E6178.1
Student’s
Name
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Birth Date
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Age
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Student’s
Address |
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Telephone
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School |
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Telephone
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Training
Station |
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Telephone
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Address of
Training Station |
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Training
Supervisor |
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Position
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Dates of
Training Period: |
From: |
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To: |
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Average Number
of Hours of Training: |
Per Day
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Per Week
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Career
Objective |
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Training shall be
in accordance with the attached training plan which becomes a part of this
agreement.
The STUDENT-LEARNER considers this training experience as
contributing to his/her career objectives and agrees:
1. To be regular in attendance, both in school and on the training
site.
2. To perform training station responsibilities and classroom
responsibilities in an efficient manner.
3. To show honesty, punctuality, courtesy, a cooperative attitude,
proper health and grooming habits, appropriate dress, and a
willingness to learn.
4. To conform to the rules and regulations of the training site.
5. To furnish the cooperative vocational education teacher with
necessary information about his/her training program.
6. To consult the cooperative vocational education teacher about
any difficulties arising at the training station.
7. To participate in those co-curricular school activities that
are required in connection with the program.
The PARENTS of the student-learner, realizing the importance of
the training program in the student-learner’s attaining his/her career
objectives, agrees:
1. To encourage the student-learner to carry out effectively
his/her duties and responsibilities.
2. To share the responsibility for the conduct of the
student-learner while training in the program.
3. To accept the responsibility for the safety and conduct of the
student-learner while he/she is traveling to and from the school, the
training station, and
his/her home.
The TRAINING-STATION,
recognizing that the training plan attached to and part of this
agreement is being followed and that close supervision of the student-learner
will be needed, agrees:
1. To provide a variety of experiences for the student-learner
that will contribute to his/her career objective.
2. To employ the student-learner for at least the minimum listed
number of hours each day and each week for the entire training period.
3. To adhere to all Federal and State regulations regarding
training, child labor laws, and other applicable regulation.
4. To assist in the evaluation of the student-learner.
5. To provide time for consultation with the cooperative
vocational education teacher concerning the student-learner and to discuss with
a teacher
any difficulties the
student-learner may be having.
6. To provide available instructional material and occupational
guidance for the student-learner.
7. To provide workman’s compensation insurance for the
student-learner.
The COOPERATIVE VOCATIONAL EDUCATION TEACHER, representing the
school, will coordinate the training program toward a satisfactory preparation
of the student-learner for his/her occupational career objective and agrees:
1. To see that the necessary and required related classroom
instruction is provided.
2. To make periodic visits to the training station to observe the
student-learner, to consult with the employer and training supervisor,
and to render any
needed assistance with training problems of the student-learner.
3. To assist in the evaluation of the student-learner.
Additional Comments:
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By |
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Training
Station Representative |
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Parent |
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Training
Supervisor |
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Student-Learner |
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Teacher
Coordinator |
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Date |
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The Central County Occupational
Center does not discriminate on the basis of race, color, national origin,
religion, sex, age or handicap in its educational programs and activities or employment
practices as required by Title VI of the Civil Rights Act of 1964. Title IX of the Educational Amendments of
1972, the Age Discrimination Act of 1975, Section 504 of the Rehabilitation Act
of 1973, and the Vocational Education Act of 1976.
TRAINING PLAN FOR
COOPERATIVE VOCATIONAL EDUCATION
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The |
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will permit |
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from the |
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Occupational
Center/Program to enter their establishment as a student learner under the
supervision of |
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for the
purpose of gaining competencies in the occupational area of |
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so that
the student may prepare for a career as a(n) |
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APPROXIMATE TIME |
COMPENTENCIES |
UNPAID OJT |
IN SCHOOL |
EVALUATION
CODE |
EVALUATOR’S
COMMENTS |
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EVALUATION
CODE. WRITE NUMBER OF APPROPRIATE RATING IN COLUMN:
(4) Skilled: Can
independently perform the skill (2)
Limited Practice: Additional
training for skill development (o)
Not observed/performed
(3) Moderately
Skilled: May require limited additional skill training (1) Exposure Only: Requires close supervision to perform this required
s