2-CCS - SCHEDULE H1-A.pdf
PDF 122 KB Posted
- Attached to
- RFB 5827 - Busing Services for Field Trips State and local contract opportunity
- Solicitation number
- RFB 5827 - Busing Services for Field Trips
- Issued by
- Milwaukee County, Mattoon Village, Wisconsin
About this file
This document is a Student Employment Commitment form (Schedule H1-A) from Milwaukee Public Schools (MPS), designed for contractors to outline their commitment to providing employment opportunities for students. The form allows contractors to specify their student employment plan by selecting from options such as alternative placement site, after school, summer, youth apprenticeship, or other programs. Contractors must detail the number of required employment hours, timeframe, and provide a comprehensive description of their employment strategy.
The form requires contractors to declare their commitment to creating an employment partnership experience for an MPS student, with the understanding that non-compliance may result in sanctions imposed by MPS. The document includes spaces for the contractor's company information, contact details, employment liaison, and authorized representative's signature. It also provides a section for the contractor to list monthly employment hours and a detailed plan description, emphasizing MPS's goal of integrating student employment opportunities within contractor projects.
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Text version
SCHEDULE H1-A
Student Employment Commitment
Project/Contractor Information
CONTRACTOR COMPANY NAME MPS SITE MPS PROJECT
Name of Employment Liaison Contact
CONTACT PERSON PHONE FAX E-MAIL
Number of required hours:
Options
Place an “X” below to indicate how you plan to fulfill your student employment requirement.
ALTERNATIVE PLACEMENT SITE AFTER SCHOOL SUMMER YOUTH APPRENTICESHIP OTHER
Employment Plan – Use additional pages if necessary. Plan must meet hours required.
From to
List month
Number of employment hours
Provide a detailed description of your employment plan for this project.
I hereby declare and affirm that I, NAME TITLE am a duly authorized representative of
COMPANY NAME
located in 1
STATE COUNTY CITY
and that I have personally reviewed the material and facts describing our proposal regarding student employment. I agree to provide an employment partnership experience for the MPS student. (H1C is required to be submitted as well). If a contractor is non-compliant, MPS may impose one or more identified sanctions, and require proof of corrective action by the contractor.
SIGNATURE OF AUTHORIZED COMPANY OFFICER TITLE DATE
For Office Use Only
SIGNATURE OF CCS REPRESENTATIVE TITLE DATE
01/2017
| CONTRACTOR COMPANY NAME: |
| MPS SITE: |
| MPS PROJECT: |
| CONTACT PERSON: |
| PHONE: |
| FAX: |
| EMAIL: |
| Number of required hours: |
| ALTERNATIVE PLACEMENT SITE: Off |
| AFTER SCHOOL: Off |
| SUMMER: Off |
| YOUTH APPRENTICESHIP: Off |
| OTHER: Off |
| From: |
| to: |
| List month: |
| Number of employment hours: |
| Provide a detailed description of your employment plan for this project 1: |
| Provide a detailed description of your employment plan for this project 2: |
| Provide a detailed description of your employment plan for this project 3: |
| Provide a detailed description of your employment plan for this project 4: |
| Provide a detailed description of your employment plan for this project 5: |
| NAME: |
| TITLE: |
| COMPANY NAME: |
| STATE: |
| COUNTY: |
| CITY: |
| compliant MPS may impose one or more identified sanctions and require proof of corrective action by the contractor: |
| undefined: |
| TITLE_2: |
| For Office Use Only 1: |
| undefined_2: |
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