f 4, THE JAMES FLOYD MUSCOGEE ( CREEK) NATION PRINCIPAL CHIEF 1+(":' " If Employment& Training Administration LOUIS HICKS P. Q. Box 580 I Okmuigee, OK 74447 SECOND CHIEF T 918.732, 77801 F 918.732.7781 Hesci! Potential Worksite, Thank you for expressing interest in the Muscogee ( Creek) Nation Summer Youth Work Program ( hereinafter" MCN Summer Youth Work Program"). The MCN Summer Youth Work Program brings together tribal departments and agencies, private sector employers, community organizations, and local, state and federal governmental agencies to provide Muscogee ( Creek Nation youth between the ages 16-21 with an array of summer work experiences to cultivate and stimulate professional and personal career aspirations. The program is an eight- week program. Potential employers, located within the jurisdictional boundaries of the Muscogee( Creek) Nation, make the MCN Summer Youth Work Program possible by volunteering to serve as host employers and providing structured job opportunities for our youth during the summer. While your participation is voluntary, the Muscogee ( Creek) Nation will pay stipends/ wages directly to the youth workers assigned to your worksite; however, the Nation will not provide funding for any additional costs that a host employer may incur. Please find enclosed a MCN Summer Youth Work Program Agreement. This Agreement must be completed for your program, agency, business, or organization in order to serve as a host employer for the MCN Summer Youth Work Program. If you have any questions regarding the Agreement, please contact the Muscogee ( Creek) Nation Employment and Training Workforce Development Coordinator, Jessinna McBee at 918) 732-7780. Deadline January 31, 2017 Please return application to jmcbee@mcn- nsn. gov or fax to ( 918) 732-7781 Pagel of 1
Muscogee ( Creek) Nation 4l6ttRElk k Department of Education& Training au`' g? fi a Employment& Training Youth Works Program t_ MINT F11. REQUEST FOR SUMMER YOUTH ( New Worksite) Serving youth throughout the following counties: McIntosh, Okmulgee, Hughes Okfuskee, Muskogee, Wagoner, Tulsa, Rogers, Mayes and Creek NAME OF WORKSITE OR BUSINESS: CAREER CLUSTER( See List) NATIVE AMERICAN OWNED: Hoke 1 R o lie.. Sawa aw, 4-01.4- te.a- 4-t YES NO NAM OF CONTACT PERSON: EMAIL: faterr, RA d 4 v nmt fo vote loasehot, is: 01" MAILING ADDRESS: CITY STATE ZIP 10 15. flhi.h frokar, J 14-o4 FINDING ADDRESS: CITY STATE ZIP Scant.. PHONE NUMBER: CELL NUMBER: FAX NUMBER 611q- 259-59' I 6111-810- W02i qie a51- ijlori MCN CO X: MCN DIVISION 0 ALTH: DAY CARE FAC ITY: YES NO YES YES NO IF YOU REQUIRE ANY SPECIAL SKILLS OR TRAINING FOR THIS PATICULAR WORKSITE PLEASE LIST THEM BELOW: All participants who will work on the MCN Tribal Complex, with the MCN: Division of Health and any day care will participate in mandatory trainings on the first day of the Summer Youth Employment program.) PLEASE LIST HOW MANY POSITIONS YOU WILL JOB' TITL orrma l e o 6t0 job3but ES Z HAVE AVAILABLE( maxi m u m 3 pe r site fh f say. eper,.) y Lor tor15 at,ra.5, l e t/ w1'ltt e- ic pi 1. 3. 9rovi6i cyj Otty Julio a c u SCS At 1 4).& author 2, of Work/1r 3, CHECKLIST Request for Summer Youth Worksite Legal Agreement Proof of Business( license, OTC documents, etc.) 1040 Form, Tax ID#, Statement from Bank Muscogee( Creek) Nation Tribal Complex P. 0. Box 580 Okmulgee, Oklahoma 74447 1-800- 482-1979 918-732- 7773 Fax 918-732- 7696 or 918-732- 7781 etacthmcn- nsn. gov Deadline to submit Worksite Application is January 31, 2017
Muscogee( Creek) Nation t KR!` k' N Department of Education& Training F- ;` `' o Employment& Training Youth Works Program a?_ r'nt NT ka, a o ii. PLEASE INDICATE WHAT AGES OF PARTICIPANTS YOU CAN ACCOMMODATE: ( Circle all that apply.) 16 17 18 19 20 21 ANY PLEASE INDICATE THE DAYS YOUR BUSINESSES IS OPEN AND LIST THE TIMES OF OPERATION : SUN: am/ pm to am/ pm Other: la!. 4.!,.. 1 _. 1l u.a. 0...:._1. MON: 8 am/ pm to C am/ pm 0,1 haul TUE: S am/ pm to 5 am/ pm WED: g am/ pm to am/ pm THU: E am/ pm to am/ pm FRI: 8 am/ pm to am/ pm SAT: am/ pm to am/ pm PLEASE PUT AN j Y GH REQUIREMENT YOU WILL Pl ASEP (tt: /. EX BY EACH ITEM THE YOUTh W L EED SEED FOR YOUR BUSINESS 0 FOR OSBI AND IMMUNIZATIONS, PLEASE LIST SPECIFIC TESTS NEEDEM DRUG TEST: 1 OR SOUR BUSINESS SCRUBS: OSBI: TB TEST: WORKBOOTS: STEEL TOED BOOTS: IMMUNIZATIONS: SAFETY GLASSES: OTHER: WORK GLOVES: PROFESSIONAL CLOTHES: OTHER: Statement of Understanding Worksites I verify that I have read the Summer Youth Employment Program Worksite Guidelines and Expectations. I acknowledge an understanding of this information. If determined eligible to participate in the SYEP I agree to comply with the Expectations and Guidelines. I further understand that if fail to comply with this Statement of Understanding it could affect my ability to participate as a worksite with the MCN Youth Works program. Name of Employer or Supervisor Deadline to submit Worksite Application is January 31, 2017
NOTICE: affect your legal rights. MUSCOGEE ( CREEK) NATION SUMMER YOUTH WORK PROGRAM AGREEMENT Please read the following carefully before signing. This is a legal document that may This Agreement executed on this day of 20, by a third party beneficiary of services, (hereinafter" Beneficiary") provided by participants from the Muscogee( Creek) Nation Summer Youth Work Program( hereinafter" Program"), and The Muscogee Creek) Nation Department of Employment and Training( hereinafter" Nation"). In consideration of the Nation permitting participation in the Summer Youth Work Program, the Nation and Beneficiary agree on behalf of himself/herself and their respective corporations or entities, to the following terms: 1. The Muscogee( Creek) Nation will pay the Youth Participant directly and in accordance with the( Creek) Nation policies and procedures for work performed during the course of the Program for the benefit of the Beneficiary. 2. Beneficiaries shall be responsible for all oversight including ensuring that Participants not perform any acts prohibited under Title 29 Code of Federal Regulations Part 570 Subpart C, Child Labor Regulation No. 3., a copy of which is located at http:// www.dol. gov/ whd/ regs/compliance/childlabor10 text. htm# 1. 3. Beneficiaries shall monitor Participant during the time the Participant is providing labor for Beneficiary. Furthermore, Beneficiary shall be responsible for any and all damage to any property caused by Participant while performing labor under this Agreement. GOVERNING LAW: This Agreement shall be governed by the laws of the Muscogee( Creek) Nation. PARTICIPANT AND GUARDIAN HEREBY ATTEST THAT THEY HAVE READ THE CONTENTS OF AGREEMENT AND FREELY, VOLUNTARILY AND WITHOUT DURESS EXECUTE THE AGREEMENT. Principal Chief Beneficiary or Representative( Signature) Business Name
Muscogee( Creek) Nation b `, i p Department of Education& Training Z Employment& Training Summer Youth tr q 1,4,. Employment Program 1;'. i = p M rte:. CAREER CLUSTERS Agriculture, Food& Natural Resources The production, processing, marketing, distribution, financing, and development of agricultural commodities and resources including food,fiber, wood products, natural resources, horticulture, and other plant and animal products/ resources. Architecture& Construction Careers in designing, planning, managing, building and maintaining the built environment. Arts, A/ V Technology& Communications-- Designing producing, exhibiting, performing, writing, and publishing multimedia content including visual and performing arts and design, journalism, and entertainment services. Business Management& Administration Careers in planning, organizing, directing and evaluating business functions essential to efficient and productive business operations. Education& Training-- Planning, managing and providing education and training services, and related learning support services such as administration, teaching/ training administrative support, and professional support services. Finance Planning and related services forfinancial and investment planning, banking, insurance, and business financial management. Government& Public Administration Planning and executing governmentfunctions at the local, state and federal levels, including governance, national security, Foreign Service, planning, revenue and taxation, and regulations. Health Science-- Planning, managing, and providing therapeutic services, diagnostic services, health informatics, support services, and biotechnology research and development. Hospitality& Tourism Preparing individuals for employment in career pathways that relate tofamilies and human needs such as restaurant and food/ beverage services, lodging, travel and tourism, recreation, amusement and attractions. Human Services Preparing individuals for employment in career pathways that relate tofamilies and human needs such as counseling and mental health services, family and community services, personal care, and consumer services. Information Technology Building linkages in IT occupations for entry level, technical, and professional careers related to the design, development, support and management ofhardware, software, multimedia and systems integration services. Law, Public Safety, Corrections& Security Planning managing, and providing legal, public safety, protective services and homeland security, including professional and technical support services. Manufacturing--Planning, managing and performing the processing of materials Into intermediate or final products and related professional and technical support activities such as production planning and control, maintenance and manufacturing/ process engineering. Marketing Planning managing, and performing marketing activities to reach organizational objectives such as brand management, professional sales, merchandising, marketing communications and market research. Science, Technology, Engineering& Mathematics Planning, managing, and providing scientific research and professional and technical services( e.g., physical science, social science, engineering) including laboratory and testing services, and research and development services. Transportation, Distribution& Logistics The planning, management and movement ofpeople, materials, and goods by road, pipeline, air, roll and water and related professional and technical support services such as transportation infrastructure planning and management, logistics services, mobile equipment andfacility maintenance, Muscogee( Creek) Nation Tribal Complex P. 0. Box 580 Okmulgee, Oklahoma 74447 1-800-482-1979. 918-732- 7777 Fax 918-732- 7696 eta@mcn- nsn. gov
STATE OF OKLAHOMA unr 1...- ILD LABOR LAW Section 71 et. seq. of Title 40 ofthe Oklahoma Statutes Applicable to minors UNDER 16 years of age Minimum Age Employment Certificate 14 years of age Employment certificate is issued by the school and is required for all employed minors, including home schooled minors and minors from out-of-state working in Oklahoma. Employers are required to have an employment certificate from the school before a minor is allowed to work. Hours Standard Break Periods Times Standard Note to Issuing Officer(s): Laws, Title 70 Section 10 School in session minors restricted to: Minors must comply with compulsory School No more than three( 3) hours per school day No more than eight( 8) hours per non- school day No more than eighteen( 18) hours per school week School not in session-- minors restricted to: No more than eight( 8) hours per non- school day No more than forty( 40) hours per non- school week For every five( 5) hours worked Thirty( 30) minute rest period For every eight( 8) hours worked One( I) hour rest period From Tuesday after Labor Day through May 31' minors: Can not work before 7:00 a.m. and not after 7: 00 p.m. From June 1 C through Labor Day minors: Can not work before 7: 00 a.m. and not after 9: 00.. m. Occupations which threaten health and well- being include, but not limited to: Prohibited Occupations Baking Communications Construction Cooking Coolers Cutters Demolition Freezers Fryers Grilb Hoisting devices Ladders Loading Machinery Manufacturing Mining Motor vehicles Mowers Power- Driven Processing Public messenger Public Utilities Repair Slicers Storage Transportation Unloading Warehouse Weed eaters Work rooms Youth peddling For information on hazardous occupations for 16 and. 17 year olds, contact the United States Department of Labor at 1-866-487-9243 Oklahoma Department of Labor 1-888- 269-5353 www.labor. ok.gav