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ETPL POLICY AND PROCEDURES ATTACHMENT 6 <br />LOCAL ETPL COORDINATOR CONTACT FORM <br />Each Local Workforce Development Board (Local Board) Executive Director must designate a <br />Local Eligible Training Provider List (ETPL) Coordinator(s). The Local ETPL Coordinator(s) will <br />review and nominate training providers and programs for inclusion on the ETPL, via CaIJOBSsm <br />on behalf of the Local Board. <br />Submit completed and signed (physical or electronic) form to the Employment Development <br />Department by email: WSBETPL@edd.ca.gov. <br />Date: <br />Local Board: <br />MIS Administrator Name: <br />Executive Director Name: <br />Executive Director Email Address: <br />PRIMARY <br />ALTERNATE <br />(Optional) <br />Signature of Approving Local Board Executive Director <br />Date <br />WSD21-03 Page 1 of 1 <br />