Regional Skills Accelerator Application
Employer Information
Employer Name
*
Employer Location Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
County
*
Elkhart County
Marshall County
St. Joseph County
Company Industry: Please list the industry your company is in
Company Industry: Please select the industry your company is in
*
Please Select
Food
Beverage and Tobacco
Textile
Apparel
Recreational
Leather and Allied Product
Wood
Paper
Chemical
Plastics
Nonmetallic
Metal
Machinery
Computer and Electronic
Appliances
Transportation
Furniture
Miscellaneous
About the Lead Organization
Organization Name
*
Organization Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Organization Website
*
Primary Contact Person's Name
*
First Name
Last Name
Contact Person's Title
*
Work Phone Number
*
Please enter a valid work phone number.
Format: (000) 000-0000.
Contact Person's Email
*
example@example.com
Have you participated in this or any other program the Partnership offers?
*
How did you hear about this program?
*
Project Details
Abstract: A brief description of the training program/anticipated outcomes and how it will help the region achieve its goals in productivity and/or digital transformation.
*
0/300
Estimated Milestones
*
0/1000
Please list classes with approved training partner employee(s) will be taking
*
Project Partners
Please provide the name(s) of the training partner organization(s), what training to be completed, and how many will attend.
Training Partner Organizations
*
Purdue MEP Manufacturing Training
Ivy Tech
IUSB
Maple Tronics
Other
What type of training?
*
Technical
Leadership
Safety
LEAN
Quality
Other
How many employees will attend?
*
How many employees will attend?
*
Training Partner Organization 2
What type of training?
How many employees will attend?
Training Partner Organization 3
What type of training?
How many employees will attend?
How will success be measured (be as detailed as possible)?
*
0/2000
How does this short term training program align with the overall staff development strategy of your company?
*
0/2000
Please note if the employees are entry level, mid-level, or senior.
*
Entry
Mid
Senior
Estimated Start Date of Training
*
-
Month
-
Day
Year
Date
Estimated End Date of Training (all training must be completed by May 30)
*
-
Month
-
Day
Year
Date
Describe the impact the training will have as it relates to Diversity, Equity, and Inclusion.
*
Be as specific as you can on how your project supports the region’s goal of improved incomes for minorities. An additional $100 subsidy may be awarded to companies who train/upskill candidates from underrepresented backgrounds (Women, Black, Latinx, etc.)
0/2000
Key Performance Outcomes
Outcomes represent change, like % increase in increased sales revenue, changes in incomes or wages, or assets for specific population(s). Please note that any KPO's may be listed out below, but an employee wage compensation must be entered to be considered for funding.
Employee Salary Compensation ($ Bonus Amount - Enter 0 if providing wage % increase)
*
Employee Salary Compensation (Wage % Increase - Enter 0 if providing a $ bonus amount)
*
Additional Key Performance Outcomes (Outside of wage increases)
*
0/2000
Budgetary Items
Subsidies are structured on a one-to-one employer match contribution.
Regional Grant Funds Requested (Max request: 15,000K total)
*
Please Upload A Copy of the Training Plan (if available)
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Employer Commitment (must be 50% or more of request)
*
Please sign and date this application.
Signature
*
Date
*
-
Month
-
Day
Year
Date
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