CAREER JUMP WORKSITE AGREEMENT This agreement between Click here to enter text., the EMPLOYER, and TRAC Associates, the AGENCY, is entered into for the purpose of providing training in accordance with the requirements of the Department of Commerce. The purpose of TRAC Associates is to establish a mutually beneficial program matching an unemployed individual in need of job training with an employer willing to provide the needed training and continued employment. The individual is to receive specific, practical on-site training while earning wages and working toward becoming an employee of the EMPLOYER providing the training. The EMPLOYER can participate in the direct design and conduct of a specific training program for the individual while TRAC Associates pays for the extraordinary costs associated with the training of the individual during the contract period. The EMPLOYER agrees to train in the individual in accordance with the training outline in Section 4, Training Outline. The EMPLOYER agrees to hire this individual as his or her own employee upon satisfactory completion of the training. (See attached Intent to Hire form) The TRAINEE will be certified eligible for the program by the AGENCY. The AGENCY has also determined there is a legitimate need for the training. The EMPLOYER agrees not to place the TRAINEE into employment prior to the contract start date or before this agreement is signed by both parties. AGENCY NAME: Click here to enter text. EMPLOYER NAME: Click here to enter text. ADDRESS: Click here to enter text. ADDRESS: Click here to enter text. CITY, ST, ZIP: Click here to enter text. CITY, ST, ZIP: Click here to enter text. PHONE #: Click here to enter text. PHONE #: Click here to enter text. FAX #: Click here to enter text. FAX #: Click here to enter text. CONTACT: Click here to enter text. CONTACT: Click here to enter text. NAME: Click here to enter text. TRAINEE INFORMATION JAS #: Click here to enter text. ADDRESS: Click here to enter text. PHONE #: Click here to enter text. JOB TITLE: Click here to enter text. DOT CODE: Click here to enter text. Section I. Employer Information a. Number of permanent regular employees (excluding owner): b. Industry, product or services: Click here to enter text. Total: Section II. Career Jump Program Training Dates Effective dates of this contract are from: Click here to enter text. to: Work Schedule: Mon: Sat: Hours per week: Tues: Sun: Weds: Thurs: Fri: Permanent Employment Start Date: Click here to enter text. Planned wage at permanent employment start date: Click here to enter text. Planned hours per week at permanent employment start date: Click here to enter text. Section III. Training Outline a. Job description or attach job description, (include specific basic or advanced skills, knowledge of specific tools, items of equipment, or procedures, licensing requirements and educational requirements). Use additional page, if necessary. Click here to enter text. b. TRAINING OUTLINE: list or describe each major area or task of position consistent with the job descriptions that are required before the TRAINEE can become a permanent employee. The listing should include specific required methods of performance or use of items of equipment. 1. MAJOR AREA/TASK Click here to enter text. 2. Click here to enter text. 3. Click here to enter text. 4. Click here to enter text. 5. Click here to enter text. c. OTHER EMPLOYER EXPECTATIONS: 1. Click here to enter text. 2. Click here to enter text. 3. Click here to enter text. 4. Click here to enter text. APPROX. TRAINING HOURS Total Hours: Section IV. Provisions, Agreements and Assurances a. TRAC ASSOCIATES, in accordance with the guidelines established by the State of Washington Department of Commerce agrees to: 1. Refer to the EMPLOYER an eligible TRAINEE who is in need of work experience, training, and mentoring as a part of their preparation for permanent employment. 2. Provide orientation and training to supervisors and employees prior to TRAINEE’S start date, which includes reviewing the Supervisor Handbook. 3. Provide face-to-face support, counseling, and follow up contacts with the TRAINEE and the supervisor, at least monthly, or more, as needed. 4. Provide the EMPLOYER and TRAINEE with orientation to our payroll system along with complete information on how and when payroll is to be completed and submitted. 5. Provide payment at minimum wage to the TRAINEE; according to the monthly schedule and the hours worked and provide worker’s compensation insurance coverage through the Washington State Department of Labor and Industries. 6. Include the TRAINEE on their quarterly earnings report to the Washington State Employment Security Department for hours worked and wages earned while TRAC Associates is the employer of record. b. The EMPLOYER agrees to: 1. Provide adequate supervision and training utilizing qualified personnel. 2. Provide an acceptable model of work behavior, emphasizing punctuality, responsibility, performance and appropriate dress with the TRAINEE. 3. Comply with all federal, state and local laws governing employment and civil rights. 4. Be responsible for keeping accurate time and attendance records which reflect the time actually worked by the TRAINEE. 5. Complete a monthly worksite evaluation for the TRAINEE and discuss participants progress with the designated TRAC Associates Employment Associate. 6. Notify the designated TRAC Associates Employment Associate in the event of any problems relating to the TRAINEE or any departure from the terms of this agreement. 7. Notify TRAC Associates if they’ve had a record of anti-union activities. 8. Complete the Worksite health and Safety Agreement with the TRAINEE prior to the placement at the host worksite. c. The TRAINEE agrees to: 1. Provide a Good Faith Effort toward accomplishment of the Training Task Outline, Job Description, Employer Expectations, and this TRAC Associates Worksite Agreement. 2. Attend all scheduled work shifts, be at work on time, take only regularly scheduled breaks, and follow other attendance policies and practices. 3. Participate in all formal and informal surveys, evaluation and other data collecting activities of TRAC Associates. 4. Abide by all EMPLOYER policies, procedures, and safety practices. 5. Contact their Supervisor and TRAC Associates Employment Associate if they are to be absent from a scheduled work shift and/or prior to terminating this Career Jump Worksite Agreement. d. It is further understood by all parties that: 1. The TRAINEE will work between 20-40 hours per week as indicated by this contract. The trainee will not work more than 40 hours per week at ANY time. 2. Time records will be verified mid-month and at the end of each pay period by the TRAINEE and the EMPLOYER, whose verifications will certify its accuracy. (The time for the TRAINEE’S lunch period will not be reported on the time record as time worked.) 3. The TRAINEE will not work on any state-recognized holiday while participating in the Career Jump program, but will be compensated for the hours scheduled to work that day. 4. In the event of an accident on the job involving a TRAINEE, which results in any degree of medical attention, the EMPLOYER will notify TRAC Associates immediately. 5. All parties with responsibilities in the operation of any activity covered by this agreement will not discriminate because of race, creed, color, religion, sex, age, national origin, marital or veteran status, sexual orientation and/or because of sensory, physical, or mental handicap or political ideology or any other legally protected status. Section V. Contract Operations a. Collective Bargaining Agreements/Contracts for Services – The EMPLOYER attests that no activities, work or training under this contract are in conflict with the terms and conditions of an existing collective bargaining agreement or contract are in conflict with the terms and conditions of an existing collective bargaining agreement or contract for services. The EMPLOYER further ensures that nothing under this contract shall impair any aspect of an existing collective bargaining agreement. b. Maintenance of Effort – The EMPLOYER shall ensure the following: 1. That no currently employed worker shall be displaced by any TRAINEE (including partial displacement such as a reduction in hours of non-overtime work, wages, or employment benefits). No jobs shall be created in a promotional line that will infringe in any way upon the promotional opportunities of currently employed individuals. 2. That no TRAINEE shall be employed or job opening filled: (a) when any other individual is on layoff from the same or any substantially equivalent job; or (b) when the employer has terminated the employment of any regular employee or otherwise reduced its work force with the intention of filling the vacancy so created by hiring a TRAINEE under a TRAC Associates worksite agreement. 3. That the EMPLOYER shall, at the time of occurrence, notify the AGENCY of any work stoppages involving labor disputes or any layoffs affecting regular employees. c. Modifications – Terms of the contract can only be changed through a formal modification and any changes requested or required shall be accomplished through completion of a modified TRAC Associates Worksite Agreement signed by both parties to the contract prior to the change occurring. Section VI. Concurrence a. When an apprentice or construction trade training or subsidized employment is to be provided by, or at the worksite of, an EMPLOYER whose employees are covered by a collective bargaining agreement, written concurrence must be obtained from local representative of the union or their designate before training begins. Union Name: Click here to enter text. Authorized Representative: Click here to enter text. Title: Click here to enter text. Signature: Click here to enter text. Date: Click here to enter text. Section VII. Signatures We agree to abide by the terms and conditions set forth in this agreement: a. Employer The EMPLOYER ensures that the person signing this document possesses the authority to commit the EMPLOYER to the terms of this agreement. Authorized Representative: Click here to enter text. Title: Click here to enter text. Signature: Click here to enter text. Date: Click here to enter text. b. Agency – TRAC Associates The AGENCY ensures that the designee signing this document possesses the authority to commit the AGENCY to the terms of this agreement. Authorized Representative: Click here to enter text. Title: Click here to enter text. Signature: Click here to enter text. Date: Click here to enter text. c. Trainee The TRAINEE agrees to abide by the terms of this agreement. Signature: Click here to enter text. Date: Click here to enter text.