VA Form 22-8864 Training Agreement for Apprenticeship and Other On-The-J

TRAINING AGREEMENT FOR APPRENTICESHIP AND OTHER ON-THE-JOB TRAINING PROGRAMS
(Title 38 U.S.C. 3677 and 3687)

INSTRUCTIONS TO ESTABLISHMENT
Use this form (VA Form 22-8864) when providing on-the-job or apprenticeship training to veterans, their
eligible dependents, and members of the Selected Reserve who wish to use their VA Education Benefits while
training with your facility. If you want additional information or need assistance in completing this form,
contact your VA Education Liaison Representative (ELR).
INSTRUCTIONS FOR COMPLETED FORM
Before completing this form, please read and complete the blanks below located under the "Apprentice
Training" and "Apprenticeship Training Standards".
• Keep a copy (Copy 1) for your records.
• Give a copy (Copy 2) to the VA trainee.
PRIVACY ACT NOTICE: VA will not disclose information collected on this form to any source other than what has
been authorized under the Privacy Act of 1974 or Title 38, Code of Federal Regulations 1.576 for routine uses as
identified in the VA system of records, 58VA21/22/28, Compensation, Pension, Education, and Veteran Readiness and
Employment Records - VA, published in the Federal Register. An example of a routine use allows VA to send educational
forms or letters with a veteran's identifying information to the veteran's school or training establishment to (1) assist the
veteran in the completion of claims forms or (2) for VA to obtain further information as may be necessary from the school
for VA to properly process the veteran's education claim or to monitor his or her progress during training. Your obligation
to respond is required to obtain or retain education benefits. Giving us the SSN account information is voluntary, but your
failure to give us the SSN could impede our processing of your claim. Refusal to provide the SSN by itself will not result
in the denial of benefits. VA will not deny an individual benefits for refusing to provide his or her SSN unless the
disclosure of the SSN is required by a Federal Statute of law enacted before January 1, 1975, and still in effect. The
requested information is considered relevant and necessary to determine the maximum benefits under the law. While you
do not have to respond, payment of education benefits cannot be made unless the information is furnished as required by
existing law. This information is a training agreement, as approved by the Department of Veterans Affairs (VA), is
completed by both the employer and the trainee. The responses you submit are considered confidential (38 U.S.C. 5701).
Information submitted is subject to verification through computer matching programs with other agencies.
RESPONDENT BURDEN: We need this information to determine the trainee's eligibility for educational benefits based
on On-the-Job or Apprenticeship training (38 U.S.C. 3671). Title 38, United States Code, allows us to ask for this
information. We estimate that you will need an average of 30 minutes to review the instructions, find the information, and
complete this form. VA cannot conduct or sponsor a collection of information unless a valid OMB control number is
displayed. You are not required to respond to a collection of information if this number is not displayed. Valid OMB
control numbers can be located on the OMB Internet Page at www.reginfo.gov/public/do/PRAMain. If desired, you can
call 1-888-GI-BILL-1 (1-888-442-4551) to get information on where to send comments or suggestions about this form.

VA FORM
JAN 2021

22-8864

SUPERSEDES VA FORM 22-8864, JUL 2017,
WHICH WILL NOT BE USED.

OMB Approved No. 2900-0342
Respondent Burden: 30 minutes
Expiration Date: 01/31/2024

TRAINING AGREEMENT FOR APPRENTICESHIP AND OTHER ON-THE-JOB TRAINING PROGRAMS
(Title 38 U.S.C. 3677 and 3687)
PART I - GENERAL TRAINING ESTABLISHMENT INFORMATION

1. NAME OF TRAINING ESTABLISHMENT ENTERING INTO
TRAINING AGREEMENT

4. LENGTH OF PROBATIONARY PERIOD

2. ADDRESS OF TRAINING ESTABLISHMENT ENTERING
INTO AGREEMENT

3. LENGTH OF PROGRAM

5. FACILITY CODE

1. NAME OF TRAINEE ENTERING INTO TRAINING
AGREEMENT

PART II - GENERAL TRAINEE INFORMATION

3. TRAINEE'S SOCIAL SECURITY
NUMBER

2. ADDRESS OF TRAINEE ENTERING INTO TRAINING
AGREEMENT

4. TRAINEE'S VA FILE NUMBER

5. DATE OF BIRTH

6. TRAINEE'S JOB TITLE OR TRADE

7. CREDIT FOR PREVIOUS TRAINING/EXPERIENCE

8. DATE TRAINING BEGINS

9. LENGTH OF TIME REMAINING TO BE COMPLETED

1. SPECIFIC QUALIFICATIONS FOR TRAINEES

PART III - TRAINING AGREEMENT

2. NUMBER OFTRAINEES PER INSTRUCTOR OR NUMBER OF
APPRENTICES TO JOURNEY WORKERS (Ratio)

3. WAGE PROGRESSION TOWARD THE JOURNEYWORKER WAGE

NOTE: Trainees who receive credit for previous experience shall be paid the wage rate of the period to which such credit advances them.
A. PERIOD

B. NUMBER OF MONTHS

C. WAGE LEVEL

A. PERIOD B. NUMBER OF MONTHS

C. WAGE LEVEL

1ST

$

PER

6TH

$

PER

2ND

$

PER

7TH

$

PER

3RD

$

PER

8TH

$

PER

4TH

$

PER

9TH

$

PER

5TH

$

PER

10TH

$

PER

D. PRESENT FULLY TRAINED WAGE RATE OR JOURNEYWORKER WAGE RATE

$

PER
4A. WORK PROCESSES IN WHICH TRAINEE WILL RECEIVE INSTRUCTION OR WILL BE TRAINED
( List the various operations or tasks to be learned with a brief narrative description and the length of time
devoted to each. If additional space is required, please continue on a separate sheet)

4B. NUMBER OF HOURS OF TRAINING

TOTAL
5A. COURSE CURRICULUM UNITS, OR TRAINING OUTSIDE THE JOB NECESSARY
FOR THIS TRADE (If required)

5B. LOCATION OF RELATED TRAINING/INSTRUCTION

The Establishment and the Trainee enter into this agreement in conformity with the Training Standards shown on the reverse side of this form
which have been approved by the Department of Veterans Affairs. Carefully read these standards before signing below.
6A. PRINTED NAME OF TRAINEE

6B. SIGNATURE OF TRAINEE

7A. PRINTED NAME AND TITLE OF TRAINING ESTABLISHMENT DESIGNEE

7B. SIGNATURE OF ESTABLISHMENT DESIGNEE

The signing of this agreement binds the parties to compliance with the Agreement and Training/Apprenticeship Standards.

VA FORM
JAN 2021

22-8864

SUPERSEDES VA FORM 22-8864, JUL 2017,
WHICH WILL NOT BE USED.

COPY 1

OTHER ON-THE-JOB TRAINING STANDARDS

I. HOURS AND SUPERVISION - The trainee shall work the same hours as the instructor and shall work under the supervision of the
instructor at all times.
II. SAFETY AND HEALTH TRAINING - The trainee will receive instruction on the job as to safe and healthful work practices. Such
instruction shall include training regarding safety regulations, reporting of accidents, and availability of first aid medical facilities.
The establishment shall also ensure that the trainee is trained in facilities and other environments that are safe and healthful.
III. ADMINISTRATIVE PROCEDURES - The following shall be the responsibility of the participating establishment:
A. To see that all trainees are covered by a written agreement.
B. To notify the VA Regional Processing Office in writing of any interruption or termination of training by each trainee.
C. To maintain a record of each trainee showing his or her experience and progress in learning the occupation until 3 years after
completion of the training program.
IV. COMPLIANCE WITH TITLE VI, CIVIL RIGHTS ACT OF 1964 - The establishment agrees to comply with the provisions of Title
VI, Civil Rights Act of 1964.
V. COMPLIANCE WITH TRAINING STANDARDS - These standards, as approved by VA, become a part of the Training Agreement
applying hereto. The signing of the Agreement in Items 6B and 7B, binds the parties to compliance with these standards. The
employer will provide every VA trainee entering into an On-The-Job Training Agreement with a copy of the Agreement with these
Standards. The terms of this training agreement are in compliance with the requirements of section 21.4262, Title 38, Code of
Federal Regulations.

APPRENTICESHIP TRAINING STANDARDS
I. DEFINITION AND TERM OF APPRENTICESHIP - The term "apprentice" shall mean a person at least 18 years of age who is employed
to learn a skilled trade pursuant to the terms of a written Apprenticeship Agreement with the establishment. The Agreement will provide
for (a) not less than
years of reasonably continuous employment, (b) participation of the apprentice in an approved schedule of work
experience through employment, and (c) at least the number or hours per year of supplemental instruction in subjects related to the trade
specified by the U.S. DOL (Department of Labor). (The DOL usually requires at least 144 hours per year.)
II. QUALIFICATIONS OF APPRENTICESHIP APPLICANTS - VA apprenticeship applicants for this trade shall be between the ages of
and
should be, if possible, high school graduates or the equivalent and be able to meet the requirements of the trade.
III. PROBATIONARY PERIOD - All apprentices employed in accordance with these standards shall be subject to a probationary period not
exceeding the first
of the term of apprenticeship. During this period, the Apprenticeship Agreement may be terminated at the
request of either party to the Agreement.
IV. HOURS AND SUPERVISION - The apprentice shall work the same hours as the journey worker and shall work under the supervision
of the journey worker at all times.
V. WAGE PROGRESSION - This standard must include a uniform, progressive schedule of wages.
VI. RELATED SCHOOL INSTRUCTION
A. Each apprentice shall enroll in and attend classes in subjects related to this trade for not less than the number of hours yearly
specified by the U.S. DOL during the term of apprenticeship. Apprentice related training should be arranged through local
education agencies, the Community College system, or private vocational schools. If institutional training is not available
locally, such related training may be given by a course applicable to the trade taken through correspondence (or other forms of
self-study approved by the registration/approval agency), or an individualized instruction program of classroom training in the
training establishment will be substituted.
B. Failure on the part of the apprentice to regularly attend class and/or progress satisfactorily in approved related training will
be deemed sufficient cause to drop the apprentice from the entire training program.
C. Trade journals, manuals, books, publications, etc., applicable to the trade may be used in supervised training.
D. The minimum number of related training hours per year are not classified as hours of employment unless given during regular
working hours for which wages are paid.
E. Curriculum content is described in Items 5A and 5B of the Apprenticeship Agreement.
VII. SAFETY AND HEALTH TRAINING - The apprentice shall receive instruction on the job as to safe and healthful work
practices. Such instruction shall include training regarding safety regulations, reporting of accidents, and availability of first aid
medical facilities.
VIII. ADMINISTRATIVE PROCEDURES - The following shall be the responsibility of the participating establishment:
A. To see that all apprentices are covered by a written agreement.
B. To notify the VA Regional Processing Office in writing of any interruption or termination of training by each apprentice.
C. To maintain a record of each apprentice showing his or her experience and progress in learning the occupation until 3 years
after completion of the training program.
IX. GRANTING CERTIFICATE OF COMPLETION OF APPRENTICESHIP - After satisfactory completion of apprenticeship under these
standards, each apprentice shall be furnished with a Certificate of Completion of Apprenticeship.
X. COMPLIANCE WITH TITLE VI, CIVIL RIGHTS ACT OF 1964 - The establishment agrees to comply with the provisions of Title VI,
Civil Rights Act of 1964.
XI. COMPLIANCE WITH APPRENTICESHIP STANDARDS - These standards, as approved by VA, are made a part of the
Apprenticeship Agreement applying hereto. The signing of the Agreement in Items 6B and 7B on the reverse, binds the parties to
compliance with these standards.
OTHER INFORMATION - Every apprentice entering into an Apprenticeship Training Agreement will be given a copy of these standards.
The terms of this training agreement are in compliance with the requirements of section 21.4261, Title 38, Code of Federal Regulations.

VA FORM 22-8864, JAN 2021

OMB Approved No. 2900-0342
Respondent Burden: 30 minutes
Expiration Date: 01/31/2024

TRAINING AGREEMENT FOR APPRENTICESHIP AND OTHER ON-THE-JOB TRAINING PROGRAMS
(Title 38 U.S.C. 3677 and 3687)
PART I - GENERAL TRAINING ESTABLISHMENT INFORMATION

1. NAME OF TRAINING ESTABLISHMENT ENTERING INTO
TRAINING AGREEMENT

4. LENGTH OF PROBATIONARY PERIOD

2. ADDRESS OF TRAINING ESTABLISHMENT ENTERING
INTO AGREEMENT

3. LENGTH OF PROGRAM

5. FACILITY CODE

1. NAME OF TRAINEE ENTERING INTO TRAINING
AGREEMENT

PART II - GENERAL TRAINEE INFORMATION

3. TRAINEE'S SOCIAL SECURITY
NUMBER

2. ADDRESS OF TRAINEE ENTERING INTO TRAINING
AGREEMENT

4. TRAINEE'S VA FILE NUMBER

5. DATE OF BIRTH

6. TRAINEE'S JOB TITLE OR TRADE

7. CREDIT FOR PREVIOUS TRAINING/EXPERIENCE

8. DATE TRAINING BEGINS

9. LENGTH OF TIME REMAINING TO BE COMPLETED

1. SPECIFIC QUALIFICATIONS FOR TRAINEES

PART III - TRAINING AGREEMENT

2. NUMBER OFTRAINEES PER INSTRUCTOR OR NUMBER OF
APPRENTICES TO JOURNEY WORKERS (Ratio)

3. WAGE PROGRESSION TOWARD THE JOURNEYWORKER WAGE

NOTE: Trainees who receive credit for previous experience shall be paid the wage rate of the period to which such credit advances them.
A. PERIOD

B. NUMBER OF MONTHS

C. WAGE LEVEL

A. PERIOD B. NUMBER OF MONTHS

C. WAGE LEVEL

1ST

$

PER

6TH

$

PER

2ND

$

PER

7TH

$

PER

3RD

$

PER

8TH

$

PER

4TH

$

PER

9TH

$

PER

5TH

$

PER

10TH

$

PER

D. PRESENT FULLY TRAINED WAGE RATE OR JOURNEYWORKER WAGE RATE

$

PER
4A. WORK PROCESSES IN WHICH TRAINEE WILL RECEIVE INSTRUCTION OR WILL BE TRAINED
( List the various operations or tasks to be learned with a brief narrative description and the length of time
devoted to each. If additional space is required, please continue on a separate sheet)

4B. NUMBER OF HOURS OF TRAINING

TOTAL
5A. COURSE CURRICULUM UNITS, OR TRAINING OUTSIDE THE JOB NECESSARY
FOR THIS TRADE (If required)

5B. LOCATION OF RELATED TRAINING/INSTRUCTION

The Establishment and the Trainee enter into this agreement in conformity with the Training Standards shown on the reverse side of this form
which have been approved by the Department of Veterans Affairs. Carefully read these standards before signing below.
6A. PRINTED NAME OF TRAINEE

6B. SIGNATURE OF TRAINEE

7A. PRINTED NAME AND TITLE OF TRAINING ESTABLISHMENT DESIGNEE

7B. SIGNATURE OF ESTABLISHMENT DESIGNEE

The signing of this agreement binds the parties to compliance with the Agreement and Training/Apprenticeship Standards.
VA FORM
JAN 2021

22-8864

SUPERSEDES VA FORM 22-8864, JUL 2017,
WHICH WILL NOT BE USED.

COPY 2

OTHER ON-THE-JOB TRAINING STANDARDS

I. HOURS AND SUPERVISION - The trainee shall work the same hours as the instructor and shall work under the supervision of the
instructor at all times.
II. SAFETY AND HEALTH TRAINING - The trainee will receive instruction on the job as to safe and healthful work practices. Such
instruction shall include training regarding safety regulations, reporting of accidents, and availability of first aid medical facilities.
The establishment shall also ensure that the trainee is trained in facilities and other environments that are safe and healthful.
III. ADMINISTRATIVE PROCEDURES - The following shall be the responsibility of the participating establishment:
A. To see that all trainees are covered by a written agreement.
B. To notify the VA Regional Processing Office in writing of any interruption or termination of training by each trainee.
C. To maintain a record of each trainee showing his or her experience and progress in learning the occupation until 3 years after
completion of the training program.
IV. COMPLIANCE WITH TITLE VI, CIVIL RIGHTS ACT OF 1964 - The establishment agrees to comply with the provisions of Title
VI, Civil Rights Act of 1964.
V. COMPLIANCE WITH TRAINING STANDARDS - These standards, as approved by VA, become a part of the Training Agreement
applying hereto. The signing of the Agreement in Items 6B and 7B, binds the parties to compliance with these standards. The
employer will provide every VA trainee entering into an On-The-Job Training Agreement with a copy of the Agreement with these
Standards. The terms of this training agreement are in compliance with the requirements of section 21.4262, Title 38, Code of
Federal Regulations.

APPRENTICESHIP TRAINING STANDARDS
I. DEFINITION AND TERM OF APPRENTICESHIP - The term "apprentice" shall mean a person at least 18 years of age who is employed
to learn a skilled trade pursuant to the terms of a written Apprenticeship Agreement with the establishment. The Agreement will provide
for (a) not less than
years of reasonably continuous employment, (b) participation of the apprentice in an approved schedule of work
experience through employment, and (c) at least the number or hours per year of supplemental instruction in subjects related to the trade
specified by the U.S. DOL (Department of Labor). (The DOL usually requires at least 144 hours per year.)
II. QUALIFICATIONS OF APPRENTICESHIP APPLICANTS - VA apprenticeship applicants for this trade shall be between the ages of
and
should be, if possible, high school graduates or the equivalent and be able to meet the requirements of the trade.
III. PROBATIONARY PERIOD - All apprentices employed in accordance with these standards shall be subject to a probationary period not
exceeding the first
of the term of apprenticeship. During this period, the Apprenticeship Agreement may be terminated at the
request of either party to the Agreement.
IV. HOURS AND SUPERVISION - The apprentice shall work the same hours as the journey worker and shall work under the supervision
of the journey worker at all times.
V. WAGE PROGRESSION - This standard must include a uniform, progressive schedule of wages.
VI. RELATED SCHOOL INSTRUCTION
A. Each apprentice shall enroll in and attend classes in subjects related to this trade for not less than the number of hours yearly
specified by the U.S. DOL during the term of apprenticeship. Apprentice related training should be arranged through local
education agencies, the Community College system, or private vocational schools. If institutional training is not available
locally, such related training may be given by a course applicable to the trade taken through correspondence (or other forms of
self-study approved by the registration/approval agency), or an individualized instruction program of classroom training in the
training establishment will be substituted.
B. Failure on the part of the apprentice to regularly attend class and/or progress satisfactorily in approved related training will
be deemed sufficient cause to drop the apprentice from the entire training program.
C. Trade journals, manuals, books, publications, etc., applicable to the trade may be used in supervised training.
D. The minimum number of related training hours per year are not classified as hours of employment unless given during regular
working hours for which wages are paid.
E. Curriculum content is described in Items 5A and 5B of the Apprenticeship Agreement.
VII. SAFETY AND HEALTH TRAINING - The apprentice shall receive instruction on the job as to safe and healthful work
practices. Such instruction shall include training regarding safety regulations, reporting of accidents, and availability of first aid
medical facilities.
VIII. ADMINISTRATIVE PROCEDURES - The following shall be the responsibility of the participating establishment:
A. To see that all apprentices are covered by a written agreement.
B. To notify the VA Regional Processing Office in writing of any interruption or termination of training by each apprentice.
C. To maintain a record of each apprentice showing his or her experience and progress in learning the occupation until 3 years
after completion of the training program.
IX. GRANTING CERTIFICATE OF COMPLETION OF APPRENTICESHIP - After satisfactory completion of apprenticeship under these
standards, each apprentice shall be furnished with a Certificate of Completion of Apprenticeship.
X. COMPLIANCE WITH TITLE VI, CIVIL RIGHTS ACT OF 1964 - The establishment agrees to comply with the provisions of Title VI,
Civil Rights Act of 1964.
XI. COMPLIANCE WITH APPRENTICESHIP STANDARDS - These standards, as approved by VA, are made a part of the
Apprenticeship Agreement applying hereto. The signing of the Agreement in Items 6B and 7B on the reverse, binds the parties to
compliance with these standards.
OTHER INFORMATION - Every apprentice entering into an Apprenticeship Training Agreement will be given a copy of these standards.
The terms of this training agreement are in compliance with the requirements of section 21.4261, Title 38, Code of Federal Regulations.

VA FORM 22-8864, JAN 2021