Proposed Customized Training Program
Note: When you submit your invoice(s) for CT reimbursement funds, you must provide the following information for the workers participating in your CT program: employee ID number, first name, last name, email, phone number, job title, starting wage (or salary range, only if wage information cannot be disclosed).
What are you training in your Customized Training program?
How many workers do you plan to train with your CT program?
What are the start and end dates of your CT program?
What are the starting hourly wages of the workers to be trained?
What will be the hourly wages of the workers at the end of training?
Which one of the following outcomes will your workers receive after successfully completing your CT program?
The purpose of the CT program is to provide career advancement and professional development for your workers, which leads to employee retention and satisfaction. SDWP expects one of the following outcomes after your workers complete the CT program.
Who will be providing training for your CT program?
If you are using a third-party provider, then please also fill out the "Third-Party Training Provider Information" section below.
Describe the job position(s) to be filled or retained at the completion of training in your CT program. You may attach additional pages or copies of the job description(s) at the end of this form.
Describe how the training will be delivered, including names, titles and qualifications of instructors as well as the curriculum, class titles, dates, times and skills taught. You may attach additional pages or copy of the curriculum at the end of this form.
How do you plan to recruit participants for your CT program?
Describe how you will recruit participants for your CT program. Enter "N/A" if you are training your current workers.
Proposed Budget and Budget Narrative
Note: SDWP reserves the right to make the final approval on which line items will be approved and reimbursed, including the total reimbursement amount.
Personnel Costs and Justification
Describe personnel costs associated with this CT program, including job title(s) and role(s). If you plan to use CT funds to reimburse the wages of the workers you plan to train, then please describe how much of their time and wages will be spent on training. Enter "N/A" if not applicable.
Participant Costs and Justification
Describe participant costs (e.g., tuition, registration fees) associated with this CT program. Enter "N/A" if not applicable.
Supplies Costs and Justification
Describe supplies and materials (e.g., books, uniforms, tools) associated with this CT program. You must submit receipts for all tangible purchases with your invoice to receive the 50% reimbursement. Enter "N/A" if not applicable.
Staff Travel and Mileage Costs and Justification
Describe staff travel and mileage associated with this CT program. Enter "N/A" if not applicable.
Other Costs and Justification
Describe other costs associated with this CT program that do not fit into any of the categories above. Enter "N/A" if not applicable.
Please attach any additional files to support your CT application in this section.
Please submit your W-9 with this application.
Training Plan Continued
Please submit additional pages to your training plan, if needed.
Job Descriptions Continued
Please submit additional pages to your job descriptions, if needed.