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Company Registration

(All fields marked with an * are required)

QUICK RESPONSE TRAINING APPLICATION

(COMPANY)
WORKFORCE FLORIDA, INC.
1580 Waldo Palmer Lane
Tallahassee, Florida 32308
Phone: (850) 921-1119 | Fax (850) 921-1101
www.workforceflorida.com
Workforce

PART I - EMPLOYER IDENTIFICATION

  1. Quick Response Funding Requested*: $
  2. Business Name*:
  3. Address*:
  4. Detailed description of business including industry information, history of business
    and projections of company *:
  5. Legal Structure of business unit*:
  6. FEID No.*:
  7. Contact person responsible for application completion*
    Title*:
    Phone*: Fax:
    e-mail address*:
    Business website address*:
  8. County your company is located*:
  9. Primary NAICS (North American Industry Classification System) Code*:
    (Below is a list of sample codes. Please use the code that was assigned to your company by US Department of Labor.)
    332439 Containers, air cargo, light gauge metal, manufacturing
    332439 Air cargo containers, light gauge metal, manufacturing
    481112 Cargo carriers, air, scheduled
    481112 Air cargo carriers (except air couriers), scheduled
    481212 Air cargo carriers (except air couriers), nonscheduled
    488119 Airport cargo handling services
  10. Is the business located in a rural area, brownfield area, or Enterprise Zone?*:
        (If yes, please check the appropriate box).

    If Enterprise Zone or Empowerment Zone, which one:
  11. What is the overall average wage of the employees being trained under this grant?*:


  12. Total number of existing full-time employees at this site*:
  13. Number of full-time employees to be trained under this grant*:
  14. Has the business ever been subjected to criminal or civil fines and penalties?*:
    If yes, please explain:    
I understand this application is being submitted in conjunction with Workforce Florida’s Quick Response Training Air Cargo Consortium Project in conjunction with Broward .College.
To the best of my knowledge, the information included in this application is accurate:
Signature of Authorized Officer*:
Name*:
Title of Authorized Officer*:
Date*:

PART II - TRAINING SUMMARY

Please list the training courses you are requesting with the number of trainees per course.
NAME OF COURSE REQUESTED NUMBER OF TRAINEES TOTAL COST FOR COURSE
To the best of my knowledge, the information included in this application is accurate:
Part II completed by:
Signature of Authorized Officer*:
Name*:
Title of Authorized Officer*:
Date*:

REQUESTED FUNDING

BUDGET CATEGORY QUICK RESPONSE ASSISTANCE REQUESTED EMPLOYER CONTRIBUTION (IN-KIND)
Cost (from training summary page)
Training Facility Usage
Travel
Trainees’ Wages
Total
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