MISSOURI REHABILITATION SERVICES FOR THE BLIND

ON THE JOB TRAINING (OJT)

AGREEMENT

                                                                                      Date Begin _______________________________

                                                                                      Ending Date _____________________________ 

NAME OF EMPLOYER _______________________________________________________________

ADDRESS __________________________________________________________________________

CITY __________________________________________ STATE _____________________________

ZIP __________________________ TELEPHONE NUMBER ________________________________

INDIVIDUAL TO BE CONTACTED ____________________________________________________

The employer identified herein agrees to participate in the Missouri Rehabilitation Services for the Blind on-the-job training program by providing employment and training to:

NAME OF CONSUMER/TRAINEE _____________________________ SS# ____________________

ADDRESS __________________________________________________________________________

CITY _________________________ STATE __________________ ZIP ________________________

in accordance with the terms set out herein and in Attachment B, and the special provisions set out in the OJT PROVISIONS AND ASSURANCES, Attachment A, which terms and special provisions shall be considered part of this agreement.

Missouri Rehabilitation Services for the Blind represented by the Counselor for the Blind executing the agreement,

NAME OF COUNSELOR ______________________________________________________________

ADDRESS __________________________________________________________________________

STATE ________________ ZIP ________________ TELEPHONE NUMBER  ___________________

and the employer named above mutually agree to participate in the Missouri Rehabilitation Services for the Blind on-the job training program in accordance with the terms and special provisions of this agreement.

______________________________________                ______________________________________

Employer                                                                               RSB Counselor

by ___________________________________                 by ___________________________________

           AUTHORIZED SIGNATURE                                                 AUTHORIZED SIGNATURE

______________________________________                ______________________________________

                     TYPED NAME                                                                    TYPED NAME

DATE SIGNED ________________________                DATE SIGNED ________________________

Attachment A

OJT PROVISIONS AND ASSURANCES

The items on this form shall be considered a part of attached agreement.

The occupation in which the consumer/trainee will be trained:  ____________________________________

____________________________________________________________________________________

I.   Concise outline of OJT.  Job tasks/Job duties:

            A. _________________________________________________________ Hours ____________

            B. _________________________________________________________ Hours ____________

            C _________________________________________________________ Hours ____________

            D _________________________________________________________ Hours ____________

            E. _________________________________________________________ Hours ____________

            F. _________________________________________________________ Hours ____________

II.  Specific behavioral/work goals for consumer/trainee:

            A. ______________________________________________________Timeframe ____________ 

            B. ______________________________________________________Timeframe ____________ 

            C. ______________________________________________________Timeframe ____________ 

            D. ______________________________________________________Timeframe ____________ 

            E. ______________________________________________________Timeframe ____________ 

            Counselor Review Schedule (Dates) ________________________________________________

III  Wages to be received by the consumer/trainee (check one):

            Hourly _______    Weekly _______    Monthly _______           Amount $___________________

            Employer’s reimbursement from Missouri Rehabilitation Services for the Blind (check one):

            Hourly _______    Weekly _______    Monthly _______           Amount $___________________

            Other arrangements:  ____________________________________________________________

            ______________________________________________________________________________

            (Use back of sheet if necessary)

Attachment B

OJT

TERMS OF AGREEMENT

This agreement shall be binding on the parties for a term commencing on the begin date and terminating on the ending date, which dates are indicated on page one (1).  Furthermore, although continued employment of the consumer/trainee beyond the ending date is a desired outcome of the on-the-job training, this agreement does not require the employer to make such a commitment.

In return for entering into this agreement, Missouri Rehabilitation Services for the Blind promises: 

A.        to reimburse the employer for training per the terms of the agreement.

B.         to provide consultation and support to the consumer/trainee and employer on a regular basis.

C.        to provide additional support or consultation on an as needed basis per the request of the

            consumer/trainee or employer.

In return for entering into this agreement, the employer promises to:

1.         provide a meaningful on-the-job or work experience of 20 hours weekly or more.

2.         provide monthly (or more frequent if needed and agreed upon) written progress reports which

            will state:

            a.  the training activities engaged in by the consumer/trainee during the report period.

            b.  the progress made by the consumer/trainee in each work activity; as measured by production

            reports or supervisory ratings or judgments.

3.         pay wages to the consumer/trainee at least to the level of the applicable state or federal minimum

            wage but not less than the prevailing wage paid to other employees within that class and

            geographic area.

4.         provide the consumer/trainee the same working conditions, hours worked, and employee benefits

            (e.g. overtime, sick leave, work breaks, etc.) as other similar employees.

5.         shall pay the consumer/trainee wages for work produced when due on regularly scheduled paydays.

The employer and Missouri Rehabilitation Services for the Blind agree that the consumer/trainee shall be subject to the same rules and regulations that govern other employees.  It is agreed that the employer retains the right to terminate the OJT agreement if the consumer is not making satisfactory progress, is disruptive to the work site, or if the employer-employee relationship is so poor as to make the training or work experience meaningless.  However, the employer shall give Rehabilitation Services for the Blind at least five days notice prior to termination.

Additional agreements, outside of those set forth in this document, between the employer, the consumer/trainee, or the Rehabilitation Services for the Blind counselor will require supervisory approval from Rehabilitation Services for the Blind prior to inclusion within this agreement.