Ohio Department of Job and Family Services Ohio State Apprenticeship Council

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Ohio Department of Job and Family ServicesOhio
State Apprenticeship Council

• Gathering Data
• OSAC Forms
• Connie Sink

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• Apprenticeship Agreement
• A Contractual Agreement Between
• The apprentice
• The Sponsor
• The Ohio State Apprenticeship Council
• Must be approved by OSAC

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APPRENTICESHIP AGREEMENT By authority of the Ohio
State Apprenticeship Council in cooperation with
the US Department of Labor, Office of
Apprenticeship
Part A To be completed by apprentice. (Note to
Sponsor Part A should only be filled out by the
apprentice.)
Privacy Act Statement The information requested herein is used for apprenticeship program statistical purposes and will only be disclosed in accordance with the provisions of the Privacy Act of 1974. (P.P.93-579) The under-signed sponsor and apprentice hereby agree to the terms stated by this form and inscribed therein, and to the terms of the standards and work process schedule of the related registered program. In accordance with the equal opportunity provisions of 29 CFR Part 30.3, Executive Order 11246, and the apprenticeship rules of the State of Ohio (OAC 510111), the sponsor will not discriminate in the selection and training of the apprentice. This agreement may be terminated by either party that cites cause and notifies the Registration Agency in compliance with 29 CFR Part 29.6 and OAC 510111.
1. Apprentice identification (please print clearly) ______________________________________ ________________ Name of apprentice (first, middle, last) Social Security __________________________________________________________ Address (street address, town, state, zip code) ___________________ ________________________________ Phone number E-mail address Submission of your social security number is voluntary, and failure to disclose it here will not affect your right to be registered as an apprentice. 1. Apprentice identification (please print clearly) ______________________________________ ________________ Name of apprentice (first, middle, last) Social Security __________________________________________________________ Address (street address, town, state, zip code) ___________________ ________________________________ Phone number E-mail address Submission of your social security number is voluntary, and failure to disclose it here will not affect your right to be registered as an apprentice. 4. Equal Opportunity Information a. Race (mark one) ? Am. Indian or Alaskan Native ? Asian or Pacific Islander ? Black ? White b. Ethnic Group ? of Hispanic or Latino origin ? not of Hispanic or Latino origin 5. Veteran status ? Vietnam era veteran (8/15/64-5/7/75) ? other veteran ? non-veteran C __________ 6. Highest education level attained ? 8th grade or less ? 9th through 11th grade ? GED ? high school graduation
2. Date of birth (mo/day/yr) 3. Sex ? male ? female 7. Was indenture arranged under a school-to-apprenticeship agreement? ? Yes ? No 7. Was indenture arranged under a school-to-apprenticeship agreement? ? Yes ? No
8. Signature of apprentice Date 8. Signature of apprentice Date 9. Signature of parent or guardian (if applicable) Date 9. Signature of parent or guardian (if applicable) Date

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Part B To be completed by sponsor (Note to
Sponsor When Parts A B are complete, please
return this form to your area ASP or ATR.)
10. Trade a. Trade title ______________________________________________ b. RAIS/RAPIDS code _____________________________________ 10. Trade a. Trade title ______________________________________________ b. RAIS/RAPIDS code _____________________________________ 10. Trade a. Trade title ______________________________________________ b. RAIS/RAPIDS code _____________________________________ 10. Trade a. Trade title ______________________________________________ b. RAIS/RAPIDS code _____________________________________ 10. Trade a. Trade title ______________________________________________ b. RAIS/RAPIDS code _____________________________________ 11. Date apprenticeship begins (indenture date) 11. Date apprenticeship begins (indenture date) 11. Date apprenticeship begins (indenture date) 11. Date apprenticeship begins (indenture date) 11. Date apprenticeship begins (indenture date) 11. Date apprenticeship begins (indenture date) 11. Date apprenticeship begins (indenture date) 11. Date apprenticeship begins (indenture date) 11. Date apprenticeship begins (indenture date) 11. Date apprenticeship begins (indenture date) 11. Date apprenticeship begins (indenture date)
10. Trade a. Trade title ______________________________________________ b. RAIS/RAPIDS code _____________________________________ 10. Trade a. Trade title ______________________________________________ b. RAIS/RAPIDS code _____________________________________ 10. Trade a. Trade title ______________________________________________ b. RAIS/RAPIDS code _____________________________________ 10. Trade a. Trade title ______________________________________________ b. RAIS/RAPIDS code _____________________________________ 10. Trade a. Trade title ______________________________________________ b. RAIS/RAPIDS code _____________________________________ 12. Probationary period -- specific number of hours 12. Probationary period -- specific number of hours 12. Probationary period -- specific number of hours 12. Probationary period -- specific number of hours 12. Probationary period -- specific number of hours 12. Probationary period -- specific number of hours 12. Probationary period -- specific number of hours 12. Probationary period -- specific number of hours 12. Probationary period -- specific number of hours 12. Probationary period -- specific number of hours 12. Probationary period -- specific number of hours
13. Normal term of program -- specific number of hours a. on-the-job training (OJT) _________ b. related technical instruction (RTI) _________ 13. Normal term of program -- specific number of hours a. on-the-job training (OJT) _________ b. related technical instruction (RTI) _________ 14. Prior training credit for this apprentice -- specific number of hours OJT _______ RTI _________ 14. Prior training credit for this apprentice -- specific number of hours OJT _______ RTI _________ 14. Prior training credit for this apprentice -- specific number of hours OJT _______ RTI _________ 14. Prior training credit for this apprentice -- specific number of hours OJT _______ RTI _________ 14. Prior training credit for this apprentice -- specific number of hours OJT _______ RTI _________ 14. Prior training credit for this apprentice -- specific number of hours OJT _______ RTI _________ 14. Prior training credit for this apprentice -- specific number of hours OJT _______ RTI _________ 14. Prior training credit for this apprentice -- specific number of hours OJT _______ RTI _________ 15. Time remaining in program for this apprentice -- specific number of hours OJT _______ RTI _________ 15. Time remaining in program for this apprentice -- specific number of hours OJT _______ RTI _________ 15. Time remaining in program for this apprentice -- specific number of hours OJT _______ RTI _________ 15. Time remaining in program for this apprentice -- specific number of hours OJT _______ RTI _________ 15. Time remaining in program for this apprentice -- specific number of hours OJT _______ RTI _________ 15. Time remaining in program for this apprentice -- specific number of hours OJT _______ RTI _________
16. Related technical instruction (RTI) -- a. Provider name 16. Related technical instruction (RTI) -- a. Provider name 16. Related technical instruction (RTI) -- a. Provider name 16. Related technical instruction (RTI) -- a. Provider name 16. Related technical instruction (RTI) -- a. Provider name 16. Related technical instruction (RTI) -- a. Provider name b. Provider type ? sponsor ? VoEd ? other b. Provider type ? sponsor ? VoEd ? other b. Provider type ? sponsor ? VoEd ? other c. RTI method ? class ? shop ? correspondence c. RTI method ? class ? shop ? correspondence c. RTI method ? class ? shop ? correspondence c. RTI method ? class ? shop ? correspondence e. During RTI, wages ? will be paid ? will not be paid e. During RTI, wages ? will be paid ? will not be paid e. During RTI, wages ? will be paid ? will not be paid
17. Apprentice wages In sections a. through c., please list the standard schedule of pay for each period of training. 17. Apprentice wages In sections a. through c., please list the standard schedule of pay for each period of training. 17. Apprentice wages In sections a. through c., please list the standard schedule of pay for each period of training. 17. Apprentice wages In sections a. through c., please list the standard schedule of pay for each period of training. 17. Apprentice wages In sections a. through c., please list the standard schedule of pay for each period of training. 17. Apprentice wages In sections a. through c., please list the standard schedule of pay for each period of training. 17. Apprentice wages In sections a. through c., please list the standard schedule of pay for each period of training. 17. Apprentice wages In sections a. through c., please list the standard schedule of pay for each period of training. 17. Apprentice wages In sections a. through c., please list the standard schedule of pay for each period of training. 17. Apprentice wages In sections a. through c., please list the standard schedule of pay for each period of training. 17. Apprentice wages In sections a. through c., please list the standard schedule of pay for each period of training. 17. Apprentice wages In sections a. through c., please list the standard schedule of pay for each period of training. 17. Apprentice wages In sections a. through c., please list the standard schedule of pay for each period of training. 17. Apprentice wages In sections a. through c., please list the standard schedule of pay for each period of training. 17. Apprentice wages In sections a. through c., please list the standard schedule of pay for each period of training. 17. Apprentice wages In sections a. through c., please list the standard schedule of pay for each period of training.
Period 1 1 2 3 3 3 4 5 6 6 7 8 8 9 10
a. Length of period (specific of hours)
b. Apprentice wage dollars or of journey wage
c. The standard journey-person wage for the work location(s) involved is ______ per hour, as of this date _________ . 18. This apprentice's starting wage in the program (based on advancement period in which he/she starts, if credit is awarded) is _____ per hour. 18. This apprentice's starting wage in the program (based on advancement period in which he/she starts, if credit is awarded) is _____ per hour. 18. This apprentice's starting wage in the program (based on advancement period in which he/she starts, if credit is awarded) is _____ per hour. 18. This apprentice's starting wage in the program (based on advancement period in which he/she starts, if credit is awarded) is _____ per hour. 18. This apprentice's starting wage in the program (based on advancement period in which he/she starts, if credit is awarded) is _____ per hour. 18. This apprentice's starting wage in the program (based on advancement period in which he/she starts, if credit is awarded) is _____ per hour. 18. This apprentice's starting wage in the program (based on advancement period in which he/she starts, if credit is awarded) is _____ per hour. 18. This apprentice's starting wage in the program (based on advancement period in which he/she starts, if credit is awarded) is _____ per hour. 18. This apprentice's starting wage in the program (based on advancement period in which he/she starts, if credit is awarded) is _____ per hour. 19. This apprentice's wage just prior to starting the program, if known, was _____ per hour. 19. This apprentice's wage just prior to starting the program, if known, was _____ per hour. 19. This apprentice's wage just prior to starting the program, if known, was _____ per hour. 19. This apprentice's wage just prior to starting the program, if known, was _____ per hour. 19. This apprentice's wage just prior to starting the program, if known, was _____ per hour. 19. This apprentice's wage just prior to starting the program, if known, was _____ per hour.
20. Sponsor identification ______________________________________ ________________ Name of organization Program ID _________________________________________________________ Address (street address, town, state, zip code) 20. Sponsor identification ______________________________________ ________________ Name of organization Program ID _________________________________________________________ Address (street address, town, state, zip code) 20. Sponsor identification ______________________________________ ________________ Name of organization Program ID _________________________________________________________ Address (street address, town, state, zip code) 20. Sponsor identification ______________________________________ ________________ Name of organization Program ID _________________________________________________________ Address (street address, town, state, zip code) 20. Sponsor identification ______________________________________ ________________ Name of organization Program ID _________________________________________________________ Address (street address, town, state, zip code) 21. Contact information for sponsor's designee to receive complaints ______________________________________________________ Name __________________________ _______________ Title Phone 21. Contact information for sponsor's designee to receive complaints ______________________________________________________ Name __________________________ _______________ Title Phone 21. Contact information for sponsor's designee to receive complaints ______________________________________________________ Name __________________________ _______________ Title Phone 21. Contact information for sponsor's designee to receive complaints ______________________________________________________ Name __________________________ _______________ Title Phone 21. Contact information for sponsor's designee to receive complaints ______________________________________________________ Name __________________________ _______________ Title Phone 21. Contact information for sponsor's designee to receive complaints ______________________________________________________ Name __________________________ _______________ Title Phone 21. Contact information for sponsor's designee to receive complaints ______________________________________________________ Name __________________________ _______________ Title Phone 21. Contact information for sponsor's designee to receive complaints ______________________________________________________ Name __________________________ _______________ Title Phone 21. Contact information for sponsor's designee to receive complaints ______________________________________________________ Name __________________________ _______________ Title Phone 21. Contact information for sponsor's designee to receive complaints ______________________________________________________ Name __________________________ _______________ Title Phone 21. Contact information for sponsor's designee to receive complaints ______________________________________________________ Name __________________________ _______________ Title Phone
22. Signature of Joint Apprenticeship Cmte. representative (if any) Date 22. Signature of Joint Apprenticeship Cmte. representative (if any) Date 22. Signature of Joint Apprenticeship Cmte. representative (if any) Date 22. Signature of Joint Apprenticeship Cmte. representative (if any) Date 22. Signature of Joint Apprenticeship Cmte. representative (if any) Date 23. Signature of authorized sponsor representative Date 23. Signature of authorized sponsor representative Date 23. Signature of authorized sponsor representative Date 23. Signature of authorized sponsor representative Date 23. Signature of authorized sponsor representative Date 23. Signature of authorized sponsor representative Date 23. Signature of authorized sponsor representative Date 23. Signature of authorized sponsor representative Date 23. Signature of authorized sponsor representative Date 23. Signature of authorized sponsor representative Date 23. Signature of authorized sponsor representative Date

New Apprentice Number
JFS 01455 (1/2008)
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Advanced Credit Voucher

• Ohio State Apprenticeship Council inserted
  language into the Ohio State Apprenticeship
  Policy Rules of Procedure and approved the policy
  on February 7, 2008.
• The intent was another measure to insure the
  integrity of the National Apprenticeship System
  in Ohio

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• Item 9 Apprentice registration date/credit for
  previous experience
• The date in which an apprentice will be
  considered registered with the Ohio State
  Apprenticeship Council will be the date the
  apprentice agreement is approved by the Ohio
  State Apprenticeship Council pursuant to Ohio
  Administrative Code 510111-3-03 Effective March
  22, 2004.
• Credit for previous experience may be given at
  the discretion of the registered sponsor provided
  it meets the following criteria and is approved
  by the Ohio State Apprenticeship Council
• Credit vouchers showing on-the-job training (OJT)
  credit and related technical instruction (RTI)
  transcripts signed and attested to by the
  employer and the apprentice must accompany the
  agreement when submitted for approval by the
  registration agency.

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• Credit may not exceed 75 of the total time of
  the apprenticeship. Credit issued for 50 or more
  of the OJT term of the apprenticeship shall
  require OSAC approval.
• Any credit requests for RTI must be accompanied
  with documentation for which credit is based,
  and is subject to OSAC approval
• The probationary period for the remaining
  training period will be as written in the
  approved registered sponsor standards.
• No apprenticeship agreement will be accepted for
  less than a minimum term of 2,000 hours of
  on-the-job training.

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Apprentice Name Organization OJT Hours of
Credit Normal Term Remaining Hours RTI Hrs of
Credit W/ Documentation Normal Term Remaining
Hours Sponsor Organization Sponsor
Signature Apprentice Signature Date
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Name of Sponsor Description Codes Name of
Apprentice DOB Date of Cancellation Cancelled
during Probation Appeal Right Explained Code Wage
at Cancellation Sponsor Signature
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(No Transcript)
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• With the changes that will be implemented in the
  Federal Register
• 29 CFR 29 and 29 CFR 30, we will be modifying
  and adding additional forms within the next 2
  years