Attachment A

Your responses to the following will serve as your organization’s application. Respond to all inquires in the order in which they are presented. Your application should not exceed 10 single sided single spaced pages using a 12 point font. This does not include the budget pages, the required project timeline, the required comments of the NYSDOL Regional Administrator or the required Appendices.

1. Minimum Requirements:
   • Describe the applicant organization. Which industry is it associated with? What are its primary products or services? If the applicant is an LWIB applying on behalf of a business, the description provided should be for the business. If the applicant is an LWIB, please provide the name, address, and FEIN for the business that funds are being applied for.
   • Affirm that the applicant has at least one physical location in New York State at the time of application and that funds requested under this application will be expended on projects affecting only employees working in New York State facilities.
   • Affirm that any funds being requested under this application will not be used in connection with the relocation of employment from facilities in other locations which have resulted in any employee losing his or her job at the original location.

2. Description of Threat to Business:
   • Describes the nature of the current threat to the business or plant that will result in employee layoffs. (For the most part, general economic conditions or global competitiveness are insufficient answers for the purpose of satisfying this requirement. If these are the reasons for the pending layoff, then the company must demonstrate through its application how it has refocused its objectives and describe the commitment it has made to those refocused objectives.)
   • How many layoffs and in what occupations can be expected.
   • Describe the immediacy of the threat to the business or plant. When will the business or plant have to curtail current operations, and when would layoffs be expected to begin occurring.
   • What notification regarding this situation has been provided to the current employees of the business or plant.

3. Goals and Objectives:
   • Describe the goals and objectives of the project.
   • Describe how these goals and objectives relate to the long term goals of the business as outlined in the applicant’s revised strategic business plan.
   • Describe how the applicant will determine the success of the project and how it will help the business meet its long term goals.
   • Describe the benchmarks or indicators that will be used to measure the project’s effectiveness or progress towards meeting its goals.

4. Description of Aversion Strategy:
   • Describe the proposed layoff aversion strategy to be implemented.
   • Describe each of the activities and steps to be undertaken in connection with the proposed layoff aversion strategy.
   • Describe the roles of any consultants, trainers, or in-house staff involved in the project.
   • Describe any technical assistance needs required to implement the proposed layoff aversion strategy.
   • Describe any other critical factors that must be in place to ensure the success of this project.
   • Describe how the planned strategy will meet the long term goals and needs of the business as outlined in its revised strategic business plan.
   • Identify the number of employees to be trained and attach a separate list by SSN# and job title for each employee to be trained (will not count against application narrative page limit).

5. Strategic Partners/Collaboration:
   • Describe the roles of any strategic partners that must be involved in order to ensure the success of the project.
   • Describe the collaborative efforts with the applicable NYSDOL Regional Administrator and Local Workforce Investment Board in developing your aversion strategy.
   • Describe any collaborative efforts with regional/local economic development officials in the development of this project.
   • If the workplace is organized, describe the involvement of the local union(s) in the development and conduct of this project.

6. Project Timeframes
   • Provide a separate project timeline showing the anticipated start date and duration for each of the proposed project activities.

7. Development of Budgeted Costs
   • Describe the process undertaken to identify the budgetary needs of the project including why specific training courses, programs, vendors and/or consultants were identified for the project and the process by which they were chosen.
   • Describe how reasonableness was determined for the budgeted costs.