Arizona Employment Agreement by lwa19935

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									JA-085-FF (4-04)                      ARIZONA DEPARTMENT OF ECONOMIC SECURITY
                                           Employment Administration  Jobs Program
                                      JOBSTRT EMPLOYMENT AGREEMENT
                                                     I. THE AGREEMENT
This agreement is entered into between the Arizona Department of Economic Security (DES), hereafter called the Sponsor, and


                   Name of Business                                    Type of Business                 Federal ID No. or Owner’s Soc. Sec. No.

hereafter referred to as the Employer, to provide subsidized employment, work experience training, and opportunities for unsubsidized

employment under the JOBSTRT Program to                                                   as
                                                             Jobs Participant’s Name                              Job Title


                                             II. EMPLOYMENT SPECIFICATIONS
A. BRIEF DESCRIPTION OF DUTIES




B. START DATE                                HOURS PER WEEK                               HOURLY WAGE


C. PAY CYCLE                                 DAY OF WEEK                                  FIRST PAY DATE


                                                III. EMPLOYER’S AGREEMENT
The Employer agrees to:
A. Offer job openings that have a reasonable possibility of becoming full-time, unsubsidized positions.
B. Neither fill previously announced positions with JOBSTRT participants or displace any current employed part-time, full-time
   or laid-off regular employee or position (including partial displacement such as a reduction in the hours of non-overtime work,
   wages, or employment benefits); or replace persons who have been laid off or terminated by the Employer or when the Employer
   has otherwise reduced its work force; or infringe upon promotional opportunities of current employees
C. Do nothing to impair existing contracts or collective bargaining agreements.
D. Employ JOBSTRT participants for no more than 40 hours of subsidized employment per week with the understanding that the
   state will not subsidize overtime.
E. Pay wages that are substantially like those paid for similar jobs, with appropriate adjustments for experience and training, but at
   least the federal minimum hourly wage.
F.   Maintain health, safety, and working conditions at or above levels set by the labor laws of Arizona, the federal government, those
     generally accepted by the industry, and no less than that of comparable jobs offered by the Employer.
G. Notify and assist JOBSTRT participants regarding the federal Earned Income Tax Credit (EITC).
H. Provide workers’ compensation coverage for JOBSTRT participants.
I.   Apply Employer’s new employee rules regarding health care coverage, benefits, sick leave, and holiday and vacation absences to
     JOBSTRT participants.
J.   Allow JOBSTRT participants time off (without compensation) if requested to appear for Division of Child Support
     Enforcement proceedings.
K. Repay DES JOBSTRT reimbursements in the event of any violation of this agreement or JOBSTRT project rules.
L. Not employ any JOBSTRT participants with whom the Employer may have a conflict of interest.
M. Maintain records and prepare reports on the JOBSRT employees as prescribed by the Sponsor.
N. Allow the Sponsor to visit the premises, observe conditions and activities, and interview the JOBSTRT employee at a mutually
   agreed upon date and time.
JA-085-FF (4-04)

                                                 IV. SPONSOR’S AGREEMENT
The Sponsor agrees to:

A. Provide a subsidy to the Employer equal to $400 per month or the actual gross wages paid whichever is less. JOBSTRT
   subsidies will be paid for up to six months. One three-month extension may be granted when a written request detailing the
   reason for the extension has been approved by the Sponsor.

B. Supply the Employer with the required forms and procedures for maintaining JOBSTRT employees’ records, and instructions
   on required reporting information.

C. Provide supportive services and Transportation-Related Expense (TRE) payments as required by the JOBSTRT employee(s).
                                               V. ADDITIONAL DECLARATIONS
This Agreement is subject to Title VI of the Civil Rights Act of 1964 and the regulations issued thereunder, and any service, financial
aid, or other benefits provided under this Agreement shall be provided without discrimination because of age, race, color, creed, sex,
handicap, or national origin.

This Agreement may be terminated by either party by giving written notice to the other party not less than five working days before
the intended termination date and is subject to A.R.S. § 38-511 regarding conflict of interest.
                                                         VI. SIGNATURES
EMPLOYER’S NAME                                                     SPONSOR ARIZONA DEPARTMENT OF ECONOMIC SECURITY JOBS PROGRAM


AUTHORIZED REPRESENTATIVE’S SIGNATURE          DATE                 AUTHORIZED REPRESENTATIVE’S SIGNATURE          DATE


PRINT/TYPE AUTHORIZED REPRESENTATIVE’S NAME                         PRINT/TYPE AUTHORIZED REPRESENTATIVE’S NAME


PRINT/TYPE AUTHORIZED REPRESENTATIVE’S TITLE                        PRINT/TYPE AUTHORIZED REPRESENTATIVE’S TITLE


EMPLOYER’S ADDRESS (No., Street)                                    SPONSOR’S LOCAL OFFICE ADDRESS (No., Street)


(City, State, ZIP)                       PHONE NO.                  (City, State, ZIP)                    PHONE NO.


JOBSTRT PARTICIPANT’S SIGNATURE                                                                                   DATE



Routing: Original – Case File; Copies – Regional Office, Employer, Participant




                                               Equal Opportunity Employer/Program

Under the Americans with Disabilities Act (ADA), the Department must make a reasonable accommodation to allow a
person with a disability to take part in a program, service, or activity. For example, this means that if necessary, the
Department must provide sign language interpreters for people who are deaf, a wheelchair accessible location, or
enlarged print materials. It also means that the Department will take any other reasonable action that allows you to take
part in and understand a program or activity, including making reasonable changes to an activity. If you believe that you
will not be able to understand or take part in a program or activity because of your disability, please let us know of your
disability needs in advance if at all possible. This document is available in alternative formats by contacting your local
Jobs office.

								
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