PROJECT SKILLS WORK EXPERIENCE AGREEMENTExperience Agreement • September 3rd, 2020
Contract Type FiledSeptember 3rd, 2020EMPLOYER/WORKSITE SCHOOL DISTRICT Name: School District: Address: Authorized Name: City/St/Zip: Title: Phone: Phone: Address: Authorized Name: City/St/Zip: Title: VOCATIONAL REHABILITATION COUNSELOR Others authorized to sign and/or supervise Name: Name: Address: Title: City/St/Zip: Private For Profit Public/Private - Nonprofit Phone: PARTICIPANT INFORMATION Social Security Number Participant Name - Last/First Street Address/Box Number City/State Zip Code Married Single In-School Education Status: Full-Time Part-Time EMPLOYER/WORKSITE OBLIGATIONThe employer/worksite agrees to: (a) Comply with the training plan listed below and provide participants appropriate supervision and training, supply sufficient materials and equipment to perform assigned duties, safe and healthy working conditions and adhere to all child labor laws. (b) Maintain accurate time and attendance records and submit to the state on a weekly basis appropriately completed time cards. (c) Maintain during the period