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____________________________________________

REQUEST FOR PROPOSALISSUED July 11, 2011

RFP No. EWT TARGETED INDUSTRIES 11-12-01

HIGH SKILL HIGH WAGE INDUSTRIES:FUNDING TO PROMOTE CAREER LADDER, BUSINESS RETENTION &

SKILLS UPGRADE TRAINING FOR EMPLOYED WORKERS

EMPLOYED WORKER TRAINING PROGRAMS

IMPORTANT INFORMATION

Question and Answer Period- Ongoing until funds are obligated or August 15, 2011.

Due Date- Ongoing until funds are obligated or August 15, 2011.

Trainees must be existing full-time employees at the time of training. Trainee wages cannot fall below $12.00 per hour after training. Trainee wages cannot exceed $26.00 before training.

All training must be completed by May 15, 2012.

Submittal Deadline: Ongoing. Applications will be processed on a first come first serve basis. The Selection Committee will meet based on applications received at the WorkNet Pinellas Meeting Room located at 13805 58th St. N Suite 2-140, Clearwater, Florida 33760. Each application will be scored independently.

All responses are to be submitted to the address and contact person listed below. Please reference Section IV (A) for detailed instructions.

Question and Answer period will be ongoing. Questions can be submitted by email [email protected] or fax (727-524-4350). The questions and answers will be posted on our website at worknetpinellas.org on a weekly basis until all funds are obligated.

EDWARD PEACHEY, President/ CEOWorkNet Pinellas, Inc.

13805 58th St. N Suite 2-140 Clearwater, Florida 33760

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REQUEST FOR PROPOSALISSUED July 11, 2011

RFP No. EWT TARGETED INDUSTRIES 11-12-01

TABLE OF CONTENTS

Page Number

I. Introduction 3-4

II. Description of WorkNet Pinellas, Inc. 4-5

III. Services To Be Provided 5-6

IV. General Conditions 6-8

V. Criteria for Selection 9

Appendix A 10-14Proposal- Employer Training Application Appendix B 15-17

Region 14 Target Occupations ListAppendix C 18 Example of Required Information

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WORKNET PINELLAS, INC.EWT TARGETED INDUSTRIES 11-12-01

I. Introduction

A. Objectives

The Governing Board of WorkNet Pinellas, Inc. (hereafter known as the Board) is requesting sealed proposals from qualified employers for the provision of training for their existing workforce. The WorkNet Employed Worker Training programs are designed to assist employees in developing higher skills and receiving increased wages along with promoting business retention for existing Pinellas County businesses.

The services are to cover a period encompassing a date thru May 15, 2012.

Multiple proposals will be selected. The award of these contracts is open to only Pinellas County employers. Employers may use their own (in-house or contracted) training providers or local training providers. The Employer must submit the proposal.

Employers must provide training credentials/certifications that comply with the USDOL/ETA policy definition of a certificate listed below. WorkNet Pinellas reserves the right to fund training components that do not meet the requirements.

Per the USDOL Employment and Training Administration’s (ETA) definition: Credentials include, but are not limited to, a high school diploma, GED, or other recognized equivalents, post-secondary degrees/certificates, recognized skill standards, and licensure or industry-recognized certificates.

“Certificate – A certificate is awarded in recognition of an individual’s attainment of measurable technical or occupational skills necessary to gain employment or advance within an occupation. These technical or occupational skills are based on standards developed or endorsed by employers. Certificates awarded by workforce investment boards are not included in this definition. Work readiness certificates are also not included in this definition. A certificate is awarded in recognition of an individual’s attainment of technical or occupational skills by: • A state educational agency or a state agency responsible for administering vocational and technical education within a state. • An institution of higher education described in Section 102 of the Higher Education Act (20 USC 1002) that is qualified to participate in the student financial assistance programs authorized by Title IV of that Act. This includes community colleges, proprietary schools, and all other institutions of higher education that are eligible to participate in federal student financial aid programs.

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• A professional, industry, or employer organization (e.g., National Institute for Automotive Service Excellence certification, National Institute for Metalworking Skills, Inc., Machining Level I credential) or a product manufacturer or developer (e.g., Microsoft Certified Database Administrator, Certified Novell Engineer, Sun Certified Java Programmer) using a valid and reliable assessment of an individual’s knowledge, skills, and abilities. • A registered apprenticeship program. • A public regulatory agency, upon an individual’s fulfillment of educational, work experience, or skill requirements that are legally necessary for an individual to use an occupational or professional title or to practice an occupation or profession (e.g., FAA aviation mechanic certification, state certified asbestos inspector). • A program that has been approved by the Department of Veterans Affairs to offer education benefits to veterans and other eligible persons. • Job Corps centers that issue certificates. • Institutions of higher education which is formally controlled, or has been formally sanctioned, or chartered, by the governing body of an Indian tribe or tribes.”

B. Standards

To be considered for contract award under this RFP, Respondent Employers must be approved to do business in the State of Florida and have not been suspended or debarred from doing business with the state or federal government. Employers must provide evidence of sound financial condition and include their Dunn & Bradstreet Number as part of the proposal.

C. Selection Committee

The Committee will be comprised of WorkNet Pinellas, Inc. staff

II. DESCRIPTION OF WORKNET PINELLAS

A. General Information

WorkNet Pinellas, Inc. is a 501(c)(3) non-profit organization. The WorkNet Pinellas, Inc. Governing Board was appointed and designated by the Pinellas County Board of County Commissioners to act as the Pinellas County Workforce Development Board under provisions of the “Workforce Innovation Act of 2000. WorkNet Pinellas, Inc. has requested and received certification as the Region 14 Workforce Development Board by Workforce Florida, Inc., the State of Florida Workforce Development Board. This public-private partnership supports and promotes economic growth through workforce development. WorkNet Pinellas, Inc. is one (Region 14) of twenty-four regional workforce boards in Florida.

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B. WorkNet Pinellas, Inc. Board

The Board of WorkNet Pinellas, Inc., comprised of representatives from businesses in Pinellas County, local educational entities, labor organizations, community-based organizations, economic development agencies, one-stop partners, and from other individuals deemed appropriate, are appointed by the Pinellas County Board of County Commissioners and certified by the Governor of the State of Florida once every two years. Criteria for composition of the Board are set forth in Section 117, Chapter 2, Subtitle B, Title I of the Workforce Investment Act of 1998. The Board of WorkNet Pinellas, Inc. serves as the Administrative and Fiscal Agent for the region.

III. SERVICES TO BE PROVIDED

A. Scope of the RFP

Any employer is eligible to submit a proposal provided their employees fall within the hourly pay range stated above and are employed in one of the Targeted Occupations listed in Appendix B. Special emphasis will be placed on career ladder training.

The projected total to be awarded under this RFP is approximately $600,000. This amount is based on funding availability and is not a guaranteed amount. Funding will be limited an amount not to exceed $50,000 per employer. However, should funding permit, proposals that exceed $50,000 may be considered based on cost per trainee. The estimated amount allocated for each industry sector is as follows:

Aviation/ Transportation: $100,000

Construction/ Alternative Energy: $100,000

Healthcare: $100,000

Hospitality/ Retail: $100,000

Information Technology/ Financial Professional Svcs: $100,000

Manufacturing: $100,000

The program will provide reimbursement grants to businesses to pay for pre-approved, direct, training-related costs. Trainees must be existing full-time employees at the time of training. Trainee wages cannot fall below $12.00 per hour after training. Trainee wages cannot exceed $26.00 before training. Businesses that plan to use in house staff to provide customized training must note that customized training is defined as training that is designed to meet the special requirements of an employer that is conducted with a commitment by the employer to employ an individual on successful completion of the training and for which the employer pays for not less than 50 percent of the training.

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Training provided to qualified employed workers must be training listed on the preliminary 11-12 Targeted Occupations List (TOL) in Appendix B or the employees must be employed in occupations listed in Appendix B.

The program will not reimburse businesses for trainee wages, the purchase of capital equipment, or the purchase of any item or service that may possibly be used outside the training project. A business approved for a grant may be reimbursed for pre-approved, direct, training-related costs including tuition and fees; books and classroom materials.

Employers will be required to provide resources (other than WorkNet funds) and/or leveraged funds. These resources and/or leveraged funds can include trainee wages, a portion of the requested direct training costs, i.e. instructors’ wages, tuition, curriculum development, textbooks, materials and supplies and must be at least 50% of the total program budget. Note: Training funds cannot be used to reimburse any training costs incurred before the grant is approved. Please take this into account when developing your budget and timeline.

Employers will be responsible for ensuring that all participating employees meet the program eligibility requirements and that eligibility paperwork is filled out by the employee and employers. WorkNet Pinellas will not be responsible for reimbursement of any participants that do not meet the eligibility requirements. Participants and Employers will be required to fill out the WIA required eligibility paperwork. Upon award, employer will agree to provide I-9 and wage information on participants to the WorkNet Pinellas administrative office within 48 hours of the request.

An example of information that will be required is listed in Appendix C. Employer/ Employee Profiles do not need to be submitted as part of the proposal.

IV. GENERAL CONDITIONS

A. Response Format

Respondent should follow the instructions in this RFP Document and complete Appendix A – WorkNet Pinellas Employer Training Application (pages 10-14 of this document) in order to be considered fully responsive. Submissions should be concise and easily understood.

Responses should be submitted on 8 ½” X 11” pages, printed or typewritten, and single-spaced. Text should be presented single-sided on each separate page.

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Include:

o 1 signed paper original and 3 paper duplicate copies of Appendix A to Edward Peachey, President/ CEO, WorkNet Pinellas, Inc., 13805 58 th St N. 2-140, Clearwater, FL 33760. The original should be stamped or marked “Original”. Do not submit this entire document only the Application (pages 10-14).

o 1 computer disk or CD- ROM- Please format the text in a Word document. PDF submissions will be considered non-responsive.

o The proposal submissions must be submitted in a sealed package.

The delivery of the Response is solely and strictly the responsibility of the Respondent. Proposals received once funding is obligated will be returned, unopened to the sender.

B. Assignment of Contract

The successful Respondent(s) may not make an assignment of their obligations resulting from award of a contract in response to this RFP.

C. Possibility of Additional Services

WorkNet Pinellas, Inc. reserves the right to request additional services. If the Respondent is to be engaged to perform these additional services, the scope and fee will be negotiated in a separate contract to be awarded as a result of this solicitation. Such contract modification agreements, including provisions for additional fees are valid only if approved by both the Respondent and the WorkNet Pinellas, Inc. Board.

D. Rejection of Responses

The Board of WorkNet Pinellas, Inc. reserves the right to reject any or all responses, to re-advertise this RFP, to postpone or cancel this process, to waive irregularities in the process or in responses thereto; and to change or modify the project schedule at any time. Any proposal received that does not include resources and/or leveraged funds or list occupations or training not on the Targeted Occupations List will be considered non responsive and will not be included with the proposals to be reviewed by the committee.

E. Cost of Preparing Response

The cost of preparing a response to this RFP shall be borne entirely by the Respondent.

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F. Requests for Interpretation of RFP

All requests for interpretation or clarification of the RFP document must be submitted in writing and received by WorkNet Pinellas, Inc. within the dates listed on the first page. Any resultant interpretation or clarification responses, which if issued, will be added to our website for review.

G. Contract Term and Conditions

The term of agreements shall terminate by May 31, 2012. Invoices must be submitted on a monthly basis by the 10th of the month following the month of service. Invoicing must include reporting the amount of employer resources and/or leveraged funds provided in category and dollar amount. Contractors with WorkNet Pinellas must agree to allow WorkNet Pinellas, The Agency for Workforce Innovation, USDOL, and USDHHS access to any records directly related to this program. Records must be maintained for three (3) years subsequent to the conclusion of this program. All participant profiles and invoices will be required to be submitted via one paper copy and one CD-Rom/ USB drive.

H. Selection Process

The selection committee will review and score each proposal, place the proposals in rank order, and present the results along with their recommendation to the WorkNet Pinellas, Inc. Board for final contract negotiation and award. Should the Board be unable to negotiate a final contract, negotiations with that firm will be formally ended and negotiations will be undertaken with the next best qualified Respondent.

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V. CRITERIA FOR SELECTION

CRITERIA WEIGHT FACTOR

1. Requirements “No” marked in either category indicates the proposal is not responsive. The proposal will not be considered for funding.

a. Sound Financial Condition- Appendix A: Proposer shows evidence of sound financial condition-Dunn & Bradstreet Number must be provided. Yes _____ No _____

b. Training meets the USDOL/ETA guidelines for training certificates. Yes _____ No _____

MANDATORY

2. Strategy/ Project Description

a. The number of employees to be served during the period must be realistic for completion within the specified time period -10 Points

b. Employees will receive a wage increase after training(Anticipated Outcomes) - 10 Points

c. Training promotes job creation/ retention (Anticipated Outcomes)- 20 Pointsd. Training is crucial to promote business retention (Anticipated Outcomes)-15

Points

55 Points

3. Cost of the Services Costs will be calculated based on WorkNet funds requested divided by the number of unique eligible employees to be served. Points will be awarded on a cost per individual to WorkNet as follows:

$0-500=30 points $2501-3000=5 points$501-1000= 25 points $3001 & higher=0 $1001-1500= 20 points $1501-2000= 15 points $2001-2500= 10 points

30 Points

4. Provider Resources Amount of provider resources or leveraged funds to be provided by the employer. The resources/ leveraged funds must enhance the intended scope of services. A minimum 50% match is required. Points will be awarded as follows:

50%-59% = 5 points60%-69% = 10 points70% or higher = 15 points

15 Points

TOTAL SCORE** 100 Points

** ANY RESPONSE THAT DOES NOT MEET MANDATORY REQUIREMENTS AND/OR SCORES BELOW A 69% OVERALL WILL NOT BE CONSIDERED FOR FUNDING.

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APPENDIX APROPOSAL

WORKNET PINELLAS EMPLOYER TRAINING APPLICATION

11-12-01Company Name:       Industry Sector:      Street/Mailing Address:     City:       ZIP:       County:      Company Contact Person:       Title:      Phone:       Ext.       Fax:      Email Address:       Website Address:      

Date of Inception:       Years in Business:     Total # Full-time Employees at this location:      

Legal Structure of Business: Sole Proprietor PartnershipCorporation

Non-profit Leased Other(please indicate)

Employer’s Federal ID #:       Unemployment Comp ID #:      Dunn and Bradstreet. #:       Primary NAICS       and or (SIC) Code:

     Is your company current on all State of Florida tax obligations? YES NOPlease estimate the total amount your company will spend on training in 2011/2012      Is your company receiving/applying for other public training funds? YES NOIf yes explain:      If yes, please state the source(s) and $ amount(s):      

Description of your business, product(s) and/or service(s):      

Amount of Grant Request from WorkNet:       Number of FT Employees to be Trained:      (must be Florida residents)

Training Start Date       Training End Date      Training will be delivered: On-site At the training institution At a remote

location

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Job Title of Individual(s)Avg Rate of Pay

Estimated Rate of Type of Training Training Training Certificate

Cost of Training/textbooks per Individual

Receiving Training

(Use 1 line for multiple people with the same job title)

Pre-Training

Pay Post-Training  

Start Date

End Date

Issued/Recognized By: :

               

 ex. Computer Support Tech (15)  15.00 18.00 CISCO 2/15/12 4/15/12

St.Pete College/Industry Recognized $ 850.00

               

               

               

               

               

               

               

               

               

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Please complete this form for each type of training that meets the USDOL definition DO NOT FILL OUT FOR TRAINING THAT DOES NOT MEET THE DEFINITION

 

Type of Training: Will the proposed training meet the USDOL/ETA definition of a credential or certificate? ___ Yes ___ No

“A nationally recognized degree or certificate or state/locally recognized credential. Credentials include, but are not limited to, a high school diploma, GED, or other recognized equivalents, post-secondary degrees/certificates, recognized skill standards, and licensure or industry-recognized certificates.” If Yes- Which definition fits the types of organizations that will issue the certificates? (Check as many as apply)

_____ A state educational agency or a state agency responsible for administering vocational and technical education within a state.

_____ An institution of higher education described in Section 102 of the Higher Education Act (20 USC 1002) that is qualified to participate in the student financial assistance programs authorized by Title IV of that Act. This includes community colleges, proprietary schools, and all other institutions of higher education that are eligible to participate in federal student financial aid programs. _____ A professional, industry, or employer organization (e.g., National Institute for Automotive Service Excellence certification, National Institute for Metalworking Skills, Inc., Machining Level I credential) or a product manufacturer or developer (e.g., Microsoft Certified Database Administrator, Certified Novell Engineer, Sun Certified Java Programmer) using a valid and reliable assessment of an individual’s knowledge, skills, and abilities. _____ A registered apprenticeship program.

_____ A public regulatory agency, upon an individual’s fulfillment of educational, work experience, or skill requirements that are legally necessary for an individual to use an occupational or professional title or to practice an occupation or profession (e.g., FAA aviation mechanic certification, state certified asbestos inspector)

_____ A program that has been approved by the Department of Veterans Affairs to offer education benefits to veterans and other eligible persons. _____ Job Corps centers that issue certificates. _____ Institutions of higher education which is formally controlled, or has been formally sanctioned, or chartered, by the governing body of an Indian tribe. Who will provide the training:

Organization: Location:(City/State) Contact Name: Phone Number:

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PROPOSAL APPLICATION BUDGET

A.BUDGETCATEGORY

B.WORKNET ASSISTANCE REQUESTED

C.* EMPLOYERCONTRIBUTION

D.TOTAL(B. + C.)

1. Instructor Wages/Tuition inclusive of Manuals/Textbooks

                 

2. Curriculum Development Cannot fund with grant            

4. Training Equipment Purchase(must be employer contribution and cost prorated as a percentage for training time period) Amount to be listed in dollars

Cannot fund with grant            

5. Facility Usage(if training takes place at company site)

Cannot fund with grant

           

7. Travel, Food, Lodging Cannot fund with grant

           

8. Trainee Wages (including benefits)

Cannot fund with grant            

9. Sub Total                  

10. Indirect Costs Cannot fund with grant

           

11. TOTALS                  

WorkNet Cost per Trainee =Line 11 Column B divided by Number of Trainees      Employer Contribution Ratio =Line 11 Column C divided by Line 11 Column D      

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ANTICIPATED OUTCOMES

Please check the boxes that apply to the anticipated outcomes of the proposed employed worker training project. NOTE: THIS IS REFERENCED WHEN SCORING.

Will save       jobs within our company Will create       openings in entry-level positions Will improve the long-term wage levels of trainees Will improve the short-term wage levels of

trainees Will create       new jobs within our company Would help prevent company from having to

relocate operations Will lower employee turnover in our company Critical to the long-term viability of our company Critical to the short-term viability of our company Will make this location more competitive within

company Will assist in the training of veterans Will assist in the training of minorities Will assist in the training of the disabled Will assist welfare to work participants Will increase the profitability of our company Important to the stated mission of our company Will be an important component of our company’s overall workforce employee development efforts Will assist in the improvement of international trade opportunities

Certification by Authorized Company RepresentativeThe individual signing the application below must have authority to enter into contracts on behalf of the applying company.

As an authorized representative of the company listed above, I hereby certify that the information listed above and attached to this application is true and accurate. I am aware that any false information or intended omissions may subject me to civil or criminal penalties for filing of false public records and/or forfeiture of any training award approved through this program.

Signature:      

Email:

Title:      

Print Name:       Date:      

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EXHIBIT BWorkforce Region 14

2010-2011 Preliminary Targeted Occupations List

SOC Code SOC Title

    Annual     Growth

Rate    Annual  

OpeningsMeanWage

EntryWage

Training  Code Source

113011^ Administrative Services Managers  1.81% 331     $47.14   $28.34 4 S413011 Advertising Sales Agents*  1.87% 354     $23.42   $12.58 3 S

493011^ Aircraft Mechanics and Service Technicians  N/A 26     $23.01   $14.09 3 L

274011 Audio and Video Equipment Technicians  1.92% 190     $18.33   $11.97 4 S

493021^ Automotive Body and Related Repairers  N/A 38     $21.80   $15.26 3 L

493023 Automotive Service Technicians and Mechanics*  1.66% 85     $18.00   $11.87 3 R

433031 Bookkeeping, Accounting, and Auditing Clerks*  1.23% 160     $15.81   $11.92 4 R

472021 Brickmasons and Blockmasons*  3.05% 276     $18.42   $12.79 3 S

493031 Bus and Truck Mechanics and Diesel Engine Specialists  N/A 28     $16.57   $13.44 3 L

131199^ Business Operations Specialists, All Other NR NR $31.81   $17.97 4 R

535021 Captains, Mates, and Pilots of Water Vessels  2.82% 246     $37.28   $12.64 3 S

292031 Cardiovascular Technologists and Technicians  2.57% 200     $19.70   $11.63 3 S

472031 Carpenters*  1.75% 61     $17.00   $10.58 3 R

472051 Cement Masons and Concrete Finishers*  3.54% 487     $15.98   $11.51 3 S

351011^ Chefs and Head Cooks  N/A 37     $24.00   $17.12 3 L

131031^ Claims Adjusters, Examiners, and Investigators*  1.87% 57     $26.70   $17.76 3 R

532012^ Commercial Pilots  2.12% 176     $40.56   $21.57 4 S

131072^ Compensation, Benefits, and Job Analysis Specialists*  2.93% 224     $25.44   $17.05 4 S

131041^ Compliance Officers, Exc. Safety, Agri, Constr & Transp.  3.22% 35     $24.43   $15.47 3 R

151021^ Computer Programmers  N/A 26     $33.14   $20.70 3 L

151031^ Computer Software Engineers, Applications*  2.22% 46     $42.30   $26.19 4 R

151041^ Computer Support Specialists*  0.70% 55     $21.44   $13.80 3 R151051^ Computer Systems Analysts*  1.33% 60     $35.85   $24.48 4 R474011^ Construction and Building Inspectors  2.03% 264     $26.03   $18.70 3 S119021^ Construction Managers*  2.02% 38     $44.97   $29.01 4 R333012^ Correctional Officers and Jailers*  0.43% 26     $22.46   $15.97 3 R131051^ Cost Estimators*  2.57% 29     $26.94   $16.10 4 R434051 Customer Service Representative*  2.16% 504     $15.51   $11.51 3 R151061^ Database Administrators*  2.19% 192     $33.90   $22.39 4 S319091 Dental Assistants*  3.98% 48     $17.70   $14.61 3 R292021^ Dental Hygienists*  3.97% 28     $28.04   $21.84 4 R292032^ Diagnostic Medical Sonographers  2.09% 167     $27.28   $21.01 4 S472081 Drywall and Ceiling Tile Installers*  3.22% 259     $16.06   $12.18 3 S472111 Electricians*  0.44% 38     $18.71   $14.44 3 R

492094 Electronics Repairers, Commercial and Industrial Equip.  N/A 26     $13.84   $11.00 3 L

131071^ Employment, Recruitment, and Placement Specialists NR NR $20.44   $14.77 4 R

436011 Executive Secretaries and Administrative Assistants*  1.28% 120     $19.16   $13.57 3 R

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332011^ Fire Fighters  1.63% 46     $22.44   $15.48 3 R

471011^ First-Line Superv. of Construction and Extraction Workers*  1.62% 75     $28.59   $19.19 4 R

351012 First-Line Superv. of Food Preparation & Serving Workers  N/A 54     $15.39   $11.27 3 L

371012^ First-Line Superv. of Landscaping and Groundskeeping  2.07% 432     $21.24   $14.18 3 S

491011^ First-Line Superv. of Mechanics, Installers, and Repairers*  1.00% 38     $27.52   $18.45 3 R

431011^ First-Line Superv. of Office and Admin. Support Workers*  1.41% 172     $23.34   $14.92 4 R

511011^ First-Line Superv. of Production and Operating Workers*  0.72% 34     $26.84   $17.17 3 R

411012^ First-Line Supervisors of Non-Retail Sales Workers*  1.12% 51     $42.81   $22.91 4 R

391021 First-Line Supervisors of Personal Service Workers*  1.24% 26     $19.25   $12.38 3 R

411011 First-Line Supervisors of Retail Sales Workers  0.95% 143     $22.20   $12.78 3 R

119051^ Food Service Managers*  0.76% 25     $27.83   $17.49 4 R111021^ General and Operations Managers*  0.34% 99     $50.95   $26.33 4 R472121 Glaziers*  2.73% 211     $16.66   $11.60 3 S271024 Graphic Designers*  0.96% 42     $19.26   $12.97 4 R

292099 Health Technologists and Technicians, All Other  2.01% 191     $18.71   $12.69 3 S

499021 Heating, A.C., and Refrigeration Mechanics and Installers  2.35% 63     $17.36   $12.45 3 R

311011 Home Health Aides  N/A 190     $12.89   $10.50 3 L

434161 Human Resources Assistants, Exc. Payroll  0.47% 362     $17.15   $12.61 3 S

499041^ Industrial Machinery Mechanics  2.65% 430     $21.19   $14.87 3 S413021^ Insurance Sales Agents  2.23% 124     $29.27   $13.27 3 R271025^ Interior Designers*  2.29% 210     $23.96   $13.27 4 S436012 Legal Secretaries*  N/A 29     $19.10   $13.84 3 L

292061^ Licensed Practical and Licensed Vocational Nurses*  2.12% 200     $20.30   $16.78 3 R

434131 Loan Interviewers and Clerks*  1.69% 586     $16.59   $12.23 3 S132072^ Loan Officers*  1.46% 31     $26.90   $15.33 4 R514041 Machinists  N/A 31     $15.87   $11.24 3 L

499042 Maintenance and Repair Workers, General*  1.10% 98     $15.20   $10.56 3 R

292012 Medical and Clinical Laboratory Technicians  2.42% 316     $17.48   $11.68 4 S

292011^ Medical and Clinical Laboratory Technologists  1.66% 25     $26.27   $21.02 4 R

319092 Medical Assistants  2.49% 73     $14.05   $11.13 3 R499062 Medical Equipment Repairers  4.03% 203     $19.37   $11.63 3 S

292071 Medical Records and Health Information Technicians  N/A 33     $15.45   $10.75 4 L

436013 Medical Secretaries*  2.07% 43     $13.79   $10.98 3 R319094 Medical Transcriptionists  N/A 25     $12.87   $12.15 3 L131121^ Meeting and Convention Planners  2.71% 180     $20.73   $13.80 4 S

493042^ Mobile Heavy Equipment Mechanics, Except Engines*  2.71% 187     $20.70   $14.56 3 S

151071^ Network and Computer Systems Administrators*  1.57% 26     $32.94   $21.30 4 R

151081^ Network Systems and Data Communications Analysts  4.13% 67     $35.13   $22.55 3 R

311012 Nursing Aides, Orderlies, and Attendants  N/A 241     $12.91   $10.71 3 L

472073 Operating Engineers/Construction Equipment Operators*  2.50% 651     $17.36   $12.73 3 S

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472141 Painters, Construction and Maintenance*  N/A 44     $15.09   $11.40 3 L

232011^ Paralegals and Legal Assistants*  2.94% 32     $23.60   $15.86 3 R372021 Pest Control Workers  3.27% 46     $14.18   $11.31 3 R292052 Pharmacy Technicians  N/A 80     $14.03   $12.61 3 L312021^ Physical Therapist Assistants  3.22% 169     $25.86   $18.79 4 S472151 Pipelayers*  2.24% 160     $15.79   $12.29 3 S

472152 Plumbers, Pipefitters, and Steamfitters*  N/A 41     $16.78   $12.88 3 L

333051^ Police and Sheriff's Patrol Officers*  0.59% 56     $27.81   $20.65 3 R

435031 Police, Fire, and Ambulance Dispatchers  2.01% 251     $18.28   $13.01 3 S

339021^ Private Detectives and Investigators  2.35% 169     $22.65   $13.19 3 S

119141^ Property, Real Estate & Community Association Managers  1.39% 603     $30.01   $17.12 4 S

131023^ Purchasing Agents, Except Farm Products & Trade*  1.56% 40     $26.88   $17.52 4 R

292034^ Radiologic Technologists and Technicians  1.91% 461     $24.92   $18.92 3 S

419021^ Real Estate Brokers  1.74% 506     $34.23   $14.70 3 S419022 Real Estate Sales Agents*  1.65% 68     $20.83   $10.99 3 R

493092 Recreational Vehicle Service Technicians  N/A 35     $18.50   $12.00 3 L

291111^ Registered Nurses  2.45% 410     $31.17   $22.26 4 R291126^ Respiratory Therapists  2.48% 271     $24.32   $20.12 4 S472181 Roofers*  2.33% 447     $15.92   $12.00 3 S535011 Sailors and Marine Oilers*  2.10% 188     $18.07   $11.74 3 S

414011^ Sales Reps., Wholesale & Mfg, Tech. & Sci. Products  1.67% 104     $36.44   $20.11 3 R

414012^ Sales Reps., Wholesale and Manufacturing, Other*  1.66% 144     $29.50   $15.50 3 R

492098 Security and Fire Alarm Systems Installers  3.08% 348     $17.57   $13.13 3 S

253021 Self-Enrichment Education Teachers*  2.19% 424     $18.64   $10.75 3 S

472211 Sheet Metal Workers*  2.40% 264     $18.02   $12.94 3 S292055 Surgical Technologists  2.87% 321     $18.02   $14.23 3 S

173031 Surveying and Mapping Technicians*  2.70% 326     $17.88   $11.97 3 S

492022^ Telecommunications Equipment Installers and Repairers  N/A 116     $20.73   $12.93 3 L

533032 Truck Drivers, Heavy and Tractor-Trailer*  2.14% 79     $16.93   $12.18 3 R

518031^ Water and Liquid Waste Treatment Plant Operators  2.23% 243     $21.21   $15.05 3 S

514121 Welders, Cutters, Solderers, and Brazers*  N/A 27     $16.31   $12.51 3 L

SOC code^ denotes a high skill/high wage occupation, whereas NR denotes not releasable dataSOC title* denotes an occupation found in declining industries and are not projected to return to their historical peak during the forecast period. They may have an oversupply of trained workers.FLDOE Training Codes 3 (PSAV Certificates) and 4 (Community College Credit/Degree)Source = R meets regional wage and openings criteria based on state Labor Market Statistics employer survey data. Regional data are shown.Source = L Occupation requested by the regional workforce board and approved by WFI. Local data are shown. Annual growth rate not applicableSource = S meets statewide wage and openings criteria based on state Labor Market Statistics employer survey data. Statewide data are shown.

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Source: Florida Agency for Workforce Innovation - Labor Market Statistics Center APPENDIX C

EXAMPLEINFORMATION REQUIRED FOR EACH EMPLOYEE

( DO NOT FILL OUT FOR PROPOSAL ) EMPLOYER INFORMATION

Employer: Your Current Job Title:Date of Hire: Current Hourly/Annual Wage:

TRAINEE DETAILS Last Name: First: Middle I: Phone: Social Security #: Address: City: State: Zip:

DEMOGRAPHIC & GENERAL INFORMATIONDate of Birth: / / Gender: Male Female Race: American Indian or Alaskan Native Asian Chinese

Black or African American Native Hawaiian White Multi Racial Other Limited English: Yes No

Do you consider yourself to have a disability? No disability Yes, disability

Ethnicity: Hispanic Latino Haitian No Ethnicity

Citizenship Status: U. S. Citizenship US Permanent Resident Lawfully admitted alien with right to work

If AlienResident/Refugee, please provide Alien Registration number and Expiration date

GENERAL INFORMATIONVETERAN STATUS: Have you served in the U.S. Military, Naval or Air Service? : No Yes, under 180 days Yes, over 180 days Are you a campaign veteran? No Yes Branch: Army Navy Air Force US Coast Guard Marines National Guard Honorable Discharge?: Yes No Are you a disabled Veteran? Yes Yes, classified at Special Disability (>30%) If a Veteran, please provide military separation or DD214 form

Selective Service: (for males 18yrs or older) Registered Not registered Not applicable Notice of Waiver: If you did not register with Selective service prior to your 26th Birthday, did you knowingly or willfully fail to do so and attest to such: Yes No Enrolled in School: Yes No Highest Grade Completed: Note: Your highest Grade Level if high school not completed -____ If high school or GED completed, please check highest level attained: GED HS Diploma AA/ AS Degree BA/BS Master’s Master’s +Information for Federal reporting purposes only: HOUSEHOLD INFORMATION: Number in your immediate family (include both parents if married and if applicable; include any child under 18 or if 19, in school full time): ________ Are you married or single? Married Single Are you a single parent? Yes No Do you receive food stamps? Yes No What is your annualized family income? $_____________

I certify, by my signature below, that I have read and acknowledge that the information on this form is accurate. Information is being provided to establish eligibility for training under the Workforce Investment Act and is subject to all applicable Federal and State confidentiality laws (“The EO data must be maintained in a manner that allows the individuals from whom the data was collected to be identified, and ensures customer confidentiality.”) Additionally, I understand that I have the right to file a grievance or EEO violation with WorkNet Pinellas within one year from date of signing as acknowledged by completion of the attached WorkNet Pinellas Grievance form retained with this participant profile.

Employee Signature: _________________________________________________________________ Date: __________________

Employer:

Employer signature below verifies there is a current I-9 form on file for the above named employee that verifies date of birth, American citizenship or right-to-work, and that this information will be provided to the location specified by WorkNet Pinellas and/or State of Florida Agency, and/or a department of the US Federal Government for Workforce Innovation within 48 hours of request. Employer further verifies training will enhance career advancement and promote or maintain self-sufficient earnings or that training is required for employee to retain employment.

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Employer Signature: _________________________________________________________________ Date: __________________WorkNet Pinellas is an equal opportunity employer/program. Auxiliary aids and services are available upon request to individuals with disabilities. All voice telephone numbers listed may be reached by persons using TTY/TDD equipment via the Florida Relay Service at 711.

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