Indiana Career Connect Staff Training System Registration Templates

Transcription

1 Indiana Career Connect Staff Training System Registration Templates Please use the following information to create practice profiles for training. Individual System Registration (WP & WIOA Adult/DW) Login XX, where XX is trainer-assigned Name First/Last Name Any month/any date/1990 or earlier if Male; System-set if Female Phone s Primary Phone/Phone Type tification Disability Do you have a disability? Highest Level Achieved? High School Diploma (or more advanced) Are you attending school? Current Status t Working, neither claimant nor exhaustee Licenses or certifications? Termination or Separation? Date of Layoff 07/01/2016 ICC Staff Training System Registration Templates V1.2 Page 1

2 Farm Worker Last 12 months Chef Chefs and Head Cooks Hispanic or Latino Heritage? Military Service (if, data entry required) for each Public Assistance # Individuals in Household 4 Income for last 6 months $ Employer System Registration Employer Identification Staff Info Login Employer Identification Info Type of Identification FEIN # LWIA/Region Region 12 Office Location Company Name Street Address Federal Employer Identification XX, where XX is trainer-assigned WorkOne Indianapolis East (Marion County) (restaurant/eatery) Contact Company Info Job Title First/Last Name Primary Phone Primary and Confirmation tification Company Website Owner or Manager (not required) Industry Title (NAICS) Full-Service Restaurant (722110) of Employees Type of Employer Federal Contractor? Private Sector Company Profile Company Profile Make one up ICC Staff Training System Registration Templates V1.2 Page 2

3 Special Characteristics Union or n-union Shop Benefits Offered Company Benefits Individual System Registration (WIOA Out-of-School Youth) Login XX, where XX is trainer-assigned 02/02/2000 (16 yrs old!) Female (system-set) Name First/Last Name Phone s Primary Phone/Phone Type tification Disability Do you have a disability? Highest Level Achieved? Are you attending school? Current Status Licenses or certifications? Termination or Separation? Date of Layoff 10 th Grade (High School Dropout) Never Worked, neither claimant nor exhaustee ICC Staff Training System Registration Templates V1.2 Page 3

4 Farm Worker Last 12 months Hispanic or Latino Heritage? Military Service (if, data entry required) Public Assistance, Food Stamps;, others # Individuals in Household Click the I do not wish to provide household Income for last 6 months information checkbox Individual System Registration (TAA) Login XX, where XX is trainer-assigned Name First/Last Name Any month/any date/ if Male; System-set if Female Phone s Primary Phone/Phone Type tification Disability Do you have a disability? Highest Level Achieved? High School Diploma ICC Staff Training System Registration Templates V1.2 Page 4

5 Are you attending school? Current Status t Working Date of Layoff 07/01/2016 Termination or Separation? Date, claimant, not profiled and referred Farm Worker Last 12 months Hispanic or Latino Heritage? Chef Chefs and Head Cooks Military Service (if, data entry required) Public Assistance for each # Individuals in Household 4 Income for last 6 months $2, Remember Your Login! Account Login / First Name / Last Name Individual Login (WP & WIOA) Employer Login (WP) Individual Login (WIOA Youth) Individual Login (TAA) Staff Login iccstaff Training@1 ICC Staff Training System Registration Templates V1.2 Page 5