: This document is meant to be used as an aid and is not an official application. All applications must be sent to SBCTC
through the Online Grant Management System (OGMS)
Describe the contracts.
Characters: 1500
6H. Total match funds *:
6I. The business partner has agreed to provide the college with future payroll
information necessary to document match amounts for salaries and wages. *
Yes
No