ContractWork Experience Referral Agreement • October 29th, 2013
Contract Type FiledOctober 29th, 2013STATE OF WASHINGTONBASIC FOOD EMPLOYMENT AND TRAINING (BFE&T) PROGRAMWork Experience (WEX) Referral AGREEMENT NUMBER COMMUNITY SERVICES OFFICE NUMBER PARTICIPANT’S NAME SOCIAL SECURITY NUMBER The participant named above is referred to the designated work experience project established with the WEX agency indicated below: WEX AGENCY’S NAME TELEPHONE NUMBER (INCLUDE AREA CODE) WEX AGENCY’S ADDRESS PROJECT LOCATION PROJECT SUPERVISOR’S NAME This assignment will begin at TIME a.m. p.m. on DATE Project Description 1. JOB TITLE 2. HOURS PER WEEK 3. TOTAL WEX PROJECT HOURS WEEKS 4. PROJECT END DATE 5. PARTICIPANT’S OCCUPATIONAL GOAL 6. NARRATIVE DESCRIPTION OF THE WORK EXPERIENCE PROJECT 7. WORK EXPERIENCE TRAINING OBJECTIVES 8. DESCRIBE SUPERVISION TO BE PROVIDED 9. WEX AGENCY REPRESENTATIVE’S SIGNATURE 10. BFE&T REPRESENTATIVE’S SIGNATURE PRINT NAME PRINT NAME TITLE DATE TITLE DATE