ABAD, WFT and Community Worksite Agreement Form

Goodwill
Industries of Wayne and Holmes Counties, Inc.
NAME*
DATE*

MonthDayYear
Date
I agree to do a work assessment at
The assignment will last from
until
My Supervisor will be
I understand that I will perform the following tasks if I work in Goodwill retail: 1. General cleaning 2. Putting away clothes 3. Straightening the sales floor 4. Dressing Room Attendant 5. Sorting and processing of clothing and wares 6. Assisting with donor door I understand that I will perform the following tasks if I work in Goodwill Industrial Services: 1. Light Assembly 2. Quality Inspections on own product In both instances, I will need to be able to lift to 50 pounds and stand for long periods of time. I understand that I will perform the following tasks if I work at a site/job other than those listed:
I understand that I will perform the following tasks if I work at a site/job other than those listed
I will need to adhere to all policies and procedures, as outlined in the Personnel and Consumer Manual (which were presented to me at Orientation If I do not follow the rules, I could be disciplined up to and including termination from the worksite or in extreme situations, termination from the program.
Signature*

Clear
Date*

MonthDayYear
Date
Witness
Date

MonthDayYear
Date
Witness' printed name and job title
Should be Empty:

Goodwill