New Jersey Office of Apprenticeship

New Jersey currently has nearly 700 registered apprenticeship programs that can be customized to meet employers’ needs. The New Jersey Apprenticeship Network (NJAN) is developing new and strengthening existing apprenticeship programs throughout the state to increase positive outcomes for workers and employers. The Office of Apprenticeship is the primary contact and technical resource for employers, educational institutions, trade associations, and current/future apprentices for all statewide NJAN initiatives. Use this form to start the apprenticeship intake process and add your organization to the network. Members receive periodic information on grant/funding opportunities, public events, and other NJAN announcements.

About Your Organization

Name of Organization	FEIN (if known)
Industry sector    Select Industry Sector construction leisure & hospitality education & health svcs manufacturing information prof’l & business svcs financial activities trade, transp. & utilities other services	Primary product or service

Address

Address1
Address2
City/State/Zip Code	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
County	Select County Atlantic Bergen Burlington Camden Cape May Cumberland Essex Gloucester Hudson Hunterdon Mercer Middlesex Monmouth Morris Ocean Passaic Salem Somerset Sussex Union Warren

Main Office Address (if different from above)

Address1
Address2
City/State/Zip Code	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Number employees:    Select Number of Employees 1-49 50-249 250-499 500+

Primary Contact

Name	Phone
Title	Email
	Fax

Training & Development Needs

Primary method of recruitment

Identify any current skills gap you are experiencing

Do you have a formal employee training program in place? Are you interested in hiring an apprentice? Have you ever hired an apprentice?

If so, number of apprenticeship positions you have filled

Apprenticeship type

Arts, media & publishing Health, public services & care Business administration & law Information & communication technology (ICT) Construction, planning & the built environment   Leisure, travel & tourism Education & training Retail & commercial enterprise Engineering & manufacturing technologies Other

What impact do you anticipate in your business from hiring an apprentice? Check all that apply.

Productivity and efficiency Quality of products and services Customer service and satisfaction   Sales and profitability Learning and development Culture and practices

Related Technical Instruction Source (if known)

Name of Academic Training Provider
Address1
Address2
City/State/Zip Code	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
County	Select County Atlantic Bergen Burlington Camden Cape May Cumberland Essex Gloucester Hudson Hunterdon Mercer Middlesex Monmouth Morris Ocean Passaic Salem Somerset Sussex Union Warren
Office Phone #    Fax #    Email Address    Cell Phone #

Type of Instruction Provider. Check all that apply.
	County Vocational/Technical School Community College Private Vocational/Technical School In-house/Sponsor
Union Affiliation (If Applicable)

Bargaining Agency Name
Address1
Address2
City/State/Zip Code	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
County	Select County Atlantic Bergen Burlington Camden Cape May Cumberland Essex Gloucester Hudson Hunterdon Mercer Middlesex Monmouth Morris Ocean Passaic Salem Somerset Sussex Union Warren
Contact Person Name
Contact Person Title
Office Phone #    Fax #    Email Address    Cell Phone #

Click SUBMIT to send your completed form to apprenticeships@dol.nj.gov. One of our apprenticeship specialists will contact you to do an initial assessment and determine how the Office of Apprenticeship can best meet your needs. Questions? Call 609-777-2791.