1 WORK-BASED LEARNING PROGRAMS FORMS AND PROCEDURES Susan Gubing, SUNY Oswego

Job Satisfaction

BEFORE 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.

BEFORE YOU PLACE A STUDENT Record student’s Social Security number. Review student’s “Program Enrollment” form.

BEFORE YOU PLACE A STUDENT Review student’s “Career Planning” and or IEP document. Review student’s current activity plans. ( Clubs, sport teams, family vacations.)

BEFORE 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.

BEFORE 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.

Thinking about retirement?

WITH THE EMPLOYER Before You Place the Student Meet with the employer to discuss: Training plan. Safety considerations. Pay, hours, days, etc. Insurance coverage.

WITH THE EMPLOYER Before 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.

WITH THE EMPLOYER Before 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.

Many jobs come with benefits!

NOW YOU ARE READY TO PLACE THE STUDENT Arrange for interview. Keep in close contact with employer. Determine start date. Obtain signed “Memorandum of Agreement” along with Training Plan.

WHEN STUDENT BEGINS TRAINING All parties (parents, student, employer and WBL Coordinator should possess: “Emergency Contact Information” Training Plan and Memorandum of Agreement

WHEN 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:

ESSENTIAL ELEMENTS OF FORMS School name and logo Program name Name of form Coordinator’s name Address, phone, fax, website, address.

ESSENTIAL 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

ESSENTIAL 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

19 Sample Forms

ENROLLMENT 1. Personal information 2. School schedule/transcript data 3. Teacher recommendation 4. Parent contact information

ENROLLMENT 5. Career interests/plans 6. Skills, previous work experience 7. Program rules 8. Student’s responsibilities 9. Civil Rights Statement

PARENTAL PERMISSION 1. Give permission to participate in program. 2. Acknowledges form of transportation. 3. Medical authorization. 4. Photo release

PARENTAL PERMISSION 5. Labor laws/prohibited occupations. 6. Parent contact information 7. 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.

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

TRAINING PLAN Contract parties Work Schedule Student career goals List of training tasks Training time Area for evaluation Safety Training Dress and Behavior Code

DRIVING/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.”

Additional Forms Time Cards Student Evaluations Marketing Brochures Business Cards

Thank you! Questions? Susan Gubing –

REGIONAL RESTRICTIONS FOR A 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.”

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.