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Senior Community Service Employment Program Job Description Form, Work Agreement Template - Alaska Commission On Aging Page 2

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

C:\WINDOWS\TEMP\work agreement.doc

Senior Community Service Employment Program Job Description Form, Work Agreement Template - Alaska Commission On Aging Page 2