Office of Civil Rights On-the-Job Program Proposal Form MOVED FROM webteam.dot@state.mn.us

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Office of Civil Rights On-the-Job Training Program

Program Proposal Form

This form is to be submitted to the OJT Program Coordinator within five (5) business days of being notified that the contractor is the Apparent Low Bidder.

Contractor Information

SP Number*

OJT Trainee Goal:*

OJT Trainee Hours Goal:*

Contractor Name:*

EEO Officer Name:*

EEO Officer Email Address:*

EEO Officer Phone:*

Contractor OJT Program Information:

Number of carpenters:*

Number of cement masons:*

Number of electricians:*

Number of ironworkers:*

Number of laborers:*

Number of mechanics:*

Number of operators:*

Number of painters:*

Number of pile drivers:*

Number of pipefitters:*

Number of truckdrivers:*

Please specify the worker classification(s) that weren’t listed and the number of trainees in each:*

Does your company have a collective bargaining agreement with a union for the trades identified above?*

Yes No

Please submit a training plan for each trade in which you intend to have a trainee:*

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