Nccer Form 106 – Fill Out and Use This PDF

The NCCER 106 Form, officially known as the Application for Accredited Training and Education Facility (ATEF) Actions, serves as a pivotal step for organizations aiming to achieve accreditation from the National Center for Construction Education and Research (NCCER). Organizations interested in becoming ATEFs must diligently complete this application, adhere to the outlined guidelines, and submit the form along with the specified application fee to the NCCER Accreditation Department. It is structured to assess the readiness and compliance of the applying entity with NCCER's accreditation standards, ensuring that the proposed training programs meet the quality and effectiveness criteria as set forth by the NCCER.

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Nccer Form 106 PDF Details

The journey to becoming an Accredited Training and Education Facility (ATEF) with the National Center for Construction Education and Research (NCCER) begins with the comprehensive NCCER 106 form. This detailed application encapsulates the initial steps that aspiring facilities must undertake, including a thorough understanding of the NCCER ATEF guidelines, completion of the form, and submission alongside an application fee. The form serves not only as a submission document but also as a checklist and guideline for applicants to ensure their programs align with the stringent requirements set forth by NCCER, including program goals and objectives, budgeting and evaluation procedures, instructor qualifications, and facility requirements for effective training. In addition, it underscores the importance of linking training programs directly to the construction industry and ensuring that safety protocols are rigorously followed, both in classrooms and on-site. By meticulously filling out the form and adhering to NCCER’s guidelines, training facilities take a significant step toward providing industry-recognized, quality education to their trainees.

Question	Answer
Form Name	Nccer Form 106
Form Length	3 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	45 sec
Other names	Accredited, linkage, ATS, ATEF

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Form 106

Application for Accredited Training and Education Facility (ATEF)

Actions: The ATEF Representative should 1) read and understand the NCCER ATEF Guidelines, 2) complete the application form, and 3) submit form and the application fee ($50.00) to the NCCER Accreditation Department (check made payable to NCCER). Upon receipt of this form, NCCER will contact the applicant regarding the status of the application. Contact NCCER Accreditation Department for more information. If no ATS is listed, NCCER will facilitate placement of ATEF with ATS (Refer to NCCER Accreditation Guidelines & Program Compliance for procedure).

All Blocks MUST Be Filled ● Please Type

ATEF Name:

Date:

Type of Organization:

ATEF Representative:

Name

Title

Social Security Number

Phone:

Fax:

E-Mail:

Mailing Address:

City:

County:

State:

Zip:

Physical Address:

Same as above

Physical Zip:

2nd ATEF Contact:

Name

Title

Social Security Number

Phone:

Fax:

E-Mail:

Mailing Address:

City:

State:

Zip:

Physical Address:

Same as above

Physical Zip:

Type of Training

( Core, Electrical, Welding, Safety, etc.)

Estimated # of Trainees per Year

Estimated # of Instructors

Form 106 - Page 1 of 3

Effective 01/12

Form 106 continued

All Information MUST be Completed • Please Type • Use additional sheets as needed for the following questions

ATEF Name:

Do you have Master Trainers Certified by NCCER?

If yes, please list names and social security numbers.

Do you have Craft/Technician Instructors certified by NCCER?

If yes, please list names and social security numbers.

Do you have any NCCER ATS(s) in your area?	Yes	No
If yes, do you have a relationship established with the existing NCCER ATS(s)?			Yes	No
If yes, please list ATS by name. If no, please detail the reasons why a relationship has not been created.

I attest that this information is true, and that the ATEF has read and agrees to abide by the conditions set forth in the NCCER Accreditation Guidelines & Program Compliance.

ATEF Representative Signature

Name/Title/SS# or NCCER Card # ( type or print)

Date

Principal or Director Signature

Name/Title/SS# or NCCER Card # ( type or print)

Date

Form 106 - Page 2 of 3

Effective 01/12

Form 106 continued

ATEF Name:

This document is intended as a checklist to assist potential ATEF in assessing their program's status. Please check () the appropriate box, Yes () or No ().

1.	Yes	No	The ATEF has training goals and objectives.
2.	Yes	No	There is a budgeting procedure in place for the program.
3.	Yes	No	There is a procedure in place for evaluating the program.
4.	Yes	No	The program has documented linkage to the construction industry.
5.	Yes	No	The program has industry oversight that provides effective consultation and support including input into
5.	Yes	No	the program's overall planning, development, execution and evaluation. (Regularly scheduled meetings?)

6.	Yes	No	Is there linkage for trainees from the program to the industry.
7.	Yes	No	The program currently utilizes or will be utilizing NCCER's Curriculum and NCCER's written and
7.	Yes	No	performance testing procedures.
			performance testing procedures.
8.	Yes	No	The program currently uses instructors who are NCCER certified.
9.	Yes	No	The program currently has an NCCER certified Master Trainer.
10.	Yes	No	The program currently provides for safety training for instructors and trainees.
11.	Yes	No	The program's classroom facilities provide sufficient area, seating, furnishings, and equipment including
11.	Yes	No	books, audio-visual, white boards, etc.
			books, audio-visual, white boards, etc.
12.	Yes	No	The program's laboratory facilities provide sufficient area, seating, furnishings, and equipment including
12.	Yes	No	tools, machines and materials to allow for both hands-on training and performance testing.

13.	Yes	No	The program has sufficient first-aid, fire and safety equipment.
14.	Yes	No	There is a safety program in place to provide adequate classroom, laboratory and job-site safety training
14.	Yes	No	for trainees and instructors.
			for trainees and instructors.
15.	Yes	No	There is an industry advisory committee in place.

Return to: NCCER - Accreditation Department

13614 Progress Boulevard • Alachua, FL 32615

P 888.622.3720 • F 386.518.6303 • Email: accredit@nccer.org

Form 106 - Page 3 of 3

Effective 01/12

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1. First, while filling in the 2nd, start in the area that features the subsequent blank fields:

2. Soon after performing the last section, head on to the next part and fill out all required particulars in these fields - City, State, Zip, Physical Address, Same as above, Physical Zip, Type of Training Core Electrical, Estimated of Trainees per Year, Estimated of Instructors, Form Page of, and Effective.

3. The following portion is about ATEF Name, Do you have Master Trainers, If yes please list names and, Do you have CraftTechnician, If yes please list names and, Do you have any NCCER ATSs in your, Yes, If yes do you have a relationship, Yes, and If yes please list ATS by name If - fill in each of these fields.

Those who use this form generally make some mistakes when filling in If yes please list names and in this section. Ensure you read twice what you type in here.

4. To go forward, this form section requires filling out a few form blanks. Examples include ATEF Representative Signature, NameTitleSS or NCCER Card type, Date, Principal or Director Signature, NameTitleSS or NCCER Card type, Date, Form Page of, and Effective, which you'll find integral to continuing with this particular process.

utilizing completion process outlined (stage 4)

5. The final point to finish this document is integral. Make certain to fill out the necessary blank fields, and this includes ATEF Name, This document is intended as a, Yes, The ATEF has training goals and, Yes, There is a budgeting procedure in, Yes, There is a procedure in place for, Yes, The program has documented linkage, Yes, The program has industry oversight, Yes, and Is there linkage for trainees from, prior to finalizing. If you don't, it may end up in an incomplete and potentially unacceptable paper!

Yes, Yes, and This document is intended as a of utilizing

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Nccer Form 106 – Fill Out and Use This PDF

Nccer Form 106 PDF Details

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