Va Form 22 8864 Fillable PDF Details

In an era where skilled training and workforce development are more important than ever, the VA Form 22-8864 emerges as a critical tool in the professional growth of veterans, their eligible dependents, and members of the Selected Reserve. This document, titled "Training Agreement for Apprenticeship and Other On-the-Job Training Programs," is orchestrated under the guidance of Title 38, U.S.C. 3677 and 3687, aiming to streamline the process for establishments interested in offering on-the-job or apprenticeship training. Each section of this form is meticulously designed to ensure that both the trainee and the establishment can navigate the complexities of initiating and maintaining a training program with ease. From the initial instructions guiding establishments on how to fill out and submit the form, to the specific training standards and compliance requirements with federal laws, VA Form 22-8864 serves as a blueprint for developing structured training programs. Moreover, it emphasizes the importance of confidentiality and adheres to the Privacy Act of 1974, ensuring that personal information remains protected throughout the process. As this form bridges the gap between veterans seeking to advance their skills and employers willing to provide valuable on-the-job training, its role cannot be understated in fostering a capable and adaptable workforce.

QuestionAnswer
Form NameVa Form 22 8864 Fillable
Form Length9 pages
Fillable?No
Fillable fields0
Avg. time to fill out2 min 15 sec
Other namesform 22 2021, title 8864 form, form 22 8864, federal va 8864 form

Form Preview Example

TRAINING AGREEMENT FOR APPRENTICESHIP AND OTHER ON-THE-JOB TRAINING PROGRAMS

(Title 38 U.S.C. 3677 and 3687)

INSTRUCTIONS TO ESTABLISHMENT

We are sending you this form as you have expressed interest in providing on-the-job or apprenticeship training to veterans, their eligible dependents, and members of the Selected Reserve. If you want additional information or need assistance in completing this form, contact your VA Education Liaison Representative (ELR). If you do not have this person's contact information, you can request it as follows:

•You may contact the Education Liaison Representative for your state by clicking on the link below: http://www.benefits.va.gov/GIBILL/resources/education_resources/school_certifying_officials/elr.asp.

INSTRUCTIONS FOR COMPLETED FORM

Complete the entire form. Be sure that you and the VA trainee sign this form. Then take the following actions:

•Mail two copies (Copy 1 and Copy 2) to the ELR. (Obtain this mailing address from the ELR.)

•Keep a copy (Copy 3) for your records.

•Give a copy (Copy 4) to the VA trainee.

PRIVACY ACT NOTICE: VA will not disclose information collected on this form to any source other than what has been authorized under the Privacy Act of 1974 or Title 38, Code of Federal Regulations 1.576 for routine uses as identified in the VA system of records, 58VA21/22/28, Compensation, Pension, Education, and Vocational Rehabilitation and Employment Records - VA, published in the Federal Register. An example of a routine use allows VA to send educational forms or letters with a veteran's identifying information to the veteran's school or training establishment to (1) assist the veteran in the completion of claims forms or (2) for VA to obtain further information as may be necessary from the school for VA to properly process the veteran's education claim or to monitor his or her progress during training. Your obligation to respond is required to obtain or retain education benefits. Giving us your SSN account information is voluntary, but you failure to give us your SSN could impede our processing of your claim. Refusal to provide your SSN by itself will not result in the denial of benefits. VA will not deny an individual benefits for refusing to provide his or her SSN unless the disclosure of the SSN is required by a Federal Statute of law enacted before January 1, 1975, and still in effect. The requested information is considered relevant and necessary to determine the maximum benefits under the law. While you do not have to respond, payment of education benefits cannot be made unless the information is furnished as required by existing law. This information is a training agreement, as approved by the Department of Veterans Affairs (VA), is completed both the employer and the trainee. The responses you submit are considered confidential (38 U.S.C. 5701). Information submitted is subject to verification through computer matching programs with other agencies.

RESPONDENT BURDEN: We need this information to determine the trainee's eligibility for educational benefits based on On-the-Job or Apprenticeship training (38 U.S.C. 3671). Title 38, United States Code, allows us to ask for this information. We estimate that you will need an average of 30 minutes to review the instructions, find the information, and complete this form. VA cannot conduct or sponsor a collection of information unless a valid OMB control number is displayed. You are not required to respond to a collection of information if this number is not displayed. Valid OMB control numbers can be located on the OMB Internet Page at www.reginfo.gov/public/do/PRAMain. If desired, you can call 1-888-GI-BILL-1 (1-888-442-4551) to get information on where to send comments or suggestions about this form.

VA FORM

22-8864

SUPERSEDES VA FORM 22-8864, JUL 2017,

JAN 2021

WHICH WILL NOT BE USED.

OMB Approved No. 2900-0342

Respondent Burden: 30 minutes

Expiration Date: 01/31/2024

TRAINING AGREEMENT FOR APPRENTICESHIP AND OTHER ON-THE-JOB TRAINING PROGRAMS

(TITLE 38 U.S.C. 3677 AND 3687)

PART I - GENERAL INFORMATION

1.NAME AND ADDRESS OF ESTABLISHMENT ENTERING INTO TRAINING AGREEMENT (Include e-mail address)

2. NAME AND ADDRESS OF TRAINEE ENTERING INTO TRAINING AGREEMENT

3. TRAINEE'S SOCIAL SECURITY NUMBER

4. TRAINEE'S VA FILE NUMBER

5. DATE OF BIRTH

6.TRAINEE'S JOB TITLE OR TRADE

7. LENGTH OF PROGRAM

8. CREDIT FOR PREVIOUS TRAINING/EXPERIENCE

9. LENGTH OF TIME REMAINING TO BE COMPLETED

10. DATE TRAINING BEGINS

11.LENGTH OF PROBATIONARY PERIOD

FOR VA USE

©

ONLY

12. FACILITY CODE

13. DOT CODE

PART II - TRAINING AGREEMENT

14. SPECIFIC QUALIFICATIONS FOR TRAINEES

15.NUMBER OF TRAINEES PER INSTRUCTOR OR

NUMBER OF APPRENTICES TO JOURNEY WORKERS (Ratio)

16. WAGE PROGRESSION TOWARD THE JOURNEYWORKER WAGE

NOTE: Trainees who receive credit for previous experience shall be paid the wage rate of the period to which such credit advances them.

A. PERIOD

B. NUMBER OF MONTHS

 

C. WAGE LEVEL

 

A. PERIOD

B. NUMBER OF MONTHS

 

C. WAGE LEVEL

 

 

 

 

 

 

 

 

 

1ST

 

$

PER

 

6TH

 

$

PER

2ND

 

$

PER

 

7TH

 

$

PER

3RD

 

$

PER

 

8TH

 

$

PER

4TH

 

$

PER

 

9TH

 

$

PER

5TH

 

$

PER

 

10TH

 

$

PER

D. PRESENT FULLY TRAINED WAGE RATE OR JOURNEYWORKER WAGE RATE

$PER

17A. WORK PROCESSES IN WHICH TRAINEE WILL RECEIVE INSTRUCTION OR WILL BE TRAINED

(List the various operations or tasks to be learned with a brief narrative description and the length of time devoted to each. If additional space is required, please continue on a separate sheet)

17B. NUMBER OF HOURS OF TRAINING

TOTAL

18A. COURSE CURRICULUM UNITS, OR TRAINING OUTSIDE THE JOB NECESSARY FOR THIS TRADE (If required)

18B. LOCATION OF RELATED TRAINING/INSTRUCTION

The Establishment and the Trainee enter into this agreement in conformity with the Training Standards shown on the reverse side of this form which have been approved by the Department of Veterans Affairs. Carefully read these standards before signing below.

19. SIGNATURE OF TRAINEE

20. SIGNATURE AND TITLE OF ESTABLISHMENT DESIGNEE

The signing of this agreement binds the parties to compliance with the Agreement and Training/Apprenticeship Standards.

VA FORM

22-8864

SUPERSEDES VA FORM 22-8864, JUL 2017,

JAN 2021

WHICH WILL NOT BE USED.

COPY 1

OTHER ON-THE-JOB TRAINING STANDARDS

I. HOURS AND SUPERVISION - The trainee shall work the same hours as the instructor and shall work under the supervision of the instructor at all times.

II.SAFETY AND HEALTH TRAINING - The VA trainee will receive instruction on the job as to safe and healthful work practices. Such instruction shall include training regarding safety regulations, reporting of accidents, and availability of first aid medical facilities. The establishment shall also ensure that the trainee is trained in facilities and other environments that are safe and healthful.

III.ADMINISTRATIVE PROCEDURES - The following shall be the responsibility of the participating establishment:

A.To see that all VA trainees are covered by a written agreement.

B.To notify the VA Regional Processing Office in writing of any interruption or termination of training by each VA trainee.

C.To maintain a record of each VA trainee showing his or her experience and progress in learning the occupation until 3 years after completion of the training program.

IV. COMPLIANCE WITH TITLE VI, CIVIL RIGHTS ACT OF 1964 - The establishment agrees to comply with the provisions of Title VI, Civil Rights Acts of 1964.

V. COMPLIANCE WITH TRAINING STANDARDS - These standards, as approved by VA, become a part of the Training Agreement applying hereto. The signing of the Agreement in Items 19 and 20 on the reverse, binds the parties to compliance with these standards. The employer will provide every VA trainee entering into an Other On-The-Job Training Agreement with a copy of the Agreement with these Standards. The employer will send two copies of the completed Agreement to VA. The terms of this training agreement are in compliance with the requirements of section 21.4262, Title 38, Code of Federal Regulations.

APPRENTICESHIP TRAINING STANDARDS

I. DEFINITION AND TERM OF APPRENTICESHIP - The term "apprentice" shall mean a person at least years of age who is

employed to learn a skilled trade pursuant to the terms of a written Apprenticeship Agreement with the establishment. The Agreement

will provide for (a) not less than years of reasonably continuous employment, (b) participation of the apprentice in an approved

schedule of work experience through employment, and (c) at least the number or hours per year of supplemental instruction in subjects related to the trade specified by the U.S. DOL (Department of Labor). (The DOL usually requires at least 144 hours per year.)

II. QUALIFICATIONS OF APPRENTICESHIP APPLICANTS - VA apprenticeship applicants for this trade shall be between the ages of and and should be, if possible, high school graduates or the equivalent and be able to meet the requirements of the trade.

III. PROBATIONARY PERIOD - All apprentices employed in accordance with these standards shall be subject to a probationary period not

exceeding the first of the term of apprenticeship. During this period, the Apprenticeship Agreement may be terminated at the

request of either party to the Agreement.

IV. HOURS AND SUPERVISION - The apprentice shall work the same hours as the journey worker and shall work under the supervision of the journey worker at all times.

V. WAGE PROGRESSION - This standard must include a uniform, progressive schedule of wages.

VI. RELATED SCHOOL INSTRUCTION

A. Each apprentice shall enroll in and attend classes in subjects related to this trade for not less than the number of hours yearly specified by the U.S. DOL during the term of apprenticeship. Apprentice related training should be arranged through local education agencies, the Community College system, or private vocational schools. If institutional training is not available locally, such related training may be given by a course applicable to the trade taken through correspondence (or other forms of self-study approved by the registration/approval agency), or an individualized instruction program of classroom training in the training establishment will be substituted.

B. Failure on the part of the apprentice to regularly attend class and/or progress satisfactorily in approved related training will be deemed sufficient cause to drop the apprentice from the entire training program.

C. Trade journals, manuals, books, publications, etc., applicable to the trade may be used in supervised training.

D. The minimum number of related training hours per year are not classified as hours of employment unless given during regular working hours for which wages are paid.

E. Curriculum content is described in Items 18A and 18B of the Apprenticeship Agreement.

VII. SAFETY AND HEALTH TRAINING - The apprentice shall receive instruction on the job as to safe and healthful work practices. Such instruction shall include training regarding safety regulations, reporting of accidents, and availability of first aid medical facilities.

VIII. ADMINISTRATIVE PROCEDURES - The following shall be the responsibility of the participating establishment: A. To see that all apprentices are covered by a written agreement.

B. To notify the VA Regional Processing Office in writing of any interruption or termination of training by each apprentice. C. To maintain a record of each apprentice showing his or her experience and progress in learning the occupation until 3 years

after completion of the training program.

IX. GRANTING CERTIFICATE OF COMPLETION OF APPRENTICESHIP - After satisfactory completion of apprenticeship under these standards, each apprentice shall be furnished with a Certificate of Completion of Apprenticeship.

X. COMPLIANCE WITH TITLE VI, CIVIL RIGHTS ACT OF 1964 - The establishment agrees to comply with the provisions of Title VI, Civil Rights Act of 1964.

XI. COMPLIANCE WITH APPRENTICESHIP STANDARDS - These standards, as approved by VA, are made a part of the Apprenticeship Agreement applying hereto. The signing of the Agreement in Items 19 and 20 on the reverse, binds the parties to compliance with these standards.

OTHER INFORMATION - Every apprentice entering into an Apprenticeship Training Agreement will be given a copy of these standards. Two copies will be forwarded to VA. The terms of this training agreement are in compliance with the requirements of section 21.4261, Title 38, Code of Federal Regulations.

Education Liaison Representative

Date Signed

VA FORM 22-8864, JAN 2021

OMB Approved No. 2900-0342

Respondent Burden: 30 minutes

Expiration date: 01/31/2024

TRAINING AGREEMENT FOR APPRENTICESHIP AND OTHER ON-THE-JOB TRAINING PROGRAMS

(TITLE 38 U.S.C. 3677 AND 3687)

PART I - GENERAL INFORMATION

1.NAME AND ADDRESS OF ESTABLISHMENT ENTERING INTO TRAINING AGREEMENT (Include e-mail address)

2. NAME AND ADDRESS OF TRAINEE ENTERING INTO TRAINING AGREEMENT

3. TRAINEE'S SOCIAL SECURITY NUMBER

4. TRAINEE'S VA FILE NUMBER

5. DATE OF BIRTH

6.TRAINEE'S JOB TITLE OR TRADE

7. LENGTH OF PROGRAM

8. CREDIT FOR PREVIOUS TRAINING/EXPERIENCE

9. LENGTH OF TIME REMAINING TO BE COMPLETED

10. DATE TRAINING BEGINS

11.LENGTH OF PROBATIONARY PERIOD

FOR VA USE

©

ONLY

12. FACILITY CODE

13. DOT CODE

PART II - TRAINING AGREEMENT

14. SPECIFIC QUALIFICATIONS FOR TRAINEES

15.NUMBER OF TRAINEES PER INSTRUCTOR OR

NUMBER OF APPRENTICES TO JOURNEY WORKERS (Ratio)

16. WAGE PROGRESSION TOWARD THE JOURNEYWORKER WAGE

NOTE: Trainees who receive credit for previous experience shall be paid the wage rate of the period to which such credit advances them.

A. PERIOD

B. NUMBER OF MONTHS

 

C. WAGE LEVEL

 

A. PERIOD

B. NUMBER OF MONTHS

 

C. WAGE LEVEL

 

 

 

 

 

 

 

 

 

1ST

 

$

PER

 

6TH

 

$

PER

2ND

 

$

PER

 

7TH

 

$

PER

3RD

 

$

PER

 

8TH

 

$

PER

4TH

 

$

PER

 

9TH

 

$

PER

5TH

 

$

PER

 

10TH

 

$

PER

D. PRESENT FULLY TRAINED WAGE RATE OR JOURNEYWORKER WAGE RATE

$PER

17A. WORK PROCESSES IN WHICH TRAINEE WILL RECEIVE INSTRUCTION OR WILL BE TRAINED

(List the various operations or tasks to be learned with a brief narrative description and the length of time devoted to each. If additional space is required, please continue on a separate sheet)

17B. NUMBER OF HOURS OF TRAINING

TOTAL

18A. COURSE CURRICULUM UNITS, OR TRAINING OUTSIDE THE JOB NECESSARY FOR THIS TRADE (If required)

18B. LOCATION OF RELATED TRAINING/INSTRUCTION

The Establishment and the Trainee enter into this agreement in conformity with the Training Standards shown on the reverse side of this form which have been approved by the Department of Veterans Affairs. Carefully read these standards before signing below.

19. SIGNATURE OF TRAINEE

20. SIGNATURE AND TITLE OF ESTABLISHMENT DESIGNEE

The signing of this agreement binds the parties to compliance with the Agreement and Training/Apprenticeship Standards.

VA FORM

22-8864

SUPERSEDES VA FORM 22-8864, JUL 2017,

JAN 2021

WHICH WILL NOT BE USED.

COPY 2

OTHER ON-THE-JOB TRAINING STANDARDS

I. HOURS AND SUPERVISION - The trainee shall work the same hours as the instructor and shall work under the supervision of the instructor at all times.

II.SAFETY AND HEALTH TRAINING - The VA trainee will receive instruction on the job as to safe and healthful work practices. Such instruction shall include training regarding safety regulations, reporting of accidents, and availability of first aid medical facilities. The establishment shall also ensure that the trainee is trained in facilities and other environments that are safe and healthful.

III.ADMINISTRATIVE PROCEDURES - The following shall be the responsibility of the participating establishment:

A.To see that all VA trainees are covered by a written agreement.

B.To notify the VA Regional Processing Office in writing of any interruption or termination of training by each VA trainee.

C.To maintain a record of each VA trainee showing his or her experience and progress in learning the occupation until 3 years after completion of the training program.

IV. COMPLIANCE WITH TITLE VI, CIVIL RIGHTS ACT OF 1964 - The establishment agrees to comply with the provisions of Title VI, Civil Rights Acts of 1964.

V. COMPLIANCE WITH TRAINING STANDARDS - These standards, as approved by VA, become a part of the Training Agreement applying hereto. The signing of the Agreement in Items 19 and 20 on the reverse, binds the parties to compliance with these standards. The employer will provide every VA trainee entering into an Other On-The-Job Training Agreement with a copy of the Agreement with these Standards. The employer will send two copies of the completed Agreement to VA. The terms of this training agreement are in compliance with the requirements of section 21.4262, Title 38, Code of Federal Regulations.

APPRENTICESHIP TRAINING STANDARDS

I. DEFINITION AND TERM OF APPRENTICESHIP - The term "apprentice" shall mean a person at least years of age who is

employed to learn a skilled trade pursuant to the terms of a written Apprenticeship Agreement with the establishment. The Agreement

will provide for (a) not less than years of reasonably continuous employment, (b) participation of the apprentice in an approved

schedule of work experience through employment, and (c) at least the number or hours per year of supplemental instruction in subjects related to the trade specified by the U.S. DOL (Department of Labor). (The DOL usually requires at least 144 hours per year.)

II. QUALIFICATIONS OF APPRENTICESHIP APPLICANTS - VA apprenticeship applicants for this trade shall be between the ages of and and should be, if possible, high school graduates or the equivalent and be able to meet the requirements of the trade.

III. PROBATIONARY PERIOD - All apprentices employed in accordance with these standards shall be subject to a probationary period not

exceeding the first of the term of apprenticeship. During this period, the Apprenticeship Agreement may be terminated at the

request of either party to the Agreement.

IV. HOURS AND SUPERVISION - The apprentice shall work the same hours as the journey worker and shall work under the supervision of the journey worker at all times.

V. WAGE PROGRESSION - This standard must include a uniform, progressive schedule of wages.

VI. RELATED SCHOOL INSTRUCTION

A. Each apprentice shall enroll in and attend classes in subjects related to this trade for not less than the number of hours yearly specified by the U.S. DOL during the term of apprenticeship. Apprentice related training should be arranged through local education agencies, the Community College system, or private vocational schools. If institutional training is not available locally, such related training may be given by a course applicable to the trade taken through correspondence (or other forms of self-study approved by the registration/approval agency), or an individualized instruction program of classroom training in the training establishment will be substituted.

B. Failure on the part of the apprentice to regularly attend class and/or progress satisfactorily in approved related training will be deemed sufficient cause to drop the apprentice from the entire training program.

C. Trade journals, manuals, books, publications, etc., applicable to the trade may be used in supervised training.

D. The minimum number of related training hours per year are not classified as hours of employment unless given during regular working hours for which wages are paid.

E. Curriculum content is described in Items 18A and 18B of the Apprenticeship Agreement.

VII. SAFETY AND HEALTH TRAINING - The apprentice shall receive instruction on the job as to safe and healthful work practices. Such instruction shall include training regarding safety regulations, reporting of accidents, and availability of first aid medical facilities.

VIII. ADMINISTRATIVE PROCEDURES - The following shall be the responsibility of the participating establishment: A. To see that all apprentices are covered by a written agreement.

B. To notify the VA Regional Processing Office in writing of any interruption or termination of training by each apprentice. C. To maintain a record of each apprentice showing his or her experience and progress in learning the occupation until 3 years

after completion of the training program.

IX. GRANTING CERTIFICATE OF COMPLETION OF APPRENTICESHIP - After satisfactory completion of apprenticeship under these standards, each apprentice shall be furnished with a Certificate of Completion of Apprenticeship.

X. COMPLIANCE WITH TITLE VI, CIVIL RIGHTS ACT OF 1964 - The establishment agrees to comply with the provisions of Title VI, Civil Rights Act of 1964.

XI. COMPLIANCE WITH APPRENTICESHIP STANDARDS - These standards, as approved by VA, are made a part of the Apprenticeship Agreement applying hereto. The signing of the Agreement in Items 19 and 20 on the reverse, binds the parties to compliance with these standards.

OTHER INFORMATION - Every apprentice entering into an Apprenticeship Training Agreement will be given a copy of these standards. Two copies will be forwarded to VA. The terms of this training agreement are in compliance with the requirements of section 21.4261, Title 38, Code of Federal Regulations.

Education Liaison Representative

Date Signed

VA FORM 22-8864, JAN 2021

OMB Approved No. 2900-0342

Respondent Burden: 30 minutes

Expiration Date: 01/31/2024

TRAINING AGREEMENT FOR APPRENTICESHIP AND OTHER ON-THE-JOB TRAINING PROGRAMS

(TITLE 38 U.S.C. 3677 AND 3687)

PART I - GENERAL INFORMATION

1.NAME AND ADDRESS OF ESTABLISHMENT ENTERING INTO TRAINING AGREEMENT (Include e-mail address)

2. NAME AND ADDRESS OF TRAINEE ENTERING INTO TRAINING AGREEMENT

3. TRAINEE'S SOCIAL SECURITY NUMBER

4. TRAINEE'S VA FILE NUMBER

5. DATE OF BIRTH

6.TRAINEE'S JOB TITLE OR TRADE

7. LENGTH OF PROGRAM

8. CREDIT FOR PREVIOUS TRAINING/EXPERIENCE

9. LENGTH OF TIME REMAINING TO BE COMPLETED

10. DATE TRAINING BEGINS

11.LENGTH OF PROBATIONARY PERIOD

FOR VA USE

©

ONLY

12. FACILITY CODE

13. DOT CODE

PART II - TRAINING AGREEMENT

14. SPECIFIC QUALIFICATIONS FOR TRAINEES

15.NUMBER OF TRAINEES PER INSTRUCTOR OR

NUMBER OF APPRENTICES TO JOURNEY WORKERS (Ratio)

16. WAGE PROGRESSION TOWARD THE JOURNEYWORKER WAGE

NOTE: Trainees who receive credit for previous experience shall be paid the wage rate of the period to which such credit advances them.

A. PERIOD

B. NUMBER OF MONTHS

 

C. WAGE LEVEL

 

A. PERIOD

B. NUMBER OF MONTHS

 

C. WAGE LEVEL

 

 

 

 

 

 

 

 

 

1ST

 

$

PER

 

6TH

 

$

PER

2ND

 

$

PER

 

7TH

 

$

PER

3RD

 

$

PER

 

8TH

 

$

PER

4TH

 

$

PER

 

9TH

 

$

PER

5TH

 

$

PER

 

10TH

 

$

PER

D. PRESENT FULLY TRAINED WAGE RATE OR JOURNEYWORKER WAGE RATE

$PER

17A. WORK PROCESSES IN WHICH TRAINEE WILL RECEIVE INSTRUCTION OR WILL BE TRAINED

(List the various operations or tasks to be learned with a brief narrative description and the length of time devoted to each. If additional space is required, please continue on a separate sheet)

17B. NUMBER OF HOURS OF TRAINING

TOTAL

18A. COURSE CURRICULUM UNITS, OR TRAINING OUTSIDE THE JOB NECESSARY FOR THIS TRADE (If required)

18B. LOCATION OF RELATED TRAINING/INSTRUCTION

The Establishment and the Trainee enter into this agreement in conformity with the Training Standards shown on the reverse side of this form which have been approved by the Department of Veterans Affairs. Carefully read these standards before signing below.

19. SIGNATURE OF TRAINEE

20. SIGNATURE AND TITLE OF ESTABLISHMENT DESIGNEE

The signing of this agreement binds the parties to compliance with the Agreement and Training/Apprenticeship Standards.

VA FORM

22-8864

SUPERSEDES VA FORM 22-8864, JUL 2017,

JAN 2021

WHICH WILL NOT BE USED.

COPY 3

OTHER ON-THE-JOB TRAINING STANDARDS

I. HOURS AND SUPERVISION - The trainee shall work the same hours as the instructor and shall work under the supervision of the instructor at all times.

II.SAFETY AND HEALTH TRAINING - The VA trainee will receive instruction on the job as to safe and healthful work practices. Such instruction shall include training regarding safety regulations, reporting of accidents, and availability of first aid medical facilities. The establishment shall also ensure that the trainee is trained in facilities and other environments that are safe and healthful.

III.ADMINISTRATIVE PROCEDURES - The following shall be the responsibility of the participating establishment:

A.To see that all VA trainees are covered by a written agreement.

B.To notify the VA Regional Processing Office in writing of any interruption or termination of training by each VA trainee.

C.To maintain a record of each VA trainee showing his or her experience and progress in learning the occupation until 3 years after completion of the training program.

IV. COMPLIANCE WITH TITLE VI, CIVIL RIGHTS ACT OF 1964 - The establishment agrees to comply with the provisions of Title VI, Civil Rights Acts of 1964.

V. COMPLIANCE WITH TRAINING STANDARDS - These standards, as approved by VA, become a part of the Training Agreement applying hereto. The signing of the Agreement in Items 19 and 20 on the reverse, binds the parties to compliance with these standards. The employer will provide every VA trainee entering into an Other On-The-Job Training Agreement with a copy of the Agreement with these Standards. The employer will send two copies of the completed Agreement to VA. The terms of this training agreement are in compliance with the requirements of section 21.4262, Title 38, Code of Federal Regulations.

APPRENTICESHIP TRAINING STANDARDS

I. DEFINITION AND TERM OF APPRENTICESHIP - The term "apprentice" shall mean a person at least years of age who is

employed to learn a skilled trade pursuant to the terms of a written Apprenticeship Agreement with the establishment. The Agreement

will provide for (a) not less than years of reasonably continuous employment, (b) participation of the apprentice in an approved

schedule of work experience through employment, and (c) at least the number or hours per year of supplemental instruction in subjects related to the trade specified by the U.S. DOL (Department of Labor). (The DOL usually requires at least 144 hours per year.)

II. QUALIFICATIONS OF APPRENTICESHIP APPLICANTS - VA apprenticeship applicants for this trade shall be between the ages of and and should be, if possible, high school graduates or the equivalent and be able to meet the requirements of the trade.

III. PROBATIONARY PERIOD - All apprentices employed in accordance with these standards shall be subject to a probationary period not

exceeding the first of the term of apprenticeship. During this period, the Apprenticeship Agreement may be terminated at the

request of either party to the Agreement.

IV. HOURS AND SUPERVISION - The apprentice shall work the same hours as the journey worker and shall work under the supervision of the journey worker at all times.

V. WAGE PROGRESSION - This standard must include a uniform, progressive schedule of wages.

VI. RELATED SCHOOL INSTRUCTION

A. Each apprentice shall enroll in and attend classes in subjects related to this trade for not less than the number of hours yearly specified by the U.S. DOL during the term of apprenticeship. Apprentice related training should be arranged through local education agencies, the Community College system, or private vocational schools. If institutional training is not available locally, such related training may be given by a course applicable to the trade taken through correspondence (or other forms of self-study approved by the registration/approval agency), or an individualized instruction program of classroom training in the training establishment will be substituted.

B. Failure on the part of the apprentice to regularly attend class and/or progress satisfactorily in approved related training will be deemed sufficient cause to drop the apprentice from the entire training program.

C. Trade journals, manuals, books, publications, etc., applicable to the trade may be used in supervised training.

D. The minimum number of related training hours per year are not classified as hours of employment unless given during regular working hours for which wages are paid.

E. Curriculum content is described in Items 18A and 18B of the Apprenticeship Agreement.

VII. SAFETY AND HEALTH TRAINING - The apprentice shall receive instruction on the job as to safe and healthful work practices. Such instruction shall include training regarding safety regulations, reporting of accidents, and availability of first aid medical facilities.

VIII. ADMINISTRATIVE PROCEDURES - The following shall be the responsibility of the participating establishment: A. To see that all apprentices are covered by a written agreement.

B. To notify the VA Regional Processing Office in writing of any interruption or termination of training by each apprentice. C. To maintain a record of each apprentice showing his or her experience and progress in learning the occupation until 3 years

after completion of the training program.

IX. GRANTING CERTIFICATE OF COMPLETION OF APPRENTICESHIP - After satisfactory completion of apprenticeship under these standards, each apprentice shall be furnished with a Certificate of Completion of Apprenticeship.

X. COMPLIANCE WITH TITLE VI, CIVIL RIGHTS ACT OF 1964 - The establishment agrees to comply with the provisions of Title VI, Civil Rights Act of 1964.

XI. COMPLIANCE WITH APPRENTICESHIP STANDARDS - These standards, as approved by VA, are made a part of the Apprenticeship Agreement applying hereto. The signing of the Agreement in Items 19 and 20 on the reverse, binds the parties to compliance with these standards.

OTHER INFORMATION - Every apprentice entering into an Apprenticeship Training Agreement will be given a copy of these standards. Two copies will be forwarded to VA. The terms of this training agreement are in compliance with the requirements of section 21.4261, Title 38, Code of Federal Regulations.

Education Liaison Representative

Date Signed

VA FORM 22-8864, JAN 2021

OMB Approved No. 2900-0342

Respondent Burden: 30 minutes

Expiration Date: 01/31/2024

TRAINING AGREEMENT FOR APPRENTICESHIP AND OTHER ON-THE-JOB TRAINING PROGRAMS

(TITLE 38 U.S.C. 3677 AND 3687)

PART I - GENERAL INFORMATION

1.NAME AND ADDRESS OF ESTABLISHMENT ENTERING INTO TRAINING AGREEMENT (Include e-mail address)

2. NAME AND ADDRESS OF TRAINEE ENTERING INTO TRAINING AGREEMENT

3. TRAINEE'S SOCIAL SECURITY NUMBER

4. TRAINEE'S VA FILE NUMBER

5. DATE OF BIRTH

6.TRAINEE'S JOB TITLE OR TRADE

7. LENGTH OF PROGRAM

8. CREDIT FOR PREVIOUS TRAINING/EXPERIENCE

9. LENGTH OF TIME REMAINING TO BE COMPLETED

10. DATE TRAINING BEGINS

11.LENGTH OF PROBATIONARY PERIOD

FOR VA USE

©

ONLY

12. FACILITY CODE

13. DOT CODE

PART II - TRAINING AGREEMENT

14. SPECIFIC QUALIFICATIONS FOR TRAINEES

15.NUMBER OF TRAINEES PER INSTRUCTOR OR

NUMBER OF APPRENTICES TO JOURNEY WORKERS (Ratio)

16. WAGE PROGRESSION TOWARD THE JOURNEYWORKER WAGE

NOTE: Trainees who receive credit for previous experience shall be paid the wage rate of the period to which such credit advances them.

A. PERIOD

B. NUMBER OF MONTHS

 

C. WAGE LEVEL

 

A. PERIOD

B. NUMBER OF MONTHS

 

C. WAGE LEVEL

 

 

 

 

 

 

 

 

 

1ST

 

$

PER

 

6TH

 

$

PER

2ND

 

$

PER

 

7TH

 

$

PER

3RD

 

$

PER

 

8TH

 

$

PER

4TH

 

$

PER

 

9TH

 

$

PER

5TH

 

$

PER

 

10TH

 

$

PER

D. PRESENT FULLY TRAINED WAGE RATE OR JOURNEYWORKER WAGE RATE

$PER

17A. WORK PROCESSES IN WHICH TRAINEE WILL RECEIVE INSTRUCTION OR WILL BE TRAINED

(List the various operations or tasks to be learned with a brief narrative description and the length of time devoted to each. If additional space is required, please continue on a separate sheet)

17B. NUMBER OF HOURS OF TRAINING

TOTAL

18A. COURSE CURRICULUM UNITS, OR TRAINING OUTSIDE THE JOB NECESSARY FOR THIS TRADE (If required)

18B. LOCATION OF RELATED TRAINING/INSTRUCTION

The Establishment and the Trainee enter into this agreement in conformity with the Training Standards shown on the reverse side of this form which have been approved by the Department of Veterans Affairs. Carefully read these standards before signing below.

19. SIGNATURE OF TRAINEE

20. SIGNATURE AND TITLE OF ESTABLISHMENT DESIGNEE

The signing of this agreement binds the parties to compliance with the Agreement and Training/Apprenticeship Standards.

VA FORM

22-8864

SUPERSEDES VA FORM 22-8864, JUL 2017,

JAN 2021

WHICH WILL NOT BE USED.

COPY 4

OTHER ON-THE-JOB TRAINING STANDARDS

I. HOURS AND SUPERVISION - The trainee shall work the same hours as the instructor and shall work under the supervision of the instructor at all times.

II.SAFETY AND HEALTH TRAINING - The VA trainee will receive instruction on the job as to safe and healthful work practices. Such instruction shall include training regarding safety regulations, reporting of accidents, and availability of first aid medical facilities. The establishment shall also ensure that the trainee is trained in facilities and other environments that are safe and healthful.

III.ADMINISTRATIVE PROCEDURES - The following shall be the responsibility of the participating establishment:

A.To see that all VA trainees are covered by a written agreement.

B.To notify the VA Regional Processing Office in writing of any interruption or termination of training by each VA trainee.

C.To maintain a record of each VA trainee showing his or her experience and progress in learning the occupation until 3 years after completion of the training program.

IV. COMPLIANCE WITH TITLE VI, CIVIL RIGHTS ACT OF 1964 - The establishment agrees to comply with the provisions of Title VI, Civil Rights Acts of 1964.

V. COMPLIANCE WITH TRAINING STANDARDS - These standards, as approved by VA, become a part of the Training Agreement applying hereto. The signing of the Agreement in Items 19 and 20 on the reverse, binds the parties to compliance with these standards. The employer will provide every VA trainee entering into an Other On-The-Job Training Agreement with a copy of the Agreement with these Standards. The employer will send two copies of the completed Agreement to VA. The terms of this training agreement are in compliance with the requirements of section 21.4262, Title 38, Code of Federal Regulations.

APPRENTICESHIP TRAINING STANDARDS

I. DEFINITION AND TERM OF APPRENTICESHIP - The term "apprentice" shall mean a person at least years of age who is

employed to learn a skilled trade pursuant to the terms of a written Apprenticeship Agreement with the establishment. The Agreement

will provide for (a) not less than years of reasonably continuous employment, (b) participation of the apprentice in an approved

schedule of work experience through employment, and (c) at least the number or hours per year of supplemental instruction in subjects related to the trade specified by the U.S. DOL (Department of Labor). (The DOL usually requires at least 144 hours per year.)

II. QUALIFICATIONS OF APPRENTICESHIP APPLICANTS - VA apprenticeship applicants for this trade shall be between the ages of and and should be, if possible, high school graduates or the equivalent and be able to meet the requirements of the trade.

III. PROBATIONARY PERIOD - All apprentices employed in accordance with these standards shall be subject to a probationary period not

exceeding the first of the term of apprenticeship. During this period, the Apprenticeship Agreement may be terminated at the

request of either party to the Agreement.

IV. HOURS AND SUPERVISION - The apprentice shall work the same hours as the journey worker and shall work under the supervision of the journey worker at all times.

V. WAGE PROGRESSION - This standard must include a uniform, progressive schedule of wages.

VI. RELATED SCHOOL INSTRUCTION

A. Each apprentice shall enroll in and attend classes in subjects related to this trade for not less than the number of hours yearly specified by the U.S. DOL during the term of apprenticeship. Apprentice related training should be arranged through local education agencies, the Community College system, or private vocational schools. If institutional training is not available locally, such related training may be given by a course applicable to the trade taken through correspondence (or other forms of self-study approved by the registration/approval agency), or an individualized instruction program of classroom training in the training establishment will be substituted.

B. Failure on the part of the apprentice to regularly attend class and/or progress satisfactorily in approved related training will be deemed sufficient cause to drop the apprentice from the entire training program.

C. Trade journals, manuals, books, publications, etc., applicable to the trade may be used in supervised training.

D. The minimum number of related training hours per year are not classified as hours of employment unless given during regular working hours for which wages are paid.

E. Curriculum content is described in Items 18A and 18B of the Apprenticeship Agreement.

VII. SAFETY AND HEALTH TRAINING - The apprentice shall receive instruction on the job as to safe and healthful work practices. Such instruction shall include training regarding safety regulations, reporting of accidents, and availability of first aid medical facilities.

VIII. ADMINISTRATIVE PROCEDURES - The following shall be the responsibility of the participating establishment: A. To see that all apprentices are covered by a written agreement.

B. To notify the VA Regional Processing Office in writing of any interruption or termination of training by each apprentice. C. To maintain a record of each apprentice showing his or her experience and progress in learning the occupation until 3 years

after completion of the training program.

IX. GRANTING CERTIFICATE OF COMPLETION OF APPRENTICESHIP - After satisfactory completion of apprenticeship under these standards, each apprentice shall be furnished with a Certificate of Completion of Apprenticeship.

X. COMPLIANCE WITH TITLE VI, CIVIL RIGHTS ACT OF 1964 - The establishment agrees to comply with the provisions of Title VI, Civil Rights Act of 1964.

XI. COMPLIANCE WITH APPRENTICESHIP STANDARDS - These standards, as approved by VA, are made a part of the Apprenticeship Agreement applying hereto. The signing of the Agreement in Items 19 and 20 on the reverse, binds the parties to compliance with these standards.

OTHER INFORMATION - Every apprentice entering into an Apprenticeship Training Agreement will be given a copy of these standards. Two copies will be forwarded to VA. The terms of this training agreement are in compliance with the requirements of section 21.4261, Title 38, Code of Federal Regulations.

Education Liaison Representative

Date Signed

VA FORM 22-8864, JAN 2021

How to Edit Va Form 22 8864 Fillable Online for Free

form 22 8864 can be filled out online very easily. Just open FormsPal PDF tool to get it done fast. We at FormsPal are focused on providing you with the best possible experience with our tool by constantly presenting new capabilities and enhancements. Our editor has become a lot more useful with the latest updates! So now, filling out PDF forms is simpler and faster than before. In case you are seeking to start, here's what it's going to take:

Step 1: Simply click the "Get Form Button" above on this page to get into our pdf file editing tool. There you will find all that is needed to work with your document.

Step 2: When you access the editor, you'll notice the document ready to be filled in. Other than filling in various blanks, you may also perform some other actions with the Document, such as putting on any words, editing the initial text, inserting images, signing the form, and much more.

This form will involve specific information; in order to guarantee correctness, be sure to pay attention to the guidelines further down:

1. To start with, when completing the form 22 8864, start in the part that includes the next fields:

Writing segment 1 of va form 22 8864

2. Now that the previous segment is completed, you're ready to add the essential particulars in PER, PER, PER, PER, PER, PER, PER, PER, D PRESENT FULLY TRAINED WAGE RATE, PER, A WORK PROCESSES IN WHICH TRAINEE, List the various operations or, devoted to each If additional, B NUMBER OF HOURS OF TRAINING, and A COURSE CURRICULUM UNITS OR so that you can progress to the third part.

Stage # 2 of filling in va form 22 8864

As for A COURSE CURRICULUM UNITS OR and B NUMBER OF HOURS OF TRAINING, be certain you do everything correctly here. These two could be the key ones in the document.

3. This next portion is about APPRENTICESHIP TRAINING STANDARDS, I DEFINITION AND TERM OF, II QUALIFICATIONS OF, and and should be if possible high, III PROBATIONARY PERIOD All, IV HOURS AND SUPERVISION The, of the journey worker at all times, V WAGE PROGRESSION This standard, A Each apprentice shall enroll in, specified by the US DOL during the, B Failure on the part of the, be deemed sufficient cause to drop, C Trade journals manuals books, working hours for which wages are, and E Curriculum content is described - fill in all these fields.

va form 22 8864 conclusion process described (part 3)

4. The next subsection will require your input in the following areas: OTHER INFORMATION Every, VA FORM JAN, Education Liaison Representative, and Date Signed. Be sure that you type in all of the requested info to move further.

va form 22 8864 completion process detailed (part 4)

5. This form must be concluded by filling in this part. Further there can be found a comprehensive listing of blank fields that need to be filled out with specific information to allow your document submission to be complete: NAME AND ADDRESS OF ESTABLISHMENT, NAME AND ADDRESS OF TRAINEE, TRAINEES SOCIAL SECURITY NUMBER, DATE OF BIRTH, TRAINEES JOB TITLE OR TRADE, LENGTH OF PROGRAM, CREDIT FOR PREVIOUS, LENGTH OF TIME REMAINING TO BE, DATE TRAINING BEGINS, LENGTH OF PROBATIONARY PERIOD, FOR VA USE, ONLY, FACILITY CODE, DOT CODE, and SPECIFIC QUALIFICATIONS FOR.

Filling out part 5 of va form 22 8864

Step 3: Always make sure that your details are correct and press "Done" to progress further. Sign up with FormsPal right now and easily access form 22 8864, ready for download. Each and every change made is handily kept , allowing you to change the file further as needed. FormsPal guarantees secure document completion with no data record-keeping or distributing. Feel safe knowing that your information is secure with us!

Va Form 22 8864 Fillable isn’t the one you’re looking for?

Related Documents