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Employer Registration Form

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Thank you for completing the application below. We look forward to meeting two people from your team at the Boot Camp. More information will be provided after you have submitted your application.

Note that participating county representatives are required to fund their travel to both sessions. The Boot Camp fee is $395 per person. Continental breakfast, lunch and snacks are provided.

General Info

Team Information

Questions

County Location

Choose State*

Choose City, County, or Parish*

Team Leader

First Name*

Last Name*

Email*

Phone

Employer

Title

Which session would you like to attend?*

+ Add Second Team Leader

Team Leader 2

First Name

Last Name

Phone

Employer

Title

* required fields

Local Government Rep

Name

Employer

Phone

Economic Development Rep

Name

Employer

Phone

University or College Rep

Name

Employer

Phone

Workforce Agency Rep

Name

Employer

Phone

Business Rep

Name

Employer

Phone

K-12 Rep

Name

Employer

Phone

* required fields

1. How do you think the ACT® WRC common criteria will help your community build a consistent framework for community-based workforce development? What do you see as the greatest opportunities? What do you see as the greatest challenges?*

2. Building awareness and engagement among the business community is crucial for a successful ACT® WRC effort. By completing this application, you are acknowledging the need to engage employers to achieve the goals to become an ACT® WRC. How do you envision engaging businesses on the value of the community becoming an ACT® WRC and their role in recognizing the ACT® WorkKeys® NCRC®?*

3. Goals set are based on individuals earning ACT® WorkKeys® NCRC® and employers recognizing this certificate in support of their region becoming an ACT® WRC. Do agencies in your community currently use the ACT® WorkKeys® System and issue WorkKeys® NCRC®s using ACT's RegiSTAR system?*

Yes

3a. If your region does not currently use the ACT® WorkKeys® System and/or does not issue ACT® WorkKeys® NCRC®s, how do you envision bringing these tools to your community?*

4. How would your community leverage its ACT® WRC initiative to strengthen economic development?*

5. Successful ACT® WRCs often have funding for collateral support such as communications, marketing, and service delivery to provide assessments. They also have funds for coordinating the initiative, attending the Bootcamp and to maintain the ACT® WRC status. Does your local team have a plan to acquire the resources necessary to launch and maintain an ® WRC initiative?*

6. Your ACT® WRC local leadership team is likely to include individuals with significant leadership responsibilities in their respective agencies. How do you intend to organize your team and ensure participants are committed to implementing plans and achieving their goals?*

7. If you are applying as a region, please list the other counties that will be participating.*

8. What additional information would you like to share for consideration in review of your application?*

* required fields

About ACT

ACT is transforming college and career readiness pathways so that everyone can discover and fulfill their potential. Grounded in more than 65 years of research, ACT's learning resources, assessments, research, and work-ready credentials are trusted by students, job seekers, educators, schools, government agencies, and employers in the U.S. and around the world to help people achieve their education and career goals at every stage of life. Visit us at www.act.org