TRAINING AGREEMENT FOR COOPERATIVE EDUCATION

TRAINING AGREEMENT FOR COOPERATIVE EDUCATION

Matthew Zampetti, Cooperative Education Coordinator
Student Name
Phone (cell)
Home School
Grade
CTC POS
Date of Birth

MonthDayYear
Date
Age
Work Permit #
Driver's License#
Parent/Guardian
Home Phone#
Address

Street Address Line 2

CityState / Province

Zip code
Company name
Supervisor's Name
Employer Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Employer Phone #
Worker's Compensation Insurance Co./ Agent
Insurance Agent Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Policy #
Phone #
Approx. Number of Hours per Week
Employment Date (start)

MonthDayYear
Date
Ending Date

MonthDayYear
Date
Career Objective
EMPLOYER/TRAINING RESPONSIBILITIES:

The Employer/Training site will adhere to all State and Federal regulations regarding safe working environment and conditions, employment, child labor laws, minimum wages and workers' compensation,other responsibilities include: 1. The student will be given a variety of work assignments and be supervised by an experienced person. 2. A periodic evaluation of job progress will be made by the training supervisor on a rating for provided by the school. 3.The training supervisor will arrange a conference with the coordinator when training arises. 4.Training sponsor will provide a necessary safety instruction throughout student training period. 5.Employer/training site will not employ a student-learner to displace a regular worker. 6. Exposure to hazardous work will be incidental to the student learner's training and not be part of the student learner's training program. 7. The employer is not liable to the unemployment compensation fund for wages paid to the student while under the training program. This is provided in Section 4 (1) (4) (10) (C) of the Pennsylvania Unemployment Compensation Law.
STUDENT-LEARNER RESPONSIBILITIES:
1.The student learner agrees to perform the assigned duties in a loyal manner and work to the best interest of all concerned. 2.The student learner agrees to report job problems to the training Supervisor and cooperative education coordinator. 3.The student learner will adhere to company policy; employment may be terminated for the same reasons as a regular employee. 4.The student learner must be regular in attendance at school and on the job. If unable to report to work the student learner will notify the employer and cooperative education coordinator before the start of the normal work day. 5.The student learner's employment will be terminated upon withdrawal from school. 6.The student learner will report to school for designated meetings and related instruction. 7.The student learner will follow school rules at work and school sites. Violation of school policies will lead to disciplinary action, which may include termination from employment.
SCHOOL RESPONSIBILITIES:

1. The student learner will receive related instruction and safety instruction from occupational instructor or cooperative education coordinator prior to job placement. 2. The cooperative education coordinator will visit the student and training supervisor on a regular basis at the training site. 3. The cooperative education coordinator will investigate the compatibility of job circumstances with requirements for student attainment of advanced standing in an apprenticeship program upon graduation from high school. 4. The school will maintain signed copies of written training agreement and plan for each student The program is under the direct supervision of a certified cooperative education coordinator. 5. Participating in the program for three years from the date of enrollment in the program. 6. Student transportation, insurance, and attendance at the school and work will be covered by school policy.
This memorandum is for the purpose of outlining the agreement between the school and employer on the conditions of training to be given a student while on the Job. We, the undersigned agree to the conditions and statements in this agreement.
Student Signature

Clear
Date

MonthDayYear
Date
Employer Signature

Clear
Date

MonthDayYear
Date
Parent Signature

Clear
Date

MonthDayYear
Date
Co-op Coordinator Signature

Clear
Date

MonthDayYear
Date
Asst. Director Signature

Clear
Date

MonthDayYear
Date
Guidance Office Signature

Clear
Date

MonthDayYear
Date
Program Instructor Signature

Clear
Date

MonthDayYear
Date
Sending School Admin. Signature

Clear
Date

MonthDayYear
Date
Should be Empty:

TRAINING AGREEMENT FOR COOPERATIVE EDUCATION

STUDENT-LEARNER RESPONSIBILITIES:

This memorandum is for the purpose of outlining the agreement between the school and employer on the conditions of training to be given a student while on the Job. We, the undersigned agree to the conditions and statements in this agreement.