Apprenticeship Sponsor Information Sheet

Apprenticeship Sponsor Information Sheet
This sheet asks for information we need to guide you through preparing your Standards and registering your program.
Sponsor*
FEIN#*
Date

MonthDayYear
Date
National Affiliation, if any
Industry Code (NAICS)*
6 digits categorizing the company’s business activity SOS Lookup | NAICS Guide
Products / Services

0/280
Type of Sponsor*

EmployerCommunity-Based OrganizationCollege / UniversityFoundationPublic Sector AgencyUnion / LaborNone of the Above, Other
Is the sponsor listed as a business with the Virgin Islands?*

YesNoNo, sole proprietorship
Have you registered a program before?*

NoYes, in Virgin IslandsYes, in another state
Profit or Non-Profit*

For ProfitNot for Profit
Do you maintain Workers' Compensation insurance for all your employees?*

YesNo
Program Administrative Type*

Single EmployerGroup SponsorEmployer Joint with UnionGroup Joint with Union
Who will oversee the program?*

Individual will be designatedApprenticeship Training Committee
Are the workers in the apprenticed occupations represented by a union?*

YesNo
If yes, name of union(s)

0/61
Do you want your program on the WIOA Eligible Training Provider List (ETPL)?*

Yes, List SponsorYes, List Instruction ProviderNo
Number employed in the Virgin Islands (all occupations)
Valor Act. The sponsor is aware of the availability of educational assistance for a veteran or other individual eligible under chapters 30-36 of USC title 38, for use in connection with a registered apprenticeship program and will make a good faith effort to obtain approval for educational assistance for, at a minimum, each program location that employs or recruits a veteran or other individual eligible.

YesNo

Number of Fully-Proficient Employees by Occupation (exclude apprentices, trainees)

	Occupation	Total	Women	Minorities	Age 16-24

Primary Contact. Contact will receive an administrative login to manage registrations. You may request additional logins.
First and Last Name*
Title*
Email*
example@example.com
VIDOL is an equal opportunity employer/ program – auxiliary aids and services available upon request.
Should be Empty: