LOCAL WORKFORCE INVESTMENT BOARDS (LWIBS)
APPENDIX A: local workforce investment boards (lwibs)
workforce investment act of 1998 (wia) 2009 re-certification
lwib NAME:
|WIB CHAIR CONTACT INFORMATION (Name, address, telephone, fax, email): |
| |
| |
| |
|wib member name/title |Business name |wib composition category |term of appointment |
| |(address, telephone. fax, email) | |(date of appointment/ |
| | | |expiration of term) |
| |aDDRESS: |bUSINESS REPRESENTATIVES | |
| |cITY, sTATE, zIP cODE: |Business Owner | |
| |tELEPHONE/FAX: |CEO/COO | |
| |EMAIL: |other business executive or employer with optimum policy making or hiring | |
| |nUMBER OF EMPLOYEES: |authority | |
| |INDUSTRY SECTOR: |business with employment opportunities that reflect opportunities of the local| |
| | |area | |
| |aDDRESS: |bUSINESS REPRESENTATIVES | |
| |cITY, sTATE, zIP cODE: |Business Owner | |
| |tELEPHONE/FAX: |CEO/COO | |
| |EMAIL: |other business executive or employer with optimum policy making or hiring | |
| |nUMBER OF EMPLOYEES: |authority | |
| |INDUSTRY SECTOR: |business with employment opportunities that reflect opportunities of the local| |
| | |area | |
| |aDDRESS: |bUSINESS REPRESENTATIVES | |
| |cITY, sTATE, zIP cODE: |Business Owner | |
| |tELEPHONE/FAX: |CEO/COO | |
| |EMAIL: |other business executive or employer with optimum policy making or hiring | |
| |nUMBER OF EMPLOYEES: |authority | |
| |INDUSTRY SECTOR: |business with employment opportunities that reflect opportunities of the local| |
| | |area | |
| |aDDRESS: |bUSINESS REPRESENTATIVES | |
| |cITY, sTATE, zIP cODE: |Business Owner | |
| |tELEPHONE/FAX: |CEO/COO | |
| |EMAIL: |other business executive or employer with optimum policy making or hiring | |
| |nUMBER OF EMPLOYEES: |authority | |
| |INDUSTRY SECTOR: |business with employment opportunities that reflect opportunities of the local| |
| | |area | |
PAGE 2
|wib member name/title |Business name |wib composition category: |term of appointment |
| |(address, telephone. fax, email) | |(date of appointment/ |
| | | |expiration of term) |
| |aDDRESS: |bUSINESS REPRESENTATIVES | |
| |cITY, sTATE, zIP cODE: |Business Owner | |
| |tELEPHONE/FAX: |CEO/COO | |
| |EMAIL: |other business executive or employer with optimum policy making or hiring | |
| |nUMBER OF EMPLOYEES: |authority | |
| |INDUSTRY SECTOR: |business with employment opportunities that reflect opportunities of the local| |
| | |area | |
| |aDDRESS: |bUSINESS REPRESENTATIVES | |
| |cITY, sTATE, zIP cODE: |Business Owner | |
| |tELEPHONE/FAX: |CEO/COO | |
| |EMAIL: |other business executive or employer with optimum policy making or hiring | |
| |nUMBER OF EMPLOYEES: |authority | |
| |INDUSTRY SECTOR: |business with employment opportunities that reflect opportunities of the local| |
| | |area | |
| |aDDRESS: |bUSINESS REPRESENTATIVES | |
| |cITY, sTATE, zIP cODE: |Business Owner | |
| |tELEPHONE/FAX: |CEO/COO | |
| |EMAIL: |other business executive or employer with optimum policy making or hiring | |
| |nUMBER OF EMPLOYEES: |authority | |
| |INDUSTRY SECTOR: |business with employment opportunities that reflect opportunities of the local| |
| | |area | |
| |aDDRESS: |bUSINESS REPRESENTATIVES | |
| |cITY, sTATE, zIP cODE: |Business Owner | |
| |tELEPHONE/FAX: |CEO/COO | |
| |EMAIL: |other business executive or employer with optimum policy making or hiring | |
| |nUMBER OF EMPLOYEES: |authority | |
| |INDUSTRY SECTOR: |business with employment opportunities that reflect opportunities of the local| |
| | |area | |
| |aDDRESS: |bUSINESS REPRESENTATIVES | |
| |cITY, sTATE, zIP cODE: |Business Owner | |
| |tELEPHONE/FAX: |CEO/COO | |
| |EMAIL: |other business executive or employer with optimum policy making or hiring | |
| |nUMBER OF EMPLOYEES: |authority | |
| |INDUSTRY SECTOR: |business with employment opportunities that reflect opportunities of the local| |
| | |area | |
pAGE 3
|wib member name/ title |Business name |wib composition category |term of appointment |
| |(address, telephone. fax, email) | |(date of appointmenT/ |
| | | |expiration of term) |
| |aDDRESS: |bUSINESS REPRESENTATIVES | |
| |cITY, sTATE, zIP cODE: |Business Owner | |
| |tELEPHONE/FAX: |CEO/COO | |
| |EMAIL: |other business executive or employer with optimum policy making or hiring | |
| |nUMBER OF EMPLOYEES: |authority | |
| |INDUSTRY SECTOR: |business with employment opportunities that reflect opportunities of the local| |
| | |area | |
| |aDDRESS: |bUSINESS REPRESENTATIVES | |
| |cITY, sTATE, zIP cODE: |Business Owner | |
| |tELEPHONE/FAX: |CEO/COO | |
| |EMAIL: |other business executive or employer with optimum policy making or hiring | |
| |nUMBER OF EMPLOYEES: |authority | |
| |INDUSTRY SECTOR: |business with employment opportunities that reflect opportunities of the local| |
| | |area | |
| |aDDRESS: |bUSINESS REPRESENTATIVES | |
| |cITY, sTATE, zIP cODE: |Business Owner | |
| |tELEPHONE/FAX: |CEO/COO | |
| |EMAIL: |other business executive or employer with optimum policy making or hiring | |
| |nUMBER OF EMPLOYEES: |authority | |
| |INDUSTRY SECTOR: |business with employment opportunities that reflect opportunities of the local| |
| | |area | |
| |aDDRESS: |bUSINESS REPRESENTATIVES | |
| |cITY, sTATE, zIP cODE: |Business Owner | |
| |tELEPHONE/FAX: |CEO/COO | |
| |EMAIL: |other business executive or employer with optimum policy making or hiring | |
| |nUMBER OF EMPLOYEES: |authority | |
| |INDUSTRY SECTOR: |business with employment opportunities that reflect opportunities of the local| |
| | |area | |
| |aDDRESS: |bUSINESS REPRESENTATIVES | |
| |cITY, sTATE, zIP cODE: |Business Owner | |
| |tELEPHONE/FAX: |CEO/COO | |
| |EMAIL: |other business executive or employer with optimum policy making or hiring | |
| |nUMBER OF EMPLOYEES: |authority | |
| |INDUSTRY SECTOR: |business with employment opportunities that reflect opportunities of the local| |
| | |area | |
Page 4
|wib member name/ title |Business name |wib composition category |term of appointment |
| |(address, telephone. fax, email) | |(date of appointmenT/ |
| | | |expiration of term) |
| |aDDRESS: |bUSINESS REPRESENTATIVES | |
| |cITY, sTATE, zIP cODE: |Business Owner | |
| |tELEPHONE/FAX: |CEO/COO | |
| |EMAIL: |other business executive or employer with optimum policy making or hiring | |
| |nUMBER OF EMPLOYEES: |authority | |
| |INDUSTRY SECTOR: |business with employment opportunities that reflect opportunities of the local| |
| | |area | |
| |aDDRESS: |bUSINESS REPRESENTATIVES | |
| |cITY, sTATE, zIP cODE: |Business Owner | |
| |tELEPHONE/FAX: |CEO/COO | |
| |EMAIL: |other business executive or employer with optimum policy making or hiring | |
| |nUMBER OF EMPLOYEES: |authority | |
| |INDUSTRY SECTOR: |business with employment opportunities that reflect opportunities of the local| |
| | |area | |
| |aDDRESS: |bUSINESS REPRESENTATIVES | |
| |cITY, sTATE, zIP cODE: |Business Owner | |
| |tELEPHONE/FAX: |CEO/COO | |
| |EMAIL: |other business executive or employer with optimum policy making or hiring | |
| |nUMBER OF EMPLOYEES: |authority | |
| |INDUSTRY SECTOR: |business with employment opportunities that reflect opportunities of the local| |
| | |area | |
| |aDDRESS: |bUSINESS REPRESENTATIVES | |
| |cITY, sTATE, zIP cODE: |Business Owner | |
| |tELEPHONE/FAX: |CEO/COO | |
| |EMAIL: |other business executive or employer with optimum policy making or hiring | |
| |nUMBER OF EMPLOYEES: |authority | |
| |INDUSTRY SECTOR: |business with employment opportunities that reflect opportunities of the local| |
| | |area | |
| |aDDRESS: |bUSINESS REPRESENTATIVES | |
| |cITY, sTATE, zIP cODE: |Business Owner | |
| |tELEPHONE/FAX: |CEO/COO | |
| |EMAIL: |other business executive or employer with optimum policy making or hiring | |
| |nUMBER OF EMPLOYEES: |authority | |
| |INDUSTRY SECTOR: |business with employment opportunities that reflect opportunities of the local| |
| | |area | |
PAGE 5
|wib member name/ title |Business name |wib composition category |term of appointment |
| |(address, telephone. fax, email) | |(date of appointmenT/ |
| | | |expiration of term) |
| |aDDRESS: |bUSINESS REPRESENTATIVES | |
| |cITY, sTATE, zIP cODE: |Business Owner | |
| |tELEPHONE/FAX: |CEO/COO | |
| |EMAIL: |other business executive or employer with optimum policy making or hiring | |
| |nUMBER OF EMPLOYEES: |authority | |
| |INDUSTRY SECTOR: |business with employment opportunities that reflect opportunities of the local| |
| | |area | |
|Total number business members: |
| |aDDRESS: |eDUCATIONAL ENTITIES | |
| |cITY, sTATE, zIP cODE: |local educational entity (K-12) | |
| |tELEPHONE/FAX: |local school board | |
| |EMAIL: |provider of adult education and literacy services | |
| | |post-secondary educational insitution | |
| |aDDRESS: |eDUCATIONAL ENTITIES | |
| |cITY, sTATE, zIP cODE: |local educational entity (K-12) | |
| |tELEPHONE/FAX: |local school board | |
| |EMAIL: |provider of adult education and literacy services | |
| | |post-secondary educational insitution | |
| |aDDRESS: |eDUCATIONAL ENTITIES | |
| |cITY, sTATE, zIP cODE: |local educational entity (K-12) | |
| |tELEPHONE/FAX: |local school board | |
| |EMAIL: |provider of adult education and literacy services | |
| | |post-secondary educational insitution | |
| |aDDRESS: |eDUCATIONAL ENTITIES | |
| |cITY, sTATE, zIP cODE: |local educational entity (K-12) | |
| |tELEPHONE/FAX: |local school board | |
| |EMAIL: |provider of adult education and literacy services | |
| | |post-secondary educational insitution | |
|Total number educational entity members: |
pAGE 6
|wib member name/tITLE |Business name |wib composition category: |term of appointment |
| |(address, telephone. fax, email) | |(date of appointmenT/ |
| | | |expiration of term) |
| |aDDRESS: | LABOR ORGANIZATIONS | |
| |cITY, sTATE, zIP cODE: |other represenative of employees | |
| |tELEPHONE/FAX: | | |
| |EMAIL: | | |
| |aDDRESS: | LABOR ORGANIZATIONS | |
| |cITY, sTATE, zIP cODE: |other represenative of employees | |
| |tELEPHONE/FAX: | | |
| |EMAIL: | | |
|Total number labor organiztion members: |
| |aDDRESS: |Community-based organizations | |
| |cITY, sTATE, zIP cODE: |indiviudals with disabilities CBO | |
| |tELEPHONE/FAX: |veterans cbo | |
| |EMAIL: |other: | |
| |aDDRESS: |Community-based organizations | |
| |cITY, sTATE, zIP cODE: |indiviudals with disabilities CBO | |
| |tELEPHONE/FAX: |veterans cbo | |
| |EMAIL: |other: | |
|total number cbo members: |
| |aDDRESS: |Economic development agencies | |
| |cITY, sTATE, zIP cODE: |public sector economic development entity | |
| |tELEPHONE/FAX: |private sector economic development entitty | |
| |EMAIL: | | |
| |aDDRESS: |Economic development agencies | |
| |cITY, sTATE, zIP cODE: |public sector economic development entity | |
| |tELEPHONE/FAX: |private sector economic development entitty | |
| |EMAIL: | | |
|total number economic development members: |
PAGE 7
|wib member name/tITLE |Business name |wib composition category |term of appointment |
| |(address, telephone. fax, email) | |(date of appointmenT/ |
| | | |expiration of term) |
| |aDDRESS: |one-stop partners | |
| |cITY, sTATE, zIP cODE: |vocational rehabilition | |
| |tELEPHONE/FAX: |tanf | |
| |EMAIL: |older americans | |
| | |veterans | |
| | |job corps | |
| | |apprenticeshhip | |
| |aDDRESS: |one-stop partners | |
| |cITY, sTATE, zIP cODE: |vocational rehabilition | |
| |tELEPHONE/FAX: |tanf | |
| |EMAIL: |older americans | |
| | |veterans | |
| | |job corps | |
| | |apprenticeshhip | |
|Total number one-stop partner members: |
| |aDDRESS: | other | |
| |cITY, sTATE, zIP cODE: | | |
| |tELEPHONE/FAX: | | |
| |EMAIL: | | |
| |aDDRESS: | other | |
| |cITY, sTATE, zIP cODE: | | |
| |tELEPHONE/FAX: | | |
| |EMAIL: | | |
| |aDDRESS: | other | |
| |cITY, sTATE, zIP cODE: | | |
| |tELEPHONE/FAX: | | |
| |EMAIL: | | |
| |aDDRESS: | other | |
| |cITY, sTATE, zIP cODE: | | |
| |tELEPHONE/FAX: | | |
| |EMAIL: | | |
PAGE 8
|wib member name/tITLE |Business name |wib composition category |term of appointment |
| |(address, telephone. fax, email) | |(date of appointmenT/ |
| | | |expiration of term) |
| |aDDRESS: | other | |
| |cITY, sTATE, zIP cODE: | | |
| |tELEPHONE/FAX: | | |
| |EMAIL: | | |
|total number other members: |
|total wib members: |
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