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I. <br />II. <br />c3 <br />GENERAL <br />1. Name of OJT Employer: _ <br />2. Address of OJT Work -site: <br />3. Phone Number: <br />C! <br />5. <br />6. <br />7. <br />8. <br />TRAINING PLAN <br />Training Supervisor: <br />Name of OJT Trainee: <br />Application Number of Trainee: <br />Grant/Program: <br />Proportion of trainees /employees: (at time Agreement entered into) <br />a. Total number of employer's regular employees <br />C. Cumulative number of trainees currently in OJT <br />OCCUPATION AND ON- THE -JOB TRAINING OUTLINE: <br />1. Occupation: <br />2. Length of Time in Business: <br />3. ONET Code: SVP Level: <br />4. Hourly Starting Wage: <br />Start Date: End D <br />Hours <br />S. State and Federal Tax I.D.: State: <br />Federal <br />6. Basic Work Week Hours: <br />251 -30 <br />Exhibit A <br />I <br />