ETP Application Form
Qualifying Questions
Company Name:
What is your company's CEAN number?
This refers to the California Employer Account Number, also known as the EDD number and is the State ID, similar to the Federal ID number. It can be found on a DE-6 quarterly Wage Report or W-2 Form and is formatted as follows: xxx-xxxx-x. Please note, it is different from the Federal ID number that follows this format: xx-xxxxxxx
How many full-time (35+ hours a week) employees do you have worldwide?
How many full-time employees do you have in CA?
What percentage was the turnover rate of full-time employees of the last calendar year?
What percentage of your customers are out-of-state?
Are the employees to be trained part of a union?
Yes
No
How many employees do you think might participate in the training program?
Do your employees only want to participate in the minimum number of hours (24) or do you think they might wish to complete training in a range of classes?
In one brief sentence please describe what your business does:
Contact Information
Your Full Name
Your Title
Your Email
Company Street Address
Company City
Your phone #
Zip Code
How did you hear about this program?
Please select...
Friend
Colleague
BAVC Employee
Government referral
Past participant
Other
First & Last Name
Email Address
Tell us more:
Need assistance with this form?