Get Nccer Form 100

Form 100 Application for Training Program Sponsorship The ATS applicant should 1 Read and understand the NCCER Accreditation Guidelines Program Compliance 2 Complete contact the applicant and review and 4 Submit original application to NCCER along with application fee 2 195. D B DUNS if available Employer ID or Tax ID Website Sponsor Representative Name Title Social Security Number Fax Phone Cell Mailing Address E-mail City Physical Address State Zip Physical Zip Same as above 2nd Contact How long has your organization been in business How many people are employed by your organization Please check the appropriate boxes Do you want to be listed as a provider on the NCCER website Yes No Will training be provided to the public or to your employees/members only Will you be using the NCCER Curriculum books Public Employees/Members NCCER Curriculum online Form 100 - Page 1 of 3 Effective 01/14 Form 100 continued Type of Training Core Carpentry Electrical Safety Pipeline etc. Estimated of Trainees per Year Estimated of Instructors CHECKLIST OF ASSURANCES Requirements for Accreditation Upon execution of this application the ATS applicant attests that the following NCCER requirements are met in the operation of their training program. The ATS in accordance with NCCER Accreditation Guidelines Program Compliance and standards will Use the NCCER Curriculum for instruction Submit proper documentation to NCCER s National Registry Ensure all instructors are trained by an NCCER Certified Master Trainer and are certified by NCCER prior to beginning training Master trainer or ATS designee will formally evaluate the training programs including ATEFs ATUs and TUs on a yearly basis and retain documentation Regularly monitor and evaluate instructors Maintain a process for trainee evaluation of Instructors Recognize previous NCCER training Conduct written and performance tests including testing-out Conduct record keeping in compliance with NCCER standards Provide appropriate classroom and performance testing facilities Must have construction/maintenance/pipeline industry linkage Agree to NCCER program audits and procedures Comply with the maximum for rescheduling an audit date which is twice Agree to pay lodging fees and expenses for all re-audits due to non-conformance s Agree to pay annual maintenance fee Comply with NCCER Logo Usage Guidelines Ensure proper representation of affiliation with NCCER i.e. Website brochures and advertising communication Comply with all applicable local state and federal regulations Remain in good financial standing with NCCER Ensure that all registering of individuals training program administration testing credentialing and release/reporting of information be conducted without regard to race color religion national origin gender age veteran status physical or mental disability sexual orientation or any other reason prohibited by local state or federal regulations. Submit annual report Will you conduct training through locations other than the ATS facility If yes how many ATUs TUs or ATEFs will you use Use the Form 100TU/A TRAINING UNIT INFORMATION SHEET available at www. nccer. org to provide information regarding training units. Please list all master trainers or those scheduled to attend training in your organization below. Training program must be actively operating for audit to be scheduled. NCCER Website How did you hear about NCCER Advertisement Current NCCER Provider Conference/Trade Show Other All Information MUST Be Completed Please Type Proof of Business copy of one Certificate of Incorporation Business License Company By-Laws Date Name as it appears on Proof of Business Type of Organization Contractor Type General Commercial Industrial Mechanical Etc. Trade Association Corrections Organized Labor Owner Proprietary School Government Agency Temporary Employment Agency Consultant attach explanation Applications will be reviewed for appropriate industry linkage and program resources. D B DUNS if available Employer ID or Tax ID Website Sponsor Representative Name Title Social Security Number Fax Phone Cell Mailing Address E-mail City Physical Address State Zip Physical Zip Same as above 2nd Contact How long has your organization been in business How many people are employed by your organization Please check the appropriate boxes Do you want to be listed as a provider on the NCCER website Yes No Will training be provided to the public or to your employees/members only Will you be using the NCCER Curriculum books Public Employees/Members NCCER Curriculum online Form 100 - Page 1 of 3 Effective 01/14 Form 100 continued Type of Training Core Carpentry Electrical Safety Pipeline etc. Estimated of Trainees per Year Estimated of Instructors CHECKLIST OF ASSURANCES Requirements for Accreditation Upon execution of this application the ATS applicant attests that the following NCCER requirements are met in the operation of their training program. The ATS in accordance with NCCER Accreditation Guidelines Program Compliance and standards will Use the NCCER Curriculum for instruction Submit proper documentation to NCCER s National Registry Ensure all instructors are trained by an NCCER Certified Master Trainer and are certified by NCCER prior to beginning training Master trainer or ATS designee will formally evaluate the training programs including ATEFs ATUs and TUs on a yearly basis and retain documentation Regularly monitor and evaluate instructors Maintain a process for trainee evaluation of Instructors Recognize previous NCCER training Conduct written and performance tests including testing-out Conduct record keeping in compliance with NCCER standards Provide appropriate classroom and performance testing facilities Must have construction/maintenance/pipeline industry linkage Agree to NCCER program audits and procedures Comply with the maximum for rescheduling an audit date which is twice Agree to pay lodging fees and expenses for all re-audits due to non-conformance s Agree to pay annual maintenance fee Comply with NCCER Logo Usage Guidelines Ensure proper representation of affiliation with NCCER i.e. Website brochures and advertising communication Comply with all applicable local state and federal regulations Remain in good financial standing with NCCER Ensure that all registering of individuals training program administration testing credentialing and release/reporting of information be conducted without regard to race color religion national origin gender age veteran status physical or mental disability sexual orientation or any other reason prohibited by local state or federal regulations. Submit annual report Will you conduct training through locations other than the ATS facility If yes how many ATUs TUs or ATEFs will you use Use the Form 100TU/A TRAINING UNIT INFORMATION SHEET available at www. 00 check made payable to NCCER. Complete online registration for MTICTP class. Initial Audit process will begin within six months this does not mean the audit will necessarily take place within the six months but one must be scheduled. Training program must be actively operating for audit to be scheduled. NCCER Website How did you hear about NCCER Advertisement Current NCCER Provider Conference/Trade Show Other All Information MUST Be Completed Please Type Proof of Business copy of one Certificate of Incorporation Business License Company By-Laws Date Name as it appears on Proof of Business Type of Organization Contractor Type General Commercial Industrial Mechanical Etc. Trade Association Corrections Organized Labor Owner Proprietary School Government Agency Temporary Employment Agency Consultant attach explanation Applications will be reviewed for appropriate industry linkage and program resources. D B DUNS if available Employer ID or Tax ID Website Sponsor Representative Name Title Social Security Number Fax Phone Cell Mailing Address E-mail City Physical Address State Zip Physical Zip Same as above 2nd Contact How long has your organization been in business How many people are employed by your organization Please check the appropriate boxes Do you want to be listed as a provider on the NCCER website Yes No Will training be provided to the public or to your employees/members only Will you be using the NCCER Curriculum books Public Employees/Members NCCER Curriculum online Form 100 - Page 1 of 3 Effective 01/14 Form 100 continued Type of Training Core Carpentry Electrical Safety Pipeline etc. Estimated of Trainees per Year Estimated of Instructors CHECKLIST OF ASSURANCES Requirements for Accreditation Upon execution of this application the ATS applicant attests that the following NCCER requirements are met in the operation of their training program. The ATS in accordance with NCCER Accreditation Guidelines Program Compliance and standards will Use the NCCER Curriculum for instruction Submit proper documentation to NCCER s National Registry Ensure all instructors are trained by an NCCER Certified Master Trainer and are certified by NCCER prior to beginning training Master trainer or ATS designee will formally evaluate the training programs including ATEFs ATUs and TUs on a yearly basis and retain documentation Regularly monitor and evaluate instructors Maintain a process for trainee evaluation of Instructors Recognize previous NCCER training Conduct written and performance tests including testing-out Conduct record keeping in compliance with NCCER standards Provide appropriate classroom and performance testing facilities Must have construction/maintenance/pipeline industry linkage Agree to NCCER program audits and procedures Comply with the maximum for rescheduling an audit date which is twice Agree to pay lodging fees and expenses for all re-audits due to non-conformance s Agree to pay annual maintenance fee Comply with NCCER Logo Usage Guidelines Ensure proper representation of affiliation with NCCER i.e. Website brochures and advertising communication Comply with all applicable local state and federal regulations Remain in good financial standing with NCCER Ensure that all registering of individuals training program administration testing credentialing and release/reporting of information be conducted without regard to race color religion national origin gender age veteran status physical or mental disability sexual orientation or any other reason prohibited by local state or federal regulations.