EDUCATIONAL TRAINING AGREEMENT

School

Student Name

Parent/Guardian Name

Employing Company Name

Employing Company Address

Employing Company Supervisor’s Name

Work Phone Number

Work-Based Learning Instructor’s Name

The Student Agrees:

1.   To be at least 16 years of age and to have a Social Security number.
2.  To secure a work-permit if under 18 years of age and to file a copy with the school office, state Department of Labor, and the employer. Work permits can be obtained from the school office and must be documented with a birth certificate.
3.   To assist the Work-Based Learning Instructor in finding an appropriate employment position related to the career focus area of the program and the career objective of the student.
4.   To provide transportation to and from work.
5.   To leave campus immediately after 6th period and not return without approval of the WBL Instructor.
6.   To attend school and work regularly and not go to work without first going to school, or go to school without going to work, unless previously discussed with the Work-Based Learning Instructor. Failure to adhere to this part of the agreement may result in the student receiving appropriate academic and/or

Instructor should be notified as soon as possible.
7.   To discuss all aspects of the employment with the Work-Based Learning Instructor and the worksite supervisor—not with other students, coworkers, etc.
8.   To join the CTSO (DECA, FBLA, Skills, etc.)  in my pathway and to participate in local, regional, and state meetings, activities, and conferences.
9.   To represent the school and employer by demonstrating honesty, punctuality, courtesy, and a willingness to learn. If the student is dismissed from employment due to negligence or misconduct, proved by school investigation, the student will be dropped from the Work-Based Learning program and not receive academic credit.
10. To work a minimum of  5 hours a week for one work release period; or 10 hours a week for two work release periods.
11. To make employment changes only with the approval of the Work-Based Learning Instructor. The Work-Based Learning Instructor reserves the right to change the student’s employment situation if necessary.
12. To be evaluated by the work-based learning Instructor and the Work-Based training supervisor a minimum of once per grading period.
13. To be aware that employment in the Work-Based Learning program does not necessarily qualify a student to receive unemployment compensation.
14. To submit to the Work-Based Learning Instructor a weekly record indicating activity engaged in at the worksite and total hours and salary earned during the week.
15. To promptly turn in all pay stubs.
16. To allow the release of student records regarding academic performance, attendance, and discipline for the purpose of employment and program follow-up.

The Parents/Guardian of the Student Agree:

1.   To encourage the student to carry out effectively his/her duties and responsibilities at both the school and place of employment.
2.   To assume responsibility for the conduct and safety of the student from the time he/she leaves school until he/she reports to work; likewise, from the time he/she leaves his/her job until he/she arrives home.
3.   To make inquires concerning the student’s training, wages, or working conditions through the work- based learning Instructor rather than directly to the employer.
4.   To understand that the student must attend school and work regularly and not go to work without going to school, nor go to school without going to work unless previously approved by the Work-Based Learning Instructor.
5.   To offer assistance to the Work-Based Learning Instructor, serve as a resource person, and/or aid in other ways that could benefit the school and the student.
6.   To allow the release of student records regarding academic performance, attendance, and discipline for the purpose of employment and program follow-up.

The Employer/Worksite Supervisor Agrees:

1.   To provide a variety of work experiences for the student that contributes to the attainment of his/her career objective.
2.   To employ the student for at least 5 hours per week during the academic year.

origin, sex, and handicap  in  recruitment,  hiring,  placement,  assignment  to  work  tasks,  hours  of employment, levels of responsibility, and pay.
4.   To provide instructional materials and occupational guidance to the student.
5.   To evaluate the student, in consultation with the Work-Based Learning Instructor, a minimum of once per grading period.
6.   To adhere to all federal and state regulations including child labor laws and minimum wage regulations.
Students employed through a  work-based  learning  program  are  not  eligible  for  unemployment compensation.
7.   To adhere to income tax and Social Security withholding regulations.
8.   To provide time for consultation with the work-based learning Instructor concerning the student and to discuss with the work-based learning Instructor any difficulties that may arise.
9.   To inform the Work-Based Learning Instructor before any disciplinary action is taken in regard to the employment of the student.

The Work-Based Learning Instructor Agrees:

1.   To assist in the academic and occupational instruction of the student.
2.   To conduct supervisory visits to the student’s place of employment.
3.   To render assistance with educational and training problems of the student.
4.   To assist the work-based training supervisor in an evaluation of the student’s performance a minimum of
once per grading period.
5.   To maintain records pertinent to the student, the employer, and the school.

I have read the above agreement and will carry out the responsibilities delegated to the best of my ability.

Student Signature	Date

Parent/Guardian Signature	Date

Employer Signature	Date

Work-Based Learning Instructor Signature	Date