jefferson high school

Work Experience Contract

 

Student Name _____________________ School ____________ Date __________

Age _____ Social Security Number __________________ Job Title ___________

Co. Name ________________________ Co. Supervisor _____________________

Co. Address ________________________________________________________

Student Wages ____________________ Student Hours _____________________

Work Coordinator ________________________________ Phone _____________

 

Responsibilities of the Student Learner:

1.       The student-learner will keep regular attendance, both in school and on the job, and cannot work on any school day that he/she fails to attend school; he/she will notify the school and employer if unable to report.

2.       This contract will be terminated if he/she does not remain in school.

3.       The student will show honesty, punctuality, courtesy, a cooperative attitude, proper health and grooming habits, good dress and a willingness to learn.

4.       The student will consult the work-coordinator about any difficulties arising at the work site.

5.       The student will conform to the rules and regulations of the work site.

6.       The student will furnish the work coordinator with all necessary information and complete all necessary reports.

 

Responsibilities of Parent/Guardian:

1. Accept the responsibility for the conduct of the student while the student is on the job and traveling to and from the work site.
2. Encourage the student to carry out effectively his/her duties and responsibilities.
3. Contact work coordinator if student has any problems at the work site.
4. Provide proof of appropriate insurance coverage.

 

Responsibilities of the Training Sponsor:

1. Endeavor to employ the student for at least the minimum number of hours each day and each week for the entire agreed training period.
2. Adhere to all Federal and State regulations regarding employment, child labor laws, minimum wages and other applicable regulations.
3. See that the student is not allowed to remain in any one operation, job, or phase of the occupation beyond the period of time where such experience is of educational value.
4. Consult the work coordinator about any difficulties at the work site.
5. Provide experiences that will contribute to the attainment of the student’s career objective.
6. Assist in evaluating the student.
7. Provide time for consultation with the work coordinator concerning the student.

 

Responsibilities of the Work Coordinator:

1. Coordinate related classroom instruction and on-the-job training to improve job performance.
2. Make periodic visits as necessary to the work site to observe the student and consult with the employer as the training sponsor.
3. Assist in the evaluation of the student.

 

This agreement may be terminated by mutual consent of the training sponsor and the work coordinator. It is understood that the parties participating in this agreement will not discriminate in employment opportunities on the basis of race, religion, color, sex, or national origin.

 

 

______________________________                         __________________________________

Student                                       Date                           Training Sponsor                                     Date

 

 

_____________________________                           __________________________________

Parent                                        Date                           Work Coordinator                                   Date