Mcleod County Jail Work Release Entrance Form (Page 4 of 5) in pdf

Mcleod County Jail Work Release Entrance Form Page 4

MCLEOD COUNTY JAIL

EMPLOYER WILLINGNESS TO PARTICIPATE

Name o f Employee:

Name o f company/employer:

Address o f company:

Name o f Supervisor:

Title:

Phone: (

)

Hourly Wage:

H o w often paid:

Length o f Employment:

Regular hours o f work:

Regular days o f work:

Job site where employee w i l l be working:

I understand that this individual w i l l be participating in the M c L e o d County W o r k Release

Program. He/She is authorized to go directly to his/her place o f work and return directly to

M c L e o d County Jail after completing work.

J f there is to be driving during the course o f

employment, any change in job site must be reported prior to the individual changing job sites. I

so understand it is the responsibility o f the individual not the employer to notify the program

office. I agree to cooperate with the M c L e o d County Jail and its designee by allowing on-site

work attendance verification which w i l l be performed by a M c L e o d County S h e r i f f s employee.

I also understand that the individual must turn i n weekly time verification in the form o f a time

card which must be signed by his/her supervisor. A n y changes to schedule must be turned in by

Thursday.

Signature o f supervisor/employer

Date

Employer: I f you have any questions or comments please contact the Jail Program Coordinator

at: (320) 864-1347

Mcleod County Jail Work Release Entrance Form Page 4