Skip to content
OJT Employer Monthly Contact Form
OJT Employer Monthly Contact Form
Subscribe
The OJT Employer Monthly Contact form helps track the progress of your On-the-Job Training (OJT) participants. Please complete the form to report on the trainee’s activities, skills learned, and overall performance during the past month.
The information you provide ensures:
The training plan is being followed.
The participant is gaining the intended skills.
Any issues or challenges are identified early.
Your feedback is important in supporting both the trainee’s success and the success of your business partnership with the OJT program. When you click Submit at the bottom, the form will be sent automatically to CareerSource Palm Beach County—no need to email it separately.
Trainee First Name
Trainee Last Name
Company Name
Company Representative
Training Begin Date
Training End Date
Number of Hours completed as of today
Training Progress (Select all that apply)
The training plan is being followed as written
The trainee is making satisfactory progress with all elements of the plan
The trainee is not making satisfactory progress, and the area(s) of concern are listed below
Changes were made to the training plan because
Explain the areas of concern
The changes made to the plan are
Employment Progress (Select all that apply)
There are concerns that are not directly related to the Trainin Plan.
The trainee has become eligible and is now receiving benefits.
The trainee has received an increase in pay, and the new hourly wage is:
The trainee is no longer employed at this company, effective:
Those concerns are:
New Hourly Wage
Employment End Date
Reason no longer employed
Additional Comments
Employer Signature
Sign Here
Date
Submit Form
An equal opportunity/employer program. Auxiliary aids and services are available upon request to individuals with disabilities.
