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Work Experience Agreement Employee, Employer, Workforce Center This agreement is between the worksite employer, the work experience participant and the local Workforce Center and outlines the responsibilities of all parties in the operation and participation in a work experience opportunity offered by the Workforce Center.. Provisions for Termination of the Agreement for Non-Performance or Failure to Meet Any of the Requirements of the Agreement Define circumstances that may result in termination of the agreement and process for corrective actions Define circumstances under which immediate termination of the agreement will occur Identify the notification of termination period Assurances and Certifications: Comply with the regulations defined in the Fair Labor Standards Act, as well as any other pertinent federal, state, and local employment laws.. Print Worksite Supervisor s Name Signature Date Print Participant s Name Signature Date Print Workforce Representative s Name Signature Date TIME SHEET SIGNATURE CARD Worksite (business/employer) Name Worksite Street Address Worksite City, State, Zip Code The supervisor or designee is responsible for reviewing the timesheet to ensure accuracy in recording total hours work, along with providing information on progress..
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