Application NGen Upskilling Initiative Rev C m

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File Info : application/pdf, 4 Pages, 311.43KB

Document Document

Part 1: Eligibility Information

*The Applicant is a Canadian Employer in Manufacturing * The Applicant is an NGen Member

Yes

No Status as a Canadian employer in manufacturing

is required for eligibility

Yes

No NGen membership is required for eligibility

Part 2: Employer Information
Employer Information
*Legal Name

*Is the legal name the same as the operating name?

Yes

No

*Mailing Address

*City

*Is the physical address different from Mailing Address?

Employer Contact *First Name

*Last Name

Yes

No

*Position Title

*Phone (999-999-9999)
*Company Legal Structure. Make Selection *Number of Employees in Canada

Extension *Email *Business Registration Number *Year Established *Number of Employees Worldwide

*Postal Code

* Industry Sector(s) *Primary Industry Sector Secondary Industry Sector Tertiary Industry Sector

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Part 3: Course Program Information

Employee 1 Employee Last Name

Employee First Name

Course
Select Course Employee 2 Employee Last Name

Employee First Name

Course
Select Course Employee 3 Employee Last Name

Employee First Name

Course Select Course Employee 4 Employee Last Name

Employee First Name

Course Select Course Employee 5 Employee Last Name

Employee First Name

Course .Select Course

Citizenship Status
Select one
Start Date
Citizenship Status
Select one
Start Date
Citizenship Status
Select one
Start Date
Citizenship Status
Select one
Start Date
Citizenship Status
Select one
Start Date

Employment Status
Select one
End Date
Employment Status
Select one
End Date
Employment Status
Select one
End Date
Employment Status
Select one
End Date
Employment Status
Select one
End Date
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Employee 6 Employee Last Name
Course Select Course
Employee 7 Employee Last Name
Course Select Course
Employee 8 Employee Last Name
Course Select Course
Employee 9 Employee Last Name
Course Select Course
Employee 10 Employee Last Name
Course Select Course

Employee First Name

Citizenship Status
Select one
Start Date

Employee First Name

Citizenship Status
Select one
Start Date

Employee First Name

Citizenship Status
Select one
Start Date

Employee First Name

Citizenship Status
Select one
Start Date

Employee First Name

Citizenship Status
Select one
Start Date

NGen Canada AMPUP
Employment Status
Select one
End Date
Employment Status
Select one
End Date
Employment Status
Select one
End Date
Employment Status
Select one
End Date
Employment Status
Select one
End Date
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NGen Canada AMPUP
The information provided on this Form ("Application") for NGen Accelerating Manufacturing Performance Upskilling Project ( AMP-UP) co-investment is business information that will be used by the NGen team in its review of the attached application.
Part 6: Employer Declaration For your application to be eligible for funding, all of the following mandatory eligibility criteria must be met. You must agree with and select ALL of the declaration check boxes below before submitting your completed application. Please ensure that this declaration is true and correct to the best of your knowledge and belief. If at any time in the future, NGen Canada finds any item attested to in the declaration to be untrue, the Employer may be deemed ineligible for future NGen Canada funding and liable for any costs incurred.
I represent the employer named above ("Employer") and have authority to submit this Application on the Employer's behalf;
The Employer is a member of NGen Canada, has a job available for each Participant upon completion of training and the job(s) is/are located in Canada
The Employer is not in receipt of any other government training funds that duplicate this request (funding is stackable, however total reimbursement cannot exceed 100%).
Training is directly related to the current needs of the business and the available job
To maximize the number of companies impacted, the maximum AMPUP training allowance per company is limited to $15,000 in NGen Upskilling co-investment support per fiscal year under this initiative ($30,000 in training).
The Employer agrees that NGen Canada reserves the right to contact participants, trainers or any other person in order to substantiate reimbursement claims, training activities, records or other related matters.
The Employer is aware that NGen Canada will ask the Employer and Participant employees to participate in follow-up surveys about the program to support continuous improvement and accountability, and, if approved, will commit to participating in these surveys and ensuring its employees do the same to the best of its ability; and
All determinations regarding eligibility are, and shall remain, at the sole discretion of NGen Canada.
Submission of this form does not guarantee the awarding of a grant or any reimbursement under a grant

Applicant Acceptance

Signature

Name (Typed)

Date

NGen Approval

Signature

Name (Typed)

Date

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