WASHINGTON STATE HIGHER EDUCATION COORDINATING …



WASHINGTON STUDENT ACHIEVEMENT COUNCIL

STATE APPROVING AGENCY

APPRENTICESHIP TRAINING AGREEMENT

Date of this Agreement:________________________________________________________________

BETWEEN

Employer or JATC: __________________________________Facility Code:______________________

AND

Apprentice/Trainee: __________________________________SSN:____________________________

Program Name:______________________________________________________________________

Length of Apprenticeship in months:__________________ and in hours:_________________________

Credit for Previous Experience:__________________________________________________________

Training dates: (excluding credit for prior experience)

Beginning:___________________________ Ending:_________________________________________

Probationary Period: __________________________________________________________________

(Use separate sheet if additional information is required.)

The employer/JATC and the apprentice/trainee enter into this agreement in conformity with the training standards approved by the Department of Veterans Affairs (DVA) pertaining to the above-referenced trade at the above-named employer/JATC. These standards are made part of this agreement with the same force and effect as though written herein.

Apprentice Signature Employer/JATC - Authorized Signature

___________________________________ ____________________________________

Mailing Address: Mailing Address:

___________________________________ ____________________________________

Physical Address:

___________________________________ ____________________________________

Phone Number: Phone Number:

___________________________________ ____________________________________

Distribution:

Original: WSAC/State Approving Agency, P.O. Box 43430, Olympia, WA. 98504-3430

Copies: (1) Send with Enrollment Certification to the DVA (2) Employer/JATC file (3) Veteran Apprentice

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