SOUTH DAKOTA DEPARTMENT OF TRANSPORTATION
Civil Rights Program
On-the-Job Trainee Registration
(Please print or type all information. See Additional Instructions on Back of Form) ============================================================================================ THIS PORTION TO BE COMPLETED BY CONTRACTOR.
Trainee Name Contractor Prime ( ) Sub ( )
Street Address; Route/Box; Box Number Project Number, PCN Number
City, State, Zip Prior Hours Start Date Start Wage
Trainee Social Security Number Trainee Classification Title
________________________________________________ _____________________________________________ Trainee Signature Contractor Signature
Trainee Status: (check all which apply) Trainee Source (new hires only): (check one)
______ Minority ( ) ______ United Sioux Tribes
______ Female ______ One-Stop Career Center (Job Service)
______ Disadvantaged ______ Union ( )
______ Walk On
Trainee Employment: (check one) ______ Another Employee
______ New Hire ______ Other (specify __________________)
______ Current Employee Upgrade
COMPLETE ABOVE AND MAIL FORM TO CIVIL RIGHTS PROGRAM AT ADDRESS BELOW
THIS PART TO BE COMPLETED BY CIVIL RIGHTS PROGRAM Received Date ____________________________
Training Program _______________________________________________________ Program Hours ______________
Minimum Starting Wage (not less than General Laborer’s Rate) 60% of journeyman wage ______________
Minimum Wage after ? = _________________ hours 70% of journeyman wage ______________
Minimum Wage after ? = _________________ hours 80% of journeyman wage ______________
Minimum Wage after ? = _________________ hours 90% of journey man wage ______________
Minimum Wage upon completion 100% of journeyman wage ______________
MAKE TRAINEE WAGE ADJUSTMENTS AS NECESSARY DURING COURSE OF PROGRAM
Two copies of this registration will be returned to the contractor following approval and calculation of wage levels – one for
contractor and one for trainee
Approval Date _________________________________ ___________ Approved as of Start Date
By __________________________________________ ___________ Approved with conditions, see below June D. Hansen, Civil Rights Compliance Officer
Comments: SHOW INDIVIDUAL ON PAYROLL AS “TRAINEE”.
FILE TRAINEE STATUS REPORTS AS REQUIRED.
June Hansen, Civil Rights Program _____________________________________________ Department of Transportation _____________________________________________ 700 East Broadway Avenue _____________________________________________
Pierre, SD 57501-2586 _____________________________________________
e-mail: June.Hansen@state.sd.us _____________________________________________
phone: 605-773-3540 _____________________________________________
SDDOT Required Project Trainees All Other Trainees Original – Area Engineer Original – SDDOT Files CC: Trainee, Contractor & Labor Compliance CC: Trainee & Contractor Revised – January 2008 CC:CC
OJT Registration Instructions
The firm who will be training the individual (normally the prime contractor) is responsible for completing the upper portion of the registration form. This form should be completed and mailed to the Civil Rights Program (address show in bottom portion of form) no later than the week in which the trainee begins the training program. It is better if the form can be sent
before training begins.
PLEASE PRINT OR TYPE ALL INFORMATION
“Trainee Name” Legal Name by which the trainee is known. Please do not use nicknames or abbreviations.
Normally use first name, middle initial, last name.
“Street Address, etc.” Mailing address of Trainee
“City, State, Zip” Use Zip plus 4 zip code if known.
“Trainee Signature” Signed, in ink, by trainee.
“Contractor” Name of firm doing the training, check whether prime or sub.
“Project Number” Department of Transportation project number as it appears on contract. Please include PCEMS
number after the project number.
“Prior Hours” Applicable only if the trainee has been enrolled as an OJT for this same classification in the past -
-- use hours completed during the prior enrollment(s).
“Start Date” Date on which training begins or date you plan to begin training.
“Start Wage” Hourly base wage to be paid trainee at start of training.
“Trainee Classification” Use job classification title such as “Scraper Operator”, “Form Builder” etc. Be clear and be
specific. Use titles as they appear in the SDDOT/A.G.C. Training Booklet and/or wage scale. DO
NOT USE WAGE CODES. Any classification not found in the SDDOT/AGC Training Booklet
must be approved by SDDOT and FHWA prior to Trainee beginning training. Copy of the booklet
can be found at: www.sddot.com/ojt.asp.
“Contractor Signature” Form signed by contractor’s representative who completes the form.
“Trainee Status” Check each line, which applies. Check “minority” if trainee is American Indian, Black, Hispanic or
Asian American and fill in blank with proper racial group. Check “female” if applicable. “Check
“disadvantaged” if individual is neither minority nor female and the individual meets the
Department of Labor guidelines for socially and economically disadvantaged.
“Trainee Employment” Check either New Hire or Upgrade as appropriate.
“Trainee Source” Check the source of this trainee (if a new hire) – one check mark only in this group.
Send this form to Civil Rights Program, South Dakota Department of Transportation, for final approval and determination minimum wages. Once this has been done on all SDDOT Required Project Trainees, the original registration form will be sent to the appropriate Area Office, the contractor will receive a copy of approved registration with an additional copy for the Trainee. If necessary, a copy of the approved registration will be sent to a subcontractor if they are handling one of the trainee slots of the project. For all other trainees after approval and determination of minimum wages has been completed, the original will be filed in the Civil Rights office and copies will be sent to the Contractor including one for the
Trainee. The firm doing the training has the responsibility to monitor trainee wages and hours to ensure that proper minimum wages are paid based on information, which will be provided on the completed registration form.
Monthly Trainee Status Reports must filed regularly on ALL Trainees.
Copies of forms can be found at: www.sddot.com/ojt.asp.
Updated – January 2008 CC:CC