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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 CalJOBSSM <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 /> • <br /> Date: <br /> Local Board: <br /> MIS Administrator Name: <br /> Executive Director Name: <br /> Executive Director Email Address: <br /> TP,L AtJ <br /> First Name 4 Last P d Ern i Addres <br /> oordinator �� ,Q <br /> Y . is t �.. <br /> PRIMARY • <br /> ALTERNATE <br /> (Optional) <br /> Signature of Approving Local Board Executive Director Date <br /> WSD21-03 Page 1 of 1 <br />