Tuscola Transition Training Agreement
Work-Site Based Learning Paid Unpaid Work Activity Center Services
PUPIL INFORMATION
Name Address School (Last) (First) City
Home Phone Zip Code
Birth Date Social Security Number Age Grade
EMPLOYER INFORMATION
Business Name Address City Supervisor Zip Code Phone Number
EMPLOYMENT INFORMATION
Job Title Starting Wage General Job Duties Working Hours Date Employment Begins Average Hours per Day Date Employment Ends Maximum Hours per Week
See accompanying Training Plan for job tasks to be learned by the pupil.
Terms of the Agreement
The employment of the pupil will conform to all federal, State and local laws and regulations, including those that prohibit discrimination against any applicant or employee because of race, color, religion, age, national origin, sex, marital status, ancestry or handicap. The employer agrees to accept the pupil for purposes of receiving training and/or experience in the occupational area as related to the job title.
Further, the Employer/Supervisor Agrees to:
Provide a work schedule of sufficient length to develop competencies toward the occupation, complete a progress report for each marking period and not terminate the pupil before consultation with the school coordinator.
Further, the Pupil Agrees to:
Follow policies and procedures of the employer and school as well as complete assignments of the employer and school coordinator.
Approvals
We, the undersigned, agree to the conditions set forth in this Training Agreement:
Employer/Supervisor Teacher/Coordinator Student Parent
Date Date Date Date
School School Address City/State/Zip Code Telephone Number
Based upon Pupil Accounting Manual Form I-16 1997/Reviewed with 1998 Pupil Accounting Manual TISD 9/2005