SENIOR COMMUNITY SERVICE EMPLOYMENT PROGRAM
JOB DESCRIPTION
Complete all information and use reverse side for additional information. Work assignment
description must be signed and dated by Supervisor and by Enrollee, who receives a copy.
Agency Name
_________________________
_________________
________
_______
Address
City
State
Zip
_________________________________
___________________________
Location if different from above
Authorized Hours per week
1. Training assignment summary: (What is the overall purpose of the job?)
2. Tasks to be preformed by Trainee: (List in order of importance)
3. Entry-level qualifications needed for successful completion of assignment:
(Describe any special skill needed)
4. Specific orientation and training to be provided (Provide dates, anticipated
length of orientation and training be provided, subjects to be covered and
person(s)/organization providing training. Continue on back of this page if
necessary).
________________________
__________________________
Printed Name of Supervisor
Printed Name of Participant
________________________
__________________________
Supervisor’s Signature
Participant’s Signature
________________________
__________________________
Date
Date
C:\WINDOWS\TEMP\work agreement.doc