Form Eo-364 - Penndot Ojt Program Enrollment Form Page 2
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3Wage Rate Identification
For Apprentices Only:
Hourly Rate (Per Skill Level)
Journeyperson Rate for Construction Craft:
Apprentice's Current Skill Level:
For Non-Union Trainees Only:
Hourly Rate
Wage Rate Scale for Training Classification:
Federally Funded Project/Davis Bacon Wage Rates:
Davis Bacon Construction Title Classification: ______ Wage Rate Scale for Training Classification:
o Yes o No
Hourly Rate:_______ Group Number:________
Craft Title:___________ Group Number:_________
100% State Funded Project/L&I Prevailing Wage Rates:
Construction Craft Classification:________________
Wage Rate Scale for Training
o Yes o No
Classification Class Number:__________________
Hourly Rate:_______ Class Number:________
New Union Member:
Name of Union:
Union Membership Began:
Journey Person Wage Rate for Union Classification:
o Yes o No
Fair Market Wage Rate - Source Used to Determine Fair Market Rate:
Non-Construction Training Classification Title:__________________________
Median Level Wage Rate:
_______________________________________________
Entry Level Wage Rate:____________________________________________
Experienced Level Wage Rate: _____________________________________________
Trainee Declaration
By my signature, I attest to the following:
1.
I have received, read, and understand the terms and conditions of my employment and a copy of this training program. Furthermore, I understand that the purpose
of the training program and can comply with all conditions set forth in the program.
2.
I further state that my signature here indicates that I have not completed a training program in this classification, nor have I been listed as a journeyperson in this
classification on any contractor's payroll and/or I have not been successfully employed in the classification for which I am now being considered.
TRAINING CANDIDATE Printed Name:
Signature:
Date:
CONTRACTOR'S PROJECT MANAGER Printed Name:
Signature:
Date:
PENNDOT PROJECT MANAGER Printed Name:
Signature:
Date:
THIS IS AN EQUAL OPPORTUNITY PROGRAM
Training Special Provisions Item 3999-9999 (ITEM1999-9999) – TRAINEES – this provision is an implementation
of 23 U.S.C. 140(a).
Description - As part of the project equal employment opportunity affirmative action program, training and
upgrading of minorities and women toward journeyman status is a primary objective of this Special Provision.
Accordingly, make every effort to enroll minority trainees and women (e.g., by conducting systematic and direct
recruitment through public and private sources likely to yield minority and women trainees) to the extent that such
persons are available within a reasonable area of recruitment. Accept responsibility for demonstrating that steps are
taken in pursuance thereof, prior to a determination as to whether compliance is made with this Special Provision.
Do not employ a person as a trainee in any classification in which he/she has successfully completed a training
program leading toward journeyman status or in which he/she has been employed as a journeyman. Candidates
may be trained a maximum of three times as long as the training is not repetitious in the scope of work and is not on
the same project.
Furthermore, apprenticeship programs registered with the U.S. Department of Labor, Bureau of Apprenticeship
and Training, or with the State apprenticeship agency by the U.S. Department of Labor, Manpower Administration,
Bureau of Apprenticeship and Training, will also be considered acceptable provided they are being administered in
a manner consistent with the equal employment obligations or Federal-aid highway construction contracts.
It is the intent of the training special provision that training will be provided in the construction trades rather than
clerical-type positions. PennDOT will consider the approval of training programs in lower-level management
positions where the training is oriented toward construction-related activities such as office computer technicians,
construction office mangers and project administrators, timekeepers, surveyors, etc., when there are more than
three trainee slots assigned to a project.
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