Show/Hide
The PTRC is monitoring COVID-19 and incorporating operational modifications as needed to protect the citizens we serve, our members, our partners, and our staff.  Our office will re-open on Monday, May 18th to staff, however, the office is still closed to visitors without a prior appointment.   Where applicable, meetings will continue to be held via teleconference. Staff will be available via phone and email. More
Workplace Restart

Workplace Restart Request Form for Forsyth County Organizations

Print
Press Enter to show all options, press Tab go to next option
Please correct the field(s) marked in red below:

1

The Workplace Restart initiative is funded using federal grant dollars. For this reason, personal details are required for each participant for funding purposes only. These details are kept secure and are not shared for any reason.

Do you wish to move forward?

 *
The Workplace Restart initiative is funded using federal grant dollars. For this reason, personal details are required for each participant for funding purposes only. These details are kept secure and are not shared for any reason. Do you wish to move forward?
2
Organization Name
 *
3
Organization Street Address
 *
4
Organization City, State, Zip Code
 *
5
Organization County
 *
6
Organization Mailing Address
 *
7
Mailing City, State, Zip Code
 *
8
Unemployment Insurance Account Number 
 *
9
Contact Person, First Name
 *
10
Contact Person, Last Name
 *
11
Contact Email
 *
12
Phone Number
 *
13
Description of Product(s) and/or Service(s)
 *
14
Years in Business
 *
15

Number of Employees to Receive Training - Module I, Workplace Readiness

NOTE: This module is intended for leadership, management, and human resources

 *
16

Number of Employees to Receive Training - Module II, Employee Readiness

NOTE: This module is intended for all other staff and employees

 *
17
Module I and Module II are in English. A Spanish version is available. Would you also like the Spanish version? 
 *
Module I and Module II are in English. A Spanish version is available. Would you also like the Spanish version?
18
Average hourly wages of all employees participating in training
 *
19
Legal Structure of Business
20
Tax Status of Organization
21
Employer's Federal ID#
 *
22
Has your company previously received an NCWorks Incumbent Worker Training Grant?
 *
Has your company previously received an NCWorks Incumbent Worker Training Grant?
23
If Yes, Funding Source
24
If Yes, Amount of Award
25
If Yes, Grant Period
26
If Yes, Types of Training Provided
     

    Some restrictions may apply to this initiative. Masks will be distributed depending on availability.

     

    Workplace Restart is an initiative of Piedmont Triad Regional Workforce Development Board in partnership with Mask the City.

    The Piedmont Triad Regional Workforce Development Program is an equal opportunity employer/program and auxiliary aids and services are available upon request to individuals with disabilities. Local area NCWorks Career Centers and NCWorks NextGen Youth Programs operate under the guidance of Piedmont Triad Regional Workforce Development Board and are part of the state and national Workforce Innovation and Opportunity Act system.