Section I: employer identification
Items 1 to 5: name of establishment, the contact person with an email address, telephone number, location of the establishment and a mailing address if different.
22-8865
Employer's Application to Provide Job Training
- Agency
- VA
- Revision
- March 2024
- Fillable fields
- 47
- Pages
- 2
- Official source
- VA form page
- Checked
- October 20, 2026
VA Form 22-8865: Employer's Application to Provide Job Training
VA Form 22-8865 is the U.S. Department of Veterans Affairs Employer's Application to Provide Job Training, under Title 38 U.S. Code section 3677 or 3687. It is an employer form, not a Veteran or student application. It describes the trade, craft or occupation for which an establishment proposes to provide training to veterans and their eligible dependents. The form's privacy notice says VA cannot determine if a training program can meet the requirements set by law for VA approval unless the information is furnished.
The PDF has two pages. Page 1 holds Section I, employer identification, Section II, the description of the training program, Section III, the wage progression scale, and Section IV, the conditions to be met, followed by the signature, title and date. Page 2 holds the Privacy Act notice and the respondent burden statement.
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What's on VA Form 22-8865
Section II: training program
Items 6 to 12: job title and a brief job description, length of program in hours or months, hours in a standard work week, yearly hours of related training outside the job, instructors available for each trainee and the maximum number of trainees at one time.
Section III: wage progression scale
Items 13 to 15: the beginning wage for trainees, the present journeyworker wage and a wage progression of up to ten periods, each with a number of months and a wage level.
Section IV, A to G: conditions to be met
Close supervision by qualified journey workers, records for each trainee, credit for previous training, the journey worker wage on completion where required, copies of the approved training agreement and notice to VA of wage changes.
Section IV, H to J: on-the-job training certifications
The form says the beginning wage will be at least 50% of the wage for a fully trained employee and, unless the establishment is operated by a Federal, State or local government, at least 85% by the last full month of training.
Items 16 to 18: signature
Signature, title and date signed. Page 2 holds the Privacy Act notice and a respondent burden of about 1 hour and 30 minutes.
How to complete VA Form 22-8865
- 1
Read the conditions first
The instructions say all items should be completed and ask the employer to read the conditions carefully before signing. On this edition the conditions appear in Section IV, although the instructions refer to Section III.
- 2
Identify the establishment
Fill in Section I with the establishment's name, contact person, telephone number and addresses.
- 3
Describe the training program
Complete Section II for the particular trade, craft or occupation. The form says to write "None" in Item 10 if no related training outside the job is required.
- 4
Enter the wage scale
Fill in the beginning wage, the present journeyworker wage and each period of the wage progression in Section III.
- 5
Sign, title and date
Sign Item 16, enter a title in Item 17 and the date in Item 18.
- 6
Send it to the VA office
Submit the completed application to the VA office serving the area where the establishment is located. The form links to a page for finding the VA Education Liaison Representative for each state.
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Where to send it
VA office serving the area
The form says the completed application form may be submitted directly to the VA office serving the area where your establishment is located.
Education Liaison Representative
To find the VA Education Liaison Representative for a state, the form links to http://www.benefits.va.gov/GIBILL/resources/education_resources/school_certifying_officials/elr.asp.
After approval
Condition F says a copy of an approved training agreement will be provided to the trainee and to VA.
Comments about the form
The respondent burden notice says 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.
Edition
The MAR 2024 edition supersedes the JUL 2017 edition, which the form says will not be used. It carries OMB Control No. 2900-0342, which expires 03/31/2027.
Related forms
22-8864
Training Agreement for Apprenticeship and Other On-the-Job Training Programs
142 fields, 5 pages
22-6553d-1
Monthly Certification of On-the-Job and Apprenticeship Training
29 fields, 2 pages
22-8794
Designation of Certifying Official(s)
68 fields, 3 pages
22-1990
Application for VA Education Benefits
155 fields, 7 pages
22-5490
Dependents’ Application for VA Education Benefits
79 fields, 7 pages
Who uses VA Form 22-8865?
The form is completed and signed by an employer that proposes a training program. It goes to a VA office, not to a trainee.
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Questions about Form 22-8865
Who fills out VA Form 22-8865?
An employer that proposes to provide job training to veterans and their eligible dependents. The form is signed by a person at the establishment, with a title and date.
Where is the application sent?
The form says it may be submitted directly to the VA office serving the area where the establishment is located, and links to a page for finding the state's VA Education Liaison Representative.
What wages does the form ask on-the-job training employers to certify?
For on-the-job training other than apprenticeship, the form says the beginning wage will be at least 50% of the wage for a fully trained employee and, unless the establishment is government operated, at least 85% by the last full month of training.
Do conditions H to J apply to apprenticeship programs?
The form lists H to J under on-the-job training other than apprenticeship programs. Conditions A to G apply if the training program is approved for VA training benefits.
What records does the employer keep?
Condition B lists job assignments, promotions, demotions, lay-off terminations, rates of pay, progress in training, hours of training given monthly in each process and overall progress evaluations made at least each 3 months.
What if a trainee already has experience?
Condition C says credit will be given for previous training and experience and the program shortened proportionately. Condition E says an Enrollment Certification will not be submitted for someone already qualified for the position.