<%BANNER%>
UFIR IFAS
STANDARD VIEW MARC VIEW
Permanent Link: http://ufdc.ufl.edu/IR00002250/00001
 Material Information
Title: Elder Companion: Lesson 9: Getting a Job
Physical Description: Fact Sheet
Creator: Bolton, Elizabeth B.
Publisher: University of Florida Cooperative Extension Service, Institute of Food and Agriculture Sciences, EDIS
Place of Publication: Gainesville, Fla.
Publication Date: 2004
 Notes
Acquisition: Collected for University of Florida's Institutional Repository by the UFIR Self-Submittal tool. Submitted by Melanie Mercer.
Publication Status: Published
General Note: "First published: September 1999. Revised: January 2004."
General Note: "FCS5255"
 Record Information
Source Institution: University of Florida Institutional Repository
Holding Location: University of Florida
Rights Management: All rights reserved by the submitter.
System ID: IR00002250:00001


This item is only available as the following downloads:

FY59500 ( PDF )


Full Text

PAGE 1

FY595Elder Companion Lesson 9 Getting a Job1Elizabeth B Bolton21. This document is FCS5255/FY595, one of a series of the Departme nt of Family, Youth and Community Sciences, University of Florida, UF/IFAS, Gainesville 32611. First published: September 1999. Revised: January 2004. Reviewed by: Mary Chernesky, M.S. extension agent IV Hillsborough County, Seffner; Audrey Norman, courtesy extension agent, Palm Beach County, West Palm Beach; Meredith Taylor, M.S., extension agent IV, Suwannee County, Live Oak. Please visit th e EDIS Web site: http://edis.ifas.ufl.edu/ 2.Elizabeth B. Bolton, Ph.D., professor, Community Development, Department of Family, Youth and Community Sciences, Florida Coo perative Extension Service, University of Florid a, UF/IFAS, Gainesville, 32611. The Institute of Food and Agricultural Sc iences is an equal opportunity/affirmative action employer authorized to provide resea rch, educational information and other services only to individuals and inst itutions that function without regard to race color, sex, age, handicap, or national origin. For information on obtaining other extension publications, contact your count y Cooperative Extension Servic e office. Florida Cooperative Extension Service / Institute of Food and Agricultural Sciences / Un iversity of Florida / Christine Taylor Waddill, Dean.

PAGE 2

Lesson 9 Pg. 2AGENTS TEACHING GUIDE Getting A Job Part 1: Things I Like About Me Part 2: What Do Employers Look For? Part 3: Job Search Part 4: Resume Writing Part 5: The Application Part 6: Preparing for a Job Interview Part 7: The Job Interview Part 8: The Importance of a Contract After You Are Hired Time: 3 to 4 Hours Instructor: County faculty and/or local employment agency personnel Equipment/ Supplies Overhead projector, pencils, flip chart, chart paper, markers, masking tape, samples of resumes, overheads created from Handouts C, D, I and J Handouts:Part 1 Handout A: Things I Like About Me Part 2 Handout B: Top 20 Positive Characteristics Employers Look For Part 3 Handout C: Want Ads Handout D: Other Job Seeking Resources Part 4 Handout E: My Practice Resume Part 5 Handout F: Employment Application Part 6 Handout G: As an Employee, What Do You Have To Offer? Part 7 Handout H: Interview Questions You Might Be Asked Handout I: Questions You Can Ask at a Job Interview Handout J: Questions Not to Ask at a Job Interview Handout K: Job Interview Evaluation Score Sheet Part 8 Handout L: Sample Contract for the Elder Companion Objectives (Expected Outcomes): Participants will be able to: Identify their strengths as an employee. Prepare a resume to assist in completing an employment application. Successfully complete a job interview.

PAGE 3

Lesson 9 Pg. 3LESSON PLAN Part 1: Things I Like About Me Introduction: In the process of finding a job, you must recognize your good qualities and sell yourself to an employer. DO:Have the participants divide into groups of two. Give each person a copy of Things I like About Me (Handout A). and ask them to write down four or five things they really like about themselves. (Since most people tend to be overly modest and hesitant to write something nice about themselves, the instructor may need to encourage participants. The instructor may spontaneously show their list using adjectives such as honest, serious, happy, etc.)After four or five minutes have passed, ask each person to share with their partner the items they wrote down. REFLECT:Did you feel uncomfortable with this activity? If so why? Weve been taught not to brag about ourselves, even if it is the truth.Were you honest or did you hold back your positive qualities?What reaction did you get from your partner? APPLY:How could the characteristics you listed be helpful to you in getting and keeping a job?

PAGE 4

Lesson 9 Pg. 4Handout ATHINGS I LIKE ABOUT ME1. 2. 3. 4. 5.

PAGE 5

Lesson 9 Pg. 5LESSON PLAN Part 2: What do Employers Look For? Introduction: Employers have been polled about the characteristics they value in new employees. We are going to see if you agree. DO:Divide participants into groups of four to five people. Have each group select a person to act as a recorder. Have each participant complete, the Top 20 Positive Characteristic Employers Look For worksheet (Handout B). Afterwards each person should describe their list of characteristics to the small group and why they chose these characteristics. The recorder should write down on chart paper the characteristics the groups members shared with the group. One person may share the results with the larger group. REFLECT: The instructor should introduce the following questions and encourage either small or large group discussion:Which characteristics were strongest or highest rated among your group members?Which characteristics were most frequently mentioned?Will different employers emphasize different characteristics? APPLY:Which of these characteristics do you already possess?How many were on your list of Things I Like About Myself.How can you develop these characteristics?

PAGE 6

Lesson 9 Pg. 6Handout BTOP 20 POSITIVE CHARACTERISTICS EMPLOYERS LOOK FOR1.Ability to get things done 2.Self Starter 3.Honesty and integrity 4.Dependability 5.Common sense 6.Oral communication skills 7.Interpersonal skills 8.Motivation to achieve 9.Reliability 10.Judgement skills 11.Flexibility 12.Education 13.Decision-making skills 14.Intelligence 15.Works hard 16.Personality 17.Developed work habits 18.Career and work goals 19.Innovative ideas 20.Written communication skillsMy Top 10 Characteristics1._____________________________________ 2. _____________________________________ 3. _____________________________________ 4. _____________________________________ 5. _____________________________________ 6. _____________________________________ 7. _____________________________________ 8. _____________________________________ 9. _____________________________________ 10. ____________________________________

PAGE 7

Lesson 9 Pg. 7LESSON PLAN Part 3: Job Search Introduction: We are going to start looking at potential jobs as sitters/companions and what the requirements will be. DO: Have participants study Handout C, Sample Want Ads, taken from the Florida Job Listing. (You may want to make a transparency of this handout or use your local newspaper.) Have participants circle jobs which they would like to apply for. Discuss their choices. REFLECT: Why did you select the jobs you did? What requirements are necessary for these jobs? Do you have the skills to apply for these jobs? Why or Why not? What about transportation? What about experience? DO: Distribute Handout D, Other Job Seeking Resources Show transparency created from the handout and discuss with the class. REFLECT: Do you think it is important to use resources other than Want Ads for job seeking? How many contacts do you think you might have in your network? APPLY:Invite local employer of companions/sitters to discuss employment processes as well as job skills in demand locally.

PAGE 8

Lesson 9 Pg. 8 Handout CWANT ADSGeneral Help Wanted General Help Wanted General Help Wanted Employer seeking companion to provide care for elderly, disabled or convalescent persons personal needs. Prepare and accompany to social events, prepare and serve meals. Pay DOE. Full time and part time positions available. COMPANION/HOUSEKEEPER needed for 26 year old female. Must live in Winter Haven area and have transportation. Yearly salary $7,800. Call for an appointment. Caring individual needed to assist elderly female during evening hours with personal needs. Sleep overs are required. References required; background check will be performed. Call for an appointment. 555-2030 WEEKEND WORK Companion/ Care giver needed for 93 year old male. Twelve hour shifts on Sat & Sun. Experience preferred, not mandatory. $6.50/hour. To apply, call Joe @555-5487 Seeking patient HIGH SCHOOL graduates to support/assist adults w/ developmental disabilities in the community. Pay starts at $6.50, DOE. Must be flexible evening/weekend. Call first for an appointment. HOMEMAKERS needed in CLEARWATER area. Cleaning exp and current FL drivers license a must. You will manage and maintain assigned client homes. Salary starts at $13,520/year. Please call for appointment or fax resume. 555-9901 JACKSONVILLE NEEDS HOMEMAKERS. Exp. preferred. Will use vacuum, washing machine, etc. Some on-site training through Arcadia. Must lift 10-20 lbs often. Drug screen, physical, background and reference check REQ. Hrs. to be arranged. Pay DOE. Please stop in for application. Earn $80-90 per day Live in Help needed Must be able to lift 50 lbs. Cooking, cleaning, personal care are some duties. Background check-abuse registry. PhysicalTB test required. Applicants pay $21 for background ck. Fax resume to 555-6565 Homemaker/Family Supp. Position req min 1 yr exp with children, HIGH SCHOOL diploma, valid FL license. Will use self-provided vehicle to make home-visits & provide assistance to families in need of counseling, homemaking skills, etc. Salary starts at $15,000. Please contact Mary @ 555-0202

PAGE 9

Lesson 9 Pg. 9 Handout DOTHER JOB SEEKING RESOURCES Dont limit yourself to the Help Wanted Ads. There are other resources available for job seeking: Employment Agencies (partic ularly the state employment agency, which is a free service and a part of the state unemployment compensation agency). Temporary Employment Agenci es (sometimes temporary jobs can lead to full time employment). Perhaps one of the best ways to seek employment is through networking. Networks can include: Personal your friends, family, current or former coworkers, your doctor, dentist, insurance agent, pastor, and others that you interact with and who have some knowledge of who you are and your capabilities. Organizational organized groups that you either belong to or have some association with. These groups might include professional associations, trade unions, fraternities or sororities, clubs, and civic groups like Kiwanis or Elks. Community local businesses, church, or volunteer agencies like Big Brothers/Sisters.Source: Elizabeth B. Bolton, JobStart Series, Part 3: Marketing Yourself (http://edis.ifas.ufl.edu/FY347.)

PAGE 10

Lesson 9 Pg. 10LESSON PLAN Part 4: Resume Writing Introduction: Packaging your Talents, Skills and Abilities for an employer is known as a resume. A resume is a summary of the most important information that an employer would like to know about you. Its your opportunity to market yourself and the skills and abilities that you have. A resume is an important job tool to have. Todays activity will help you discover some of your hidden talents and skills to market yourself to future employers. DO: PACKAGING YOU! Create a list of resume categories on chart paper. Tell participants that a resume is a written record of information about a job applicant, including his or her name, address, education, job experience, honors or awards, and hobbies, interests, or special accomplishments. Explain that a resume is usually sent or given to an employer for whom you would like to work; its purpose is to tell the employer enough about yourself that employer will agree to interview you. Ask if anyone has prepared a resume. Point out that it is an important tool one should have before beginning a job search. Display several examples of different resumes on a bulletin board or table and have the participants look them over. Before distributing My Practice Resume worksheet, (Handout E) to the group, ask them to comment on the sample resumes you have displayed and point out the following significant characteristics: Accurate and complete. Neatness; typed if possible. Correct language, spelling and punctuation. Attractive, eye-catching layout. Prominent placement of name and address. Clear categories of information. One or two pages in length.

PAGE 11

Lesson 9 Pg. 11There is some information that you do not have to put in your resume. Whether you are male or female. Age, birth date, attendance dates at high school. Race, color, ethnic background. Physical handicaps or disabilities. Distribute Handout E, My Practice Resume to each participant and allow about 30 minutes for them to complete a practice copy with your assistance. Let them know they will need to keep their practice resume in their notebooks to refer to when they complete an activity on employment applications later on in todays lesson. Have participants share their resume with another person and ask for suggestions. REFLECT: How does it feel to have your own resume? Will the way a resume looks make a difference to an employer? When does a person change his or her resume? Why? Where can you get copies of your resume made? A folder to carry it in? APPLY: Finish your resume and get it typed.

PAGE 12

Lesson 9 Pg. 12Handout EMY PRACTICE RESUMEComplete the worksheet below as a practice exercise in writing a resume. PERSONAL INFORMATION Name ______________________________________________________________________________ Address ____________________________________________________________________________ Birthplace ________________________________Birth date _________________ EDUCATION School CityDate of Graduation ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ JOB RELATED EXPERIENCE: Give date, company and position or activity and role; start with current or most recent position. DateCompany/ActivityPosition/Role ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________

PAGE 13

Lesson 9 Pg. 13Handout E (continued) VOLUNTEER SERVICE: Things you have done for other people or for your community, such as volunteering at a hospital, nursing home or church. ____________________________________________________________________________________ ____________________________________________________________________________________ ACTIVITIES AND HOBBIES: Such as sewing, mechanics, sports, cooking, church activities. ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ AWARDS AND HONORS: ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ REFERENCES: People who know you and who would be willing to provide information about you to an employer. These could be current or past employers, minister or rabbi, etc. But not family members. NameAddressTelephone # ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________

PAGE 14

Lesson 9 Pg. 14LESSON PLAN Activity 5: The Application Introduction: Application forms may look a little scary but they are not so bad when you know how to answer the questions. It is much easier when you have the right information available. The resume you completed will help you to remember the information. Todays activities will help you plan and prepare for completing job applications. DO: Distribute the Handout F, Employment Application worksheet. Ask participants to complete in ink, using their own practice resumes as guides. Allow about 15 minutes. When everyone in the group has finished, divide them into pairs. Ask the members of each pair to exchange application forms and critique each others; keeping the following questions in mind. Write these questions on chart paper:SIs it neat? Are there any ink smudges?SIs it legible? Can it be read easily?SIs it complete or are there blank spaces?SIf there are items that do not apply, did the applicant write N/A or not applicable? Allow 15 minutes for pairs to work and then bring the group together again. Answer any questions participants may have about application forms and discuss the points below. REFLECT: Why is it helpful to have a resume before you complete an application form? A resume helps you remember important factual information like dates, names and addresses. Which parts of the application form are the most difficult to complete? Were there terms and words that were new to you? Will you be more knowledgeable and confident about completing a job application in the future? Without a lot of work experience, how can a resume help you? It provides an opportunity to present your skills and abilities in a written form to a future employer. In many cases, application forms dont provide this opportunity. APPLY: Give a second copy of the Employment Application to each participant and have them complete it.

PAGE 15

Lesson 9 Pg. 15 Handout FEMPLOYMENT APPLICATIONWe are an Equal Opportunity Employer. We do not discriminate on the basis of race, religion, color, sex, age, national origin, marital status or disability. If you require special accommodation because of a disability to participate in the application/selection process, you must notify the hiring authority in advance. APPLICATION INFORMATION (Please type or print in ink) (Last Name)(First Name)(M.I..) (Street Address)(City)(State)(Zip Code) (Home Phone)(Work Phone)(S.S. #) EDUCATION HIGH SCHOOL Name/Address of SchoolGraduate? ____ Yes _____ No Date Graduated: Your name while attending school if different from the application: COLLEGE, UNIVERSITY OR PROFESSIONAL SCHOOL Name of SchoolLocationDates of Attendance Major/Minor Course of Study Degree

PAGE 16

Lesson 9 Pg. 16 Handout F (continued) BUSINESS, CORRESPONDENCE, TRADE, TECHNICAL, OR VOCATIONAL Name of SchoolLocationDates of Attendance Major/Minor Course of Study Degree WORK EXPERIENCE Describe your work experience in detail, beginning with your current or most recent job. Use a separate block to describe each position. Include military service (indicate rank) and volunteer work, if applicable. Indicate number of employees supervised. Provide an explanation of any gaps in employment. If needed, attach additional sheets, using the same format as on the application. Resumes are acceptable for the description of duties and responsibilities. All other information in this section must be completed. EmployerAddress Phone Number Employed From/ ToSalary Immediate Supervisor: May we contact? ___Yes ____No Job Duties:

PAGE 17

Lesson 9 Pg. 17 Handout F (continued) EmployerAddress Phone Number Employed From/ ToSalary Immediate Supervisor: May we contact? __Yes ___No Job Duties: EmployerAddress Phone Number Employed From/ ToSalary Immediate Supervisor: May we contact? __Yes ___No Job Duties: BACKGROUND INFORMATION Are you a citizen of the U.S.?_____Yes_____ No If no do you possess one of the following: an I-151 card, an I-551 card, or a I-94 card stamped Employment Authorized or any other proof of em ployment authorization from the Immigration and Naturalization Service?_____ Yes_____ No Have you ever been convicted of a felony or first degree misdemeanor?____Yes____No If yes what were the charges? ____________________________________________________ Where convicted? ___________________________________________ Date: ______________

PAGE 18

Lesson 9 Pg. 18Handout F (continued) Have you ever pled Nolo Contendere or pled guilty to a crime which is a felony or a first degree misdemeanor?_____ Yes_____ No If yes what were the charges? ____________________________________________________ Where: ___________________________________________________ Date: _______________ Have you ever had the adjudication of guilt withheld to a crime which is a felony or a first degree misdemeanor?_____ Yes_____ No If yes what were the charges? ____________________________________________________ Where: _________________________________________________ Date: _________________ CERTIFICATION: I am aware that any omissions, falsifications, misstatements, or misrepresentations above may disqualify me for employment consideration and, if I am hired, may be grounds for termination at a later date. I understand that any information I give may be investigated as allowed by law. I consent to the release of information about my ability and fitness for state employment by employers, schools, law enforcement ag encies, and other individuals and organizations to investigators, personnel staff, and other aut horized employees of Florida state government for employment purposes. I understand that applications submitted for state employment are public records. I certify that to the best of my knowledge and belief all of the statements contained herein and on any attachments are true, correct, complete, and made in good faith. Signature: ______________________________________ Date: ______________

PAGE 19

Lesson 9 Pg. 19LESSON PLAN Part 6: Preparing for a Job Interview Introduction: Why do you think being prepared for a job interview is important? (Allow time for discussion.) To start preparation for a job interview, first become familiar with your strengths as a worker and as an individual. Remember the first activity we did? In that activity, we discussed personal strengths, now lets talk about things you could do well as an employee. Identifying these work skills can help you prepare for a job interview. DO: Have participants take a few minutes to complete the worksheet As An Employee, What Do You Have to Offer (Handout G). Using the worksheet, practice in small groups describing your strengths and abilities out loud to one another. REFLECT: After allowing time for discussion, you may want to discuss the following questions. (Questions should be written on chart paper.) Was it hard to describe your strengths and abilities? What things do you do well? What are the personality traits you like about yourself? Why would you be the right person for a particular job?

PAGE 20

Lesson 9 Pg. 20Handout GAS AN EMPLOYEE, WHAT DO YOU HAVE TO OFFER? Answer the following questions honestly. Place an X in the correct blank. Yes No ____ ____1.Are you willing to learn new skills and new ways of doing things? ____ ____2.Are your work habits and personal appearance neat? ____ ____3.Are you punctual? ____ ____4.Can you do a job without being easily bored or distracted? ____ ____5.Can you work under pressure without becoming overly nervous and upset? ____ ____6.Can you adapt to new and unexpected situations easily? ____ ____7.Are you aware of your strengths and weaknesses? ____ ____8.Are you capable of taking things in stride? ____ ____9.Can you work on your own? ____ ____10. Do you have a sense of duty and responsibility? ____ ____11. Are your job plans realistic? ____ ____12. Are you reliable? Can you be depended on to do a good job? ____ ____13. Can you gain the friendship and respect of co-workers? ____ ____14. Can you cooperate with co-workers and supervisors/managers? ____ ____15. Can you follow directions and ask questions when necessary? ____ ____16. Can you understand instructions and carry them out accurately or ask questions when instructions are unclear? ____ ____17. Can you accept criticism without feeling hurt? ____ ____18. Can you work without constant supervision? ____ ____19. Can and do you complete a job once you start it? ____ ____20. Are you friendly and congenial and do you really like people?

PAGE 21

Lesson 9 Pg. 21LESSON PLAN Part 7: The Job Interview Activity 1: Distribute Handout H. Most employers ask the same types of questions during job interviews. Its important to practice answering these types of questions so that you will know the best answers. This handout, Interview Questions You Might Be Asked, includes commonly asked questions during job interviews. DO: Take a few minutes to let the participants think about their answers. Allow Participants to complete the worksheet. Divide the group into pairs. Have them alternate being the employer and the potential employee and ask each other the questions. REFLECT: Talk about the answers given. Would you hire this person? Why? Why not? APPLY: Can you improve your answers? Activity 2: Generally, the job interview gets you the job. The presentation on paper is important but the final decision isnt made until after the interview. You ar e there to present yourself but also to learn about the job. For each interview you go on, prepare at least three or four questions to ask during the interview. DO: What are some questions you can ask? Use chart paper to record the answers. Have the group evaluate the appropriateness of the questions. Show transparencies created from Handouts I, Questions You Can Ask at a Job Interview and J, Questions Not to Ask at a Job Interview and distribute the handouts. Compare their answers with those included on the transparencies and handouts.

PAGE 22

Lesson 9 Pg. 22REFLECT: Have you ever used these questions in interviews before? What were the responses? Are there other questions you have asked in the interview? Are they on the Do Ask or Dont Ask List? APPLY: Make a set of questions you will use in the interview. DO: Role Play the Job InterviewAsk for two volunteers to role play a job interview for a companion/sitter. Use one of the jobs from the Want Ads or one from a local agency. Give other participants the Job Interview Evaluation Score Sheet to score the role playing. REFLECT:Would you hire the person?What was the score given on the interview evaluation?How could the potential employee have presented himself/herself better? APPLY:Have all participants do a role play of an interview and evaluate Using Handout K, Job Interview Evaluation Score Sheet

PAGE 23

Lesson 9 Pg. 23Handout HINTERVIEW QUESTIONS YOU MIGHT BE ASKED1. Why are you here? 2.What training have you received to do this job? 3.Why do you want to work here? 4.What kind of work are you looking for?

PAGE 24

Lesson 9 Pg. 24Handout H (continued) 5.Do you know anyone who works here? 6.Do you like to work with others or by yourself? 7.What would you do if you did not agree with instructions you were given? 8.What interests you about working with the elderly? 9.What do you know about the job that is available?

PAGE 25

Lesson 9 Pg. 25 May I ask what type of training is provided?Handout IQUESTIONS YOU CAN ASK AT A JOB INTERVIEW What are the duties and responsibilities of the job? Who is the supervisor? What type of training will be provided? What are the opportunities for advancement?

PAGE 26

Lesson 9 Pg. 26 Ms. Jones, in answer to your question, we expect our employees to be on time every day.Handout JQUESTIONS NOT TO ASK AT A JOB INTERVIEW When will I get my first raise? Will I get a vacation? Will I have to work holidays? How often may I be late for work? How many sick days do I get each month?

PAGE 27

Lesson 9 Pg. 27Handout KJOB INTERVIEW EVALUATION SCORE SHEETScore points on a scale from 5 to 1 as follows: 5=Excellent, 4=Very Good, 3=Good, 2=Fair, 1=Poor Name__________________________________________ Points Points Earned Possible Clear, up-to-date application or resume______ ______ Knew how his/her qualifications could fit the job______ ______ Good listening skills______ ______ Provided the kind of information that would help an interviewer make a decision about whether to hire______ ______ Alert and responsive______ ______ Ability to relate to others______ ______ Exercised good judgment______ ______ Appearance______ ______ Confident and interested in employment______ ______ Total______ ______ Comments:

PAGE 28

Lesson 9 Pg. 28LESSON PLAN Lesson 8: The Importance of a Contract After You Are Hired Introduction: After you are hired, it is advisable to draw up a contract that will be appropriate for the work you are hired to do. This contract will protect you and your client (employer) if any misunderstandings arise during the course of your employment. The follo wing sample contract is provided for your use. DO: Distribute Handout K, Sample Contract for the Elder Companion Discuss the contract with the participants to make sure that they understand the importance of having one in place. REFLECT: Why is a contract between you and your employer important? Can you think of anything that you woul d add or delete from the contract? APPLY: Have someone from a local employment agency relate some of the things that could result if there isnt a contract in place.

PAGE 29

Lesson 9 Pg. 29Handout LSAMPLE CONTRACT FOR THE ELDER COMPANIONElder Companions Name: ________________________________________ Phone:_______________ Address ____________________________________________________________________________ StreetCityState Zip Name of Client: ______________________________________________________________________ Employer can be reached at:____________________________________ Phone: __________________ Police Department number: _____________________________________________________________ Fire Department number: _______________________________________________________________ Nearest neighbor name: ______________________________________ Phone: ___________________ Clients Doctor:_____________________________________________ Phone: ___________________ Ambulance number: ___________________________________________________________________ Job Responsibilities: (Check) _____House Cleaning _____Leisure Activities _____Basic nutrition, meal preparation _____Sanitation of home (as related to client only/clients room) Special instructions and/or duties: ________________________________________________________ ____________________________________________________________________________________ List any disabilities, allergies, etc. I should know about: ______________________________________ ____________________________________________________________________________________ In return for my services, I understand that my salary will be $______ per hour or $_________ per day, payable at the end of each week.

PAGE 30

Lesson 9 Pg. 30Handout L (continued) Days and Hours Agreed for Work Monday_____ to _____Friday_____ to _____ Tuesday _____ to _____Saturday_____ to _____ Wednesday _____ to _____Sunday_____ to _____ Thursday_____ to _____ If for any reason I am unable to continue my responsibilities, I agree to give a minimum of one weeks notice to my employer. If for any reason my services are no longer needed, I expect to be given a minimum of one weeks notice by my employer. ________________________________________________________________ Elder CompanionEmployer ____________________________________________ DateDate Additional Comments: