PM 21-02-05.

When Work Experience is part of Work First, see WAG 21-02-06 for referral and coding instructions.

The FCRC and/or contractor solicit employers for Work Experience placements. When an employer is found, both the LOA (or designee)/contractor sign a Work First/Work Experience Agreement and monitor/make changes to the agreement, as appropriate.

If the LOA (or FCRC designee) is the one working with the employer, use Work First/Work Experience Agreement (Form 4484) and Worksite Location and Position Description (Form 4383). Use Amendment to Work First/Work Experience Agreement (Form 4484A) to make changes to the agreement.

If a contractor is the one working with the employer, use Work First/Work Experience Agreement - Provider/Contractor (Form 4484C) and Worksite Location and Position Description (Form 4383). Use Amendment to Work First/Work Experience Agreement - Provider/Contractor (Form 4484B) to make changes to the agreement.