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OKALOOSA I WALTON
CAREERSOURCE OKALOOSA WALTON
Work Experience Training Agreement
Between
CareerSource Okaloosa Walton
And
v (Gompany )t5priization
Section 1: Contact Information
WORKFORCE
CareerSource
Okaloosa Walron
CONTACT PERSON:
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ALTERNATE CONTACT:
EMAIL:
CENTER TELEPHONE #:
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TRAINING SITE
COMPANY/ORGANIZATION NAME:
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ADDRESS:
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FAX #:
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Section 2: Work Training Agreement
This Work Training Agreement is between CareerSource Okaloosa Walton, herein after called CSOW and
C► t-y pf Cv-e-,Sty i w./ , herein after called the Training Site Employer. Both
parties a ree to the terms and conditions set forth within this Agreement. the agreement term commences on
(;•%' Z 31 Z' 4 and terminates upon the request of either party.
Section 3: General Terms and Conditions
AGREEMENT PURPOSE
The purpose of this agreement is to establish the general terms and conditions under which CSOW may refer
eligible participants to the Training Site Employer to enable the participant to take part in a work training
opportunity.
CareerSource Okaloosa Walton, February 10, 2014
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CSOW, the participant, and the Training Site Employer have selected the participant to complete the
following Work Training Activity:
11 Work Experience (Un-Paid)
O Internship (Un-Paid)
O Job Shadowing
O Community Service (Welfare Transition participants only)
OCCUPATIONAL TRAINING DEFINITIONS
Work Experience (Un-Paid) — Unpaid work experience is when a participant is placed in a working
environment and more or less acts as an employee, but with the emphasis on learning about the world of work.
! Ire participant may be paid a stipend by CareerSourc e Okaloosa Walton This work experience activity must
contain a worI:site based component but nroy include sorYiO classroom based activitic.;.
Internship (Un-paid) — Unpaid internship is when a participant is placed in a working environment and is
provided opportunities to gain occupational skills in a specific occupation that interest the participant.
Opportunities to gain soft skills that can only be obtained through employment can be addressed while in the
internship.
Job Shadowing — Job shadowing is when a participant is placed in a working environment to observe and
learn about a career in which the participant is interested in pursuing. This is not an opportunity for the
participant to gain work experience in the career field, but to observe all aspects of the job.
Community Service — Community service work training experience provides the participant an opportunity to
learn and experience the work environment at a non-profit community organization. These are limited to
organizations that currently hold a tax exempt 501 c (3) status. (Copy of tax-exempt status must be
provided)
TRAINING SITE DUTIES
1. Training Site Employer agrees to provide supervision and a well structured and meaningful training
experience.
2. Training Site Employer agrees to provide the participant with knowledge of and experience with proper
work habits as they relate to the job performed.
3. Training Site Employer agrees to provide the participant with opportunities to explore and learn about
their desired career field.
4. Training Site Employer agrees to ensure the participant is not employed at a casino or other gambling
establishment, aquarium, zoo, golf course or swimming pool.
5. Training Site Employer agrees to comply with rules and regulations governing the Workforce Investment
Act (WIA), Welfare Transition and/or Supplemental Nutrition Assistance program; and assign the
participant only those activities approved by CSOW.
6. Training Site Employer agrees to ensure that any participant placed in a training opportunity will not
displace any current employees.
7. Training Site Employer agrees to comply with the Child Labor laws (if applicable).
8. Training Site Employer agrees to inform the participant of their supervisor's name, role and
responsibilities and provide the opportunity to relate any problems that rn ight arise to that supervisor.
9. Training Site Employer agrees to ensure adequate work/learning opportunities are available to occupy
the participant during assigned hours.
10. Training Site Employer agrees to provide contingency plans for inclement weather when regular Worksite
is designated as out-of-doors.
CareerSource Okaloosa Walton, February 10, 2014
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TRAINING SITE DUTIES (continued)
11. Training Site Employer agrees to maintain and sign the participants'Timesheet or Work Experience log
(Attached).
12. Training Site Employer agrees to submit the completed timesheet or work experience log to the
CSOW contact by the Monday of the following week.
13. Training Site Employer agrees to ensure that participants will have a realistic training experience.
14. Training Site Employer agrees to assign meaningful tasks on the same basis used with regular
employees to the extent possible given age, skill, and knowledge level.
15. Training Site Employer agrees to provide a work training opportunity only to those participants who have
been referred to and declared eligible by CSOW.
16. Training Site Employer agrees to assign tasks to the p.a:lir:pant on a daily basis.
17. Training Site Employer agrees to net disclose the particip ni' status as a recipient of any type of public:
assistance to anyone other than personnel with a "need to know."
18. Training Site Employer agrees to provide a job description either hand written on the form attached or
from ONET.
19. Training Site Employer agrees to notify CareerSource Okaloosa Walton when any of the following events
occur:
a. The participant failed to attend the initial interview, refused to participate, or voluntarily quit
training.
b. The participant has experienced excessive absenteeism, sickness, or other problems affecting
the participant's ability to perform the work/training.
20. Training Site Employer agrees that no participant shall be hired into or remain in any position when the
same or substantially equivalent position is vacant due to a hiring freeze or when any regular employee is
on lay-off from the same or substantially equivalent position or when the regular employee has been
bumped and has recall or bumping rights to that position pursuant to the provider's personnel policy or
collective bargaining agreement, nor if the work experience is created in a promotional line that infringes on
opportunities of current employees.
CAREERSOURCE OKALOOSA WALTON DUTIES
21. CSOW shall provide worker's compensation coverage for the participant while in training at the Training
Site.
a. Effective January 1, 2009 the State of Florida worker's compensation provider is
OptaComp. Program Participants who are engaged in worksite activities for the
Workforce Investment Act (WIA), Welfare Transition, and Supplemental Nutrition
Assistance Program (SNAP) are covered by the state worker's compensation policy and
should report all work related injuries or illness(es) to OptaComp at 1-877-518-2583.
22. CSOW shall provide assistance to the Training Site Employer in the event that issues are identified or
need to be addressed with the participant.
23. CSOW shall provide the Training Site Employer with participants that have demonstrated consistent work
habits to include attending work readiness workshops, arriving to appointments on time and showing
initiative for employment opportunities and/or career exploration.
CareerSource Okaloosa Walton, February 10, 2014
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TRAINING SITE SAFETY
24. Training Site Employer shall ensure the participant is provided with relevant safety instructions and safety
equipment necessary for reasonable protection against injury and damage. Where special clothing or
equipment is provided to the Employer's regular employees, the participant shall be provided the same
type of clothing and equipment. Local, state and applicable Federal health and safety standards shall be
observed.
26. Training Site Employer agrees to notify CSOW immediately of any accidents, special situations or
unusual occurrences.
TRAINING SITE MONITORING
26. Training Site Employer agrees to permit monitoring and evaluation of the Work Experience site by CSOW
staff, state and/or federal officials as shall be necessary to monitor the worksite.
ACvinf.'.,.NAL TERMS
::'t Te; •:.ttiorl for Convenience: I he GSM or Training Site Employer may tei minate this Agreement
upon notice to the other party. Failure to comply with any of the terms and conditions of this Agreement
shah constitute grounds for termination.
28. Hold Harmless: The Training Site Employer shall hold harmless CareerSource Okaloosa Walton from
any and all liabilities and claims of any kind connected with the operations or the services of the Employer,
his or her agents, representatives or employees. The Training Site Employer assumes responsibility for
any adverse liabilities emanating from any complaint or non-compliance or fraud and abuse found against
the Employer.
29. Non -Discrimination: The Training Site Employer agrees that no participant will be discriminated against
in selection of assignment of duties on the basis of race, color, sex, disability, and national origin, religious
or political belief; the Training Site Employer shall not discriminate against any participant on the basis of
disability and shall provide reasonable accommodations for persons with disabilities.
30. The Training Site Employer agrees when issuing statements, press releases, and other documents
describing the work experience project funded in whole or in part by CareerSource Okaloosa Walton, shall
clearly state: "The work training opportunity was funded in whole or in part by CareerSource
Okaloosa Walton."
31. The Training Site Employer certifies that the work experience will not impair existing agreements for
services or collective bargaining agreements and that either it has the concurrence of the appropriate labor
organization as to the design and conduct of the work experience; or it has no collective bargaining
agreement with a labor organization that covers the training.
32. The Training Site Employer agrees that conditions of the work experience and training will be in full
accordance with all applicable federal, state, and local laws and ordinances (including but not limited to
anti -discrimination, labor and employment laws, environmental laws or health and safety laws; mandatory
standards and policies relating to energy efficiency which are contained in the State of Florida's Energy
Conservation Plan).
33. The parties agree that this Agreement is the complete expression of its terms. Any oral representations or
understanding not incorporated herein are excluded.
CareerSource Okaloosa Walton, February 10, 2014
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Section 4: Signatures
I hereby agree to all the terms and conditions in this Work Experience Training Agreement.
Authorized Signatures:
**********************************************************************************
The Employer agrees to document the skills learned by the trainee on an ongoing basis and
throughout the training period and agrees to have this documentation available for review upon
request.
Worksite Supervisor Signature: _ �_�_- _- Date: & ( 141j t Li --
Printed Name: PC ` IL { A C� t' C- (.) C.,
Title: R -«-7r \. c_z_ -e_ c_ t--c) r
**********************************************************************************
CareerSource Okaloosa Walton Representative
Signature:
Printed Name:
kct
A—r)- +n S G(_ -F -ri
Date: 17 11
CareerSource Okaloosa Walton, February 10, 2014
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