WEE Coordinator and Phone _____________________________________________________

WORK EXPERIENCE EDUCATION PROGRAM

___________________________	______________________________	_____ _____ _____

NAME OF HIGH SCHOOL	NAME OF STUDENT	S.S. #

The major purpose of this program is to provide valuable work experience for students. This agreement is made to show responsibilities of the parties concerned; name, student (or trainee), parent or guardian, employer, and work experience coordinator.

STUDENT WILL:

Enter the program to learn as much as possible about job information, skills, and attitude

keep regular required attendance

Complete and return all forms and reports when due

Consult the work experience coordinator before quitting or changing jobs

Attend the related instruction classes and complete all assignments

PARENT OR GUARDIAN WILL:

Authorize student’s enrollment

Assist the student in complying with the above statements for which he/she is responsible

Give permission for students 16 and 17 to work between 10:00 p.m. and 12:30 a.m. when necessary

WORK EXPERIENCE COORDINATOR WILL:

Make periodic visits to place of employment

Provide work experience class instruction

Assist student to improve his/her job performance and to help him/her solve job related problems

Assign a grade and grant credit based upon: a) successful job performance; b) completion of all related instruction assignments; and c) prompt submittal of all forms and reports

Award up to 10 credits per semester in 11th and/or 12th grade

EMPLOYER WILL:

Provide a continuing job, reserving the right to laminate employment for just cause

Pay at least the minimum wage with proper deductions

Retain a copy of a valid work permit (necessary for all students under 18 years of age).

Ensure responsible supervision of the working student in order that he/she may obtain maximum educational and occupational experience from the job

Adhere to all federal and state regulations employment child labor laws, and other applicable regulations

Prove, as required by law, worker’s compensation for all students receiving pay for work. California State Educational Code No. 5995

Periodically evaluate student’s progress

Describe student’s five most important job duties:

□ A) ___________________________________

□ B) ___________________________________

□ C) ___________________________________

□ D) ___________________________________

□ E) ___________________________________

Put an “X” in the boxes in front of the two job duties listed above when improvement is needed (if applicable).

Describe two new job duties that should be learned for a raise or a promotion (if applicable):

___________________________________________________________

___________________________________________________________

NON-DISCRIMINATION POLICY: The Julian Union School District shall permit no discrimination based on race, color, religion, sex, age, handicap, or national origin in any of its employment policies, programs, or practices.

X_____________________________ __________________ ____/____/____ X_____________________________

Employer’s Signature Phone Date Student’s Signature

____________________________________________ X_________________________________________

Name of Employer’s Place of Business Parent or Guardian’s Signature

____________________________________________ X_________________________________________

Address of Employer’s Business Coordinator’s Signature and Phone