1. (a) The business applying for funds shall provide on a job training program application the following information:

   1. (1) The business name, address, telephone number, fax number, website, and federal identification number;
   2. (2) The name, title, and email address of the contact person;
   3. (3) A description of the business;
   4. (4) The number of employees in the New Hampshire facility or facilities;
   5. (5) The number of employees who are New Hampshire residents;
   6. (6) The number of potential employees to be trained;
   7. (7) The number of New Hampshire employees to be trained if grant amount is awarded;
   8. (8) A summary of the training to be conducted;
   9. (9) The starting date and completion date for training in accordance with Res 2704.05;
   10. (10) The current salaries of the employees to be trained and the probable salaries of the employees after training;
   11. (11) A statement whether or not training creates opportunities for advancement for the employees involved;

   12. (12) If the business has laid-off employees in the past 12 months, an indication of:

       1. a. The number of employees laid-off;
       2. b. What department or departments;
       3. c. The number of employees that have been rehired; and
       4. d. If the business plans to rehire these employees;
   13. (13) The annual sales for the last two fiscal years;
   14. (14) The annual training budget;

   15. (15) A detailed budget for the training program including:

       1. a. Total training cost;
       2. b. Less funds provided by applicant; and
       3. c. Total of grant requested; and
   16. (16) The training provider name, address, telephone number, fax number, and email address.
2. (b) All information shall be legible.

3. (c) The business shall provide the following:

   1. (1) A training proposal narrative;
   2. (2) A copy of a letter or statement from the CCSNH in accordance with Res 2704.04(b), if applicable; and
   3. (3) A statement giving the reason(s) the training provider identified was selected, if different than the CCSNH.

4. (d) The applicant shall indicate on the application agreement to:

   1. (1) Have the contact person attend the grant review committee as required by Res 2704.11;
   2. (2) Submit all bills for reimbursement as required by Res 2708; and
   3. (3) Submit a training evaluation report after completion of the training program as required by Res 2709.
5. (e) The applicant shall sign and date the application.

Source. #9498, eff 7-1-09, EXPIRED: 7-1-17