Employ BR, in accordance with the Workforce Innovation Opportunity Act (WIOA), may offer financial assistance to WIOA eligible participants for skills training, which has been approved by the Workforce Investment Board (WIB). All training services provided must be in compliance with pertinent federal and state requirements and Employ BR policies, and will not exceed the allotted amount, inclusive of all costs. WIA is not an entitlement program. Any costs for training services expended through Employ BR are based on the availability of WIOA funds.

Please list the training cost and indicate who receives payment.

The above named Participant has begun the WIOA process for tuition assistance. When the Participant is approved for assistance the training provider will receive a Training Authorization form, based on availability of WIOA funds. This acceptance form does not constitute approval for WIOA funding.

The Student must return the original completed form with signature along with an itemized list of non-tuition cost to Employ BR no less than 10 business days prior to the first day of class for the designated training period.

The undersigned acknowledges that the above named Participant meets all requirements for and has been accepted into the above mentioned training program.

If the student or third party receives payment, please provide an itemized list of books, supplies, and uniforms needed for this program.