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Home My WebLink AboutReel_0026A (2) EMPLOYMENT HISTORY (begLnnLng wLth Latest employment) A. Company Name: (n t" y? p S C 1 h C C A{ ar Phone: Address: (pn c ?a he e Nd ?? cLry r a1?2?c? Sta a Zip Job TLtLe:_ tSS^,LS'El\ .? Immediate Spvsr•,.:? 1 i¢ Dates Employed_:)Uj,,,4L h ? Salary.'3 Fro To BegLnnLng FLnaL Monthly SpecLfLc Duties: ,S l_\ a r , v ,g (? IA e S?4_on? e o ?l F^ r c? Iv San Phone:_ , {- ?)pn •....•.•••.••...•....•••.•••,.•..• B. Company Name_ Address. s y ate Zip Job TLtLe: aW h y?\ „\,1 ', ti„ Immediate Spvsr.:?r, ?? prhAh Dates Employed:kIL,,M<`rR4-` "^ M?'S(S- glary; From To O ^nL^R F•LnaL Monthly SpecLfLc Duties: f 7 12. _I TaLents or SpecLaL SkLLLs 13. Do you have any activLtLes, commLtments or responsLbLLLties that may prevent you from meetLng work attendance requirements: Yes" No )L --, Comments: 14. Do you have any handLcaps that may affect work performance whLch you feeL should be taken L t n o account Ln determining job placements: Yes NO x If yes, pLease expLaLn: 15. Do you have any problems Ln becoming Lawfully employed Ln this country because of L L v sa or mmigratLon status: Yes No X 16. Can you provide proof of citizenship, vLsa or aLLen registration number after being hired: Yes--Z_ No Comments: 17. Have you had experLence Ln the foLLowing: (a) CarryLng out varLng job situatLons Yes / No (b) Manual Labor Yes ?C No (c) OutsLde Work YesNo (d) Use of general. hand tools Yes X No ( -. (e) Use and maintenance of power saws Yes__No?< (f) D rLvLng truck Yes 2L No + _ _ (g) Operating smaLL equipment Yes _ (h) Had others work under your Lnstructions Yes < No (L) W orking with others and the public Yes_A No Comments on the above: 'f 18. Have you been convic a or have you served Lme Ln a correctional facility within the past seve (7) f n years, or any crLme which mLght have some bearLng on your quaLLfication and fitness to accept the dutLnes and responsibLLLties of the position for which you are appLy- Ln ? Y N g es o X If yes, pLease gLve details 19. PLEASE READ THE FOLLOVIING AND SIGN BELOW: 1 certify that aLL statements above are true and to the best of my knowled e 1 d t d g . un ers an that false statements shaLL be suffLcient ? cause for terminatLon. ?- ` i SLgnatur f AppLLcant ate -- f?orm I 300c L ' - J rt' rn, i C i t, „un IIBSERVTCE AGREE•TD7 PP?ticipant Name: ?l •c?l?c?nna? v ?- Soc. Sec. ,H: 53q-CoLI-1078 Unit o_' Service: W f1)C 812?1y(? END DATR: Start Date : 61301% Review Date: -7/g(, I Service Provider Contact Person & Phone Agency address Northwest Services Counc.1 ? ?SNn '85-5571 ence Street se ?? r\ Coo . P?bl ; '/ fi2+'c/xa? LJ ?k send, WA 9u'36n usc IaWq i SA59 a s ?p , • 0 Ac tivity/Action Cooperating Agency Weekly Schedule Start/End Date s V.k?rk Fsc?servencv ?2> aon C?• M-? -? -3 pn1 86- 251 1gb N Vccdzf&-+ia n Cm-) Q bf c orts 1 -40 C W v + y - C i 0 O p +, Workshops NSC _ 1 a b-P SCE CL S j I j . I her Actions R aired ecial Conditions Sup po live Services Provided , • Failure to attend workshops and appointments c work time. an result in loss of hours,or r I r 1 i I 1?CE 'GF=-:F. : - - PAGE. "_11.10 CBJECTIVE.S & OUTCUES BY C,-fi7- -NCY CAT2..GCRY 1 I certify that I have participated in the development of the above Service Agreement and understand its conditions and agree to comply with the content and objectives. RL-ther, I understand that failure to comply may terminate this Agreement. I have Attached: 'Job Des. _ Memo of Agreement _ OJT Contract _ School Curriculum Participant Personnel Policies _ VEP Curriculum _ Other (specify) Handbook C,U1 =E =`'CY CA'T'EGORY OBJECTIVES GAIN ACTUAL OU Ci'? DATE: ho. A. Maturity Skills Obtain satisfactory (5) rating on all work maturit} skills. Occupational Skills Become proficient at all tanks on job description. Pre-n-ployment Stills Complete all assigxr.cnts as requested. Participate and complete job search assignments. Educational ? r n EMPLOYMENT PROGRAM JOB DESCRIPTION f JOB TITLE: Vegetation Management WORK-SITE: Selected County WT: NS9.1nb-t_o10 Roads HOST AGENCY: Jefferson County NUMBER IN CREW: 8-10 Dept. Public Works ADDRESS: Courthouse WAGE: $3.35/hr, 40 hrs/wk Port Townsend, WA 98368 SUPERVISOR: William Arey SCHEDULE: 7:00 AM to 3:30'PM County Road Super. Monday thru•Friday PHONE NO.: 385-3505 or 385-0890 I. SUMMARY OF JOB t A. GENERAL Use of*manual"vegetation management techniques for the control of roadside vegetation. Testing theories f' o establishment of plant communities and validity of non-use of herbicides rv _ .. Involving cutting, pulling thinning of noxious vegetation. II. PERFORMANCE REQUIREMENTS A. OCCUPATIONAL JOB SKILLS 1. INITIALLY REQUIRED' Ability to take directions and criticism. Good eye-hand coordination. Use of basic gardening tools. 2. WILL BE LEARNED Skilled gardening techniques:. Plant identification and control methods. i B. WORK MATURITY SKILLS i 1. INTIALLY REQUIRED Ability to take supervision and criticism. Ability to tolerate a physically tedious task. 2. WILL BE LEARNED Work independently in recognizing and determining treatment for problem areas. Make effective aoberadt suggestions for innovative treatment. B. EDUCATIONAL SKILLS ' 1. Reading, writing, elementary math, reading roadmaps and estimation of footages. Identification of various plant species. C. WORK MATURITY SKILLS 1. Ability to take supervision and critisism. Ability to tolerate a physically tedious task. 2. Work independently in recognizing and determining treatment for problem areas. Make effective, coherant suggestions for innovative treatment. III. A. MATERIAL PROVISION No materials required. B. EQUIPMENT PROVISIONS Chain saws, hand saws, machete, provided by Department of Public Works. C. JOB SITE TRANSPORTATION NEEDED Transportation to job site provided by Department of Public - Works vehicle. Transportation to Hadlock Shop site not provided. s D. CONTINGENCY PLANS With the exception of high winds, this work may be performed in any weather. In high wind situations work in and around the Hadlock Shop will be accomplished. E. ON-SITE TRAINING AND FORMAL TRAINING Will be taught to recognize desirable and undesirable plant species; sight distance requirements for road approaches and intersections and signs; contour control for potential erosion problems. Basic, practical landscaping. F. ADDITIONAL PROVISIONS li Heavy duty work clothes, boots and gloves. Rain'gear. 1 G??ILc.?rv ?Cy /`? cB ??S?G 11 William Arey, up rvisor Date y- l a r, IIASERV?Cc AuwL':vT L ___wI t Participant Name: (r/y ?1LfC2 ?YICfeQ Soc. Sec. #: 53q - 9,1 Unit o:' Service: Start Date : u1'?IQ Revliew DATE: Date i ` ' Service Provider Contact Person & Phone ,, encv address Northwest Services Co•:lnc 1 11-? 311^ --5572 l02 Lacrrence St:•e? . /? 4smoz. p z, r'ort To .?serd, ml 9x36 ? Ac* yity Action Cooperating Agency Week Schedule Start/End Date s ?N Q 1( K F? l ' + Piv i1 or k Je?(exs? C o ? Ctcti1- I' I - F 3: 6 I c ? 3 I - 0 r r v ??Publc ?-a?0 e n GelJ N y 5 j i 0 ` 3 p 5lor'tshops N SC T p? sc ? t a r. U S her Actions R aired S ecial Conditions Su rtive Services Provided _ Failure to attend workshops and appointments can result in loss of hours or work time, p rE" aGRE 71,,ff - - PAGE' :ll0 _ 0&,ECTIVES & OUTCCf Er BY COAIPE:'O_'dCY CATEGORY CO?•?E "CY C.4 =^GOP.Y 0&TECT-IV7i GP.I?d ACTUAL OUTC94E DATE Work Maturity Skills Obtain satinfact.; ; (5) rating on all work maturit; skills. Occupational Skills Become proficient a: all tasks on job descri-ption. Pre-Employment Skills Complete all assignments as requested, Participate and comrlete job search assignments. E::ucational ?} ?` EMPLOYMENT PROGRAM JOB DESCRIPTION JOB TITLE: Vegetation Management WORK SITE: Selected County nor', aoe Roads HOST AGENCY: Jefferson County NUMBER IN CREW: 8-10 Dept. Public Works ADDRESS: Courthouse WAGE: $3.35/hr, 40 hrs/wk Port Townsend, WA 98368 SUPERVISOR: William Arey SCHEDULE: 7:00 AM to 3:30 PM County Road Super. Monday thru Friday PHONE NO.: 385-3505 or 385-0890 1. SUMMARY OF JOB A. GENERAL Use of manual vegetation management techniques for the control of roadside vegetation. Testing theories of establishment of plant communities and validity of non-use of herbicides.. - ? Involving cutting, pulling thinning of noxious vegetation. I II. PERFORMANCE REQUIREMENTS A. OCCUPATIONAL JOB SKILLS 1. INITIALLY REQUIRED' Ability to take directions and criticism. Good eye-hand coordination. Use of basic gardening tools. 2: WILL BE LEARNED Skilled gardening techniques. Plant identification and control methods. ' B. WORK MATURITY SKILLS 1. INTIALLY REQUIRED Ability to take supervision and criticism. Ability to tolerate a physically tedious task. i 2. WILL BE LEARNED Work independently in recognizing and determining treatment for problem areas. Make effective coherant l suggestions for innovative treatment. -• B. EDUCATIONAL SKILLS f`r 1. Reading, writing, elementary math, reading roadmaps and I t estimation of footages. Identification of various plant t + species. C. WORK MATURITY SKILLS 1. Ability to take supervision and critisism. Ability to tolerate a physically tedious task. i 2. Work independently in recognizing and determining treatment for problem areas. Make effective, coherant suggestions for innovative treatment. III. A. MATERIAL PROVISION No materials required. B. EQUIPMENT PROVISIONS )) Chain saws, hand saws, machete, provided by Department of Public Works. 9 C. JOB SITE TRANSPORTATION NEEDED Transportation to job site provided by Department'of Public Works vehicle. Transportation to Hadlock Shop site not provided: D. CONTINGENCY PLANS With the exception of high winds, this work may be performed •_ in any weather. In high wind situations work in and around the Hadlock Shop will be accomplished. E. ON-SITE TRAINING AND FORMAL TRAINING Will be taught to recognize desirable and undesirable plant species; sight distance requirements for road approaches and intersections and signs; contour control for potential erosion problems. Basic, practical landscaping. F. ADDITIONAL PROVISIONS Heavy duty work clothes, boots and gloves. Rain gear. / i l 'l74eQe rv cy William Arey, up rvisor Date i • j 1 COE-TE-E ICY CATEGORY 057cCi1V S GAIN ACTUAL OUTCOF!E DA r Work Maturity Skills Obtain satisfactor^,/ (5) rating on all work maturit, skills. Occucatic)nal Skills Become proficient at all tasks on job description. Pre-Ehployment skills Complete all assirnrrents as requested. Participate and complete job search assignments. Educational ?1L @Q Q2GK I EMPLOYMENT PROGRAM JOB DESCRIPTION JOB TITLE: Vegetation Management WORK-SITE: Selected County " Dort 459. ?0 1•-otp Roads HOST AGENCY: Jefferson County NUMBER IN CREW: 8-10 f Dept, Public Works i ADDRESS: Courthouse WAGE: $3.35/hr, 40 hrs/wk Port Townsend, WA 98368 I, SUPERVISOR: William Arey SCHEDULE: 7:00 AM to 3:30'PM County Road Super. Monday thru Friday PHONE NO.: 385-3505 or 385-0890 I. SUMMARY OF JOB ?. A. GENERAL Use of'manual vegetation management techniques for the control f o roadside vegetation. Testing theories of establishment of plant communities and validity of non-use of herbicides.. Involvin c tti -' 4 g u ng, pulling thinning of noxious vegetation. II. PERFORMANCE REQUIREMENTS A. OCCUPATIONAL JOB SKILLS 1. INITIALLY REQUIRED' Ability to take directions and criticism. Good eye-hand coordination. Use of basic gardening tools. 2. WILL BE LEARNED Skilled gardening techniques. Plant identification and control methods. - B. WORK MATURITY SKILLS 1. INTIALLY REQUIRED Ability to take supervision and criticism. Ability to tolerate a physically tedious task. 2. WILL BE LEARNED Work independently in recognizing and determining treatment for problem areas. Make effective coherant j j suggestions for innovative treatment. i L r B. EDUCATIONAL SKILLS 1. Reading, writing, elementary math, reading roadmaps and estimation of footages. Identification of various plant species; C. WORK MATURITY SKILLS 1. Ability to take supervision and critisism. Ability to tolerate a physically tedious task. 2. Work independently in recognizing and determining treatment for problem areas. Make effective, coherant suggestions i for innovative treatment. III. A. MATERIAL PROVISION No materials required. f B. EQUIPMENT PROVISIONS l` Chain saws, 1:and saws, machete, provided by Department of Public Works. r-• C. JOB SITE TRANSPORTATION NEEDED Transportation to job site provided by Department of Public Works vehicle.- Transportation to Hadlock Shop site not provided-. D CONTINGENCY PLANS . With the exception of high winds, this work may be performed in any weather. In high wind situations work in and around the Hadlock Shop will be accomplished. k E. ON-SITE TRAINING AND FORMAL TRAINING { Will be taught to recognize desirable and undesirable plant species; sight distance requirements for road approaches and intersections and signs; contour control for potential erosion problems. Basic, practical landscaping. F. ADDITIONAL PROVISIONS . Heavy duty work clothes, boots and gloves. Rain gear. William i Arey, up rvisor Date OS?I-J i