Eligible Training Provider Program Performance Summary

Eligible Training Provider

Program Performance Summary

Provider / Institution Name *

Reporting Year *

Complete the below fields for every program on the EPTL for your organization. These numbers are based on ALL students enrolled in the approved program. If a program had zero individuals enrolled during the program year, please enter zero's.

To report on multiple programs, enter the program data for a program and then click 'SAVE' and a new line will appear.

*

If you have additional information you would like to share regarding a specific program or required data element, please add it here:

Person Completing the form: *

First Name Last Name Title