Short Term Instensive Training Application Form

>> Short Term Intensive Training Funds

Short Term Intensive Training (STIT) Application

All Fields are Required

*Identifying the Opportunity*
Company/Open Enrollment:
Authorized Company Respresentative Name:
Company Representative Phone Number:
Company Representative Email Address:
Company Address:
City:
State:
Zip Code:
Target Business/Industry:
Job Preparation:
Placement Opportunity:
Employee Upgrade:
Average Wage:
Wage Increase:

*Proposed Project/Program*
Program Title:
Training Proposed: (description)
Training Proposed Start Date:
Training proposed End Date:
Unduplicated Headcount:
Contract Hours Proposed:
Number of Sessions:

Instructor/Vendor Name:
Instructor/Vendor Phone Number:
Instructor/Vendor Email Address:
Location of Training:

*Budget*
Tuition:
Employer Contribution:
Administration Fees:
Instructional Supplies:
Instructor Fees:
Other Identified Fees:

Acceptance of the Terms and Conditions of a CTE Grant
As recipient of a CTE grant, I attest that I have read and agree to comply with the above terms and conditions. I further acknowledge that failure to comply with these terms and conditions may result in consequences and/or penalties, including withdrawal of the funds.

Career and Technical Education : cte@uvu.edu | 801.863.4CTE