Www.nysweca.org 1 WORK-BASED LEARNING PROGRAMS FORMS AND PROCEDURES Susan Gubing, SUNY Oswego

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WORK-BASED LEARNING WORK-BASED LEARNING PROGRAMSPROGRAMS

FORMS AND FORMS AND PROCEDURESPROCEDURES

Susan Gubing, SUNY OswegoSusan Gubing, SUNY Oswego

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Job Satisfaction

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BEFORE YOU PLACE A STUDENTBEFORE YOU PLACE A STUDENT

Verify program enrollment or teacher recommendation.

Obtain signed “Parental Permission” form.

Photo copy the student’s Employment Certificate and Driver’s License.

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BEFORE YOU PLACE A STUDENTBEFORE YOU PLACE A STUDENT

Record student’s Social Security number.

Review student’s “Program Enrollment” form.

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BEFORE YOU PLACE A STUDENTBEFORE YOU PLACE A STUDENT

Review student’s “Career Planning” and or IEP document.

Review student’s current activity plans. (Clubs, sport teams, family vacations.)

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BEFORE YOU PLACE A STUDENTBEFORE YOU PLACE A STUDENT

Review student’s resume and/or Employability Skills Profile.

Verify “Safety Training” instruction.

Discuss the training parameters: Days, hours, tasks, duration, pay.

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BEFORE YOU PLACE A STUDENTBEFORE YOU PLACE A STUDENT

Discuss transportation issues. Using a street map, map the

travel route with the student. Verify “Pre-employment”

lessons have been completed. Job application, calling employer,

dressing for interview, interview techniques, etc.

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Thinking about retirement?

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WITH THE EMPLOYERWITH THE EMPLOYERBefore You Place the StudentBefore You Place the Student

Meet with the employer to discuss: Training plan. Safety considerations. Pay, hours, days, etc. Insurance coverage.

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WITH THE EMPLOYERWITH THE EMPLOYERBefore You Place the StudentBefore You Place the Student

Meet with the employer to discuss: The “culture” of the company. Memorandum of Agreement Student evaluation form and

procedures. Long term plans for this

training site.

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WITH THE EMPLOYERWITH THE EMPLOYERBefore You Place the StudentBefore You Place the Student

Meet the student’s supervisor.

Tour site – look for hazardous situations.

Invite CTE teacher to view the job site and meet the employer with you.

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Many jobs come with benefits!

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NOW YOU ARE READY TO PLACE NOW YOU ARE READY TO PLACE THE STUDENTTHE STUDENT

Arrange for interview. Keep in close contact with

employer. Determine start date. Obtain signed

“Memorandum of Agreement” along with Training Plan.

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WHEN STUDENT BEGINS TRAININGWHEN STUDENT BEGINS TRAINING

All parties (parents, student, employer and WBL Coordinator should possess:

“Emergency Contact Information”

Training Plan and Memorandum of Agreement

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WHEN STUDENT BEGINS TRAININGWHEN STUDENT BEGINS TRAINING

“New York State Labor Laws

List of “Prohibitive Occupations”

Procedures for terminating agreement.

All parties (parents, student, employer and WBL Coordinator should possess:

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ESSENTIAL ELEMENTS OF FORMSESSENTIAL ELEMENTS OF FORMS

School name and logo Program name Name of form Coordinator’s name Address, phone, fax,

website, email address.

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ESSENTIAL ELEMENTS OF FORMSESSENTIAL ELEMENTS OF FORMS

Signature area – printed and script.

Dates, titles. Sufficient space to insert

information. School name on each page. Page numbers

1 of 3 pages

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ESSENTIAL ELEMENTS OF FORMSESSENTIAL ELEMENTS OF FORMS

One page forms are the best.

Run back-to-back if form is two pages.

District review? Verify signatures Civil Rights Statement

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Sample FormsSample Forms

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ENROLLMENTENROLLMENT

1. Personal information

2. School schedule/transcript data

3. Teacher recommendation

4. Parent contact information

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ENROLLMENTENROLLMENT

5. Career interests/plans

6. Skills, previous work experience

7. Program rules

8. Student’s responsibilities

9. Civil Rights Statement

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PARENTAL PERMISSIONPARENTAL PERMISSION

1. Give permission to participate in program.

2. Acknowledges form of transportation.

3. Medical authorization.

4. Photo release

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PARENTAL PERMISSIONPARENTAL PERMISSION

5. Labor laws/prohibited occupations.6. Parent contact information7. Termination from program.8. Civil Rights Statement

ABC programs and policies are consistent with pertinent federal and state laws and regulations and prohibit discrimination in its programs, activities and employment on the basis of race, color, national origin, gender, religion, age, disability, political beliefs, sex, sexual orientation, or veteran's, marital or family status.

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MEMORANDUM OF MEMORANDUM OF AGREEMENTAGREEMENT

Contract parties. Employer agrees…. School agrees…. Student/parent agrees… Civil Rights Statement

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TRAINING PLANTRAINING PLAN

Contract parties Work Schedule Student career goals List of training tasks

Training time Area for evaluation

Safety Training Dress and Behavior Code

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DRIVING/TRANSPORATIONDRIVING/TRANSPORATION

Nassau and Suffolk Counties – Junior Driving License.

Motor Vehicle form MV 287 or MV58 School stationery – verifies student is

enrolled in state approved program. Student must drive “alone.”

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Additional FormsAdditional Forms

Time Cards Student Evaluations Marketing Brochures Business Cards

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Thank you!Questions?

Susan Gubing – sue@careersmarts.com

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REGIONAL RESTRICTIONS FOR REGIONAL RESTRICTIONS FOR A JUNIOR LICENSEA JUNIOR LICENSE

“You may drive alone only directly between your home and employment, a work-study program, a course at a college, university, or registered evening high school, a driver education course, or while engaged in farm employment.”

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Driving …. "School Course" means instruction, education or training

that is licensed or approved by a state agency or department, or training conducted by the U.S. Armed Forces. The term "school course" does NOT include extracurricular activities, sports or social events for which no scholastic credits are given.

"Employment" means a place of business at which you are paid to work on a regularly scheduled basis. You may NOT drive during work or as part of your work duties, such as for deliveries.