PA/STUDENT CONTRACT FOR PERSONAL ASSISTANT SERVICES

 

Personal Assistant                            STUDENT

Name:                                                              Name:                                                             

Address:                                                           Address:                                                          

Phone:                                                              Phone:                                                             

SS#                                                                  SS#                                                                 

The above parties agree as follows:

1.      Student will require and Personal Assistant will provide                    personal assistant hours per week with the following services provided:

a)                                                            b)                                                        

c)                                                         d)                                                        

e)                                                         f)                                                         

g)                                                         h)                                                        

i)                                                          J)                                                        

2.      The Personal Assistant will maintain a regular weekly schedule as follows.

Monday:

Tuesday:
Wednesday:

Thursday:

Friday:

Saturday:

Sunday:

3.      The following payment schedule has been agreed upon:

The cost for the Personal Assistant services provided herein in $      per hour multiplied by  hours per Week multiplied by              Weeks.

4.      The PA shall be paid on the following schedule:                                                                                                                                                                                                

5.      It is the responsibility of the PA to submit the record of hours worked (contact ORS for the proper form if the Student is sponsored by that agency) on the schedule specified above.

6.      If the PA is unable to fulfill the job duties or meet the above terms, they can be terminated. PA also understands that they may be terminated if the student no longer needs assistance, if interpersonal problems develop, or for any other reason the student may find.

7.      Each party furthermore understands and agrees that the exact number of PA hours per week may vary from week to week depending on student needs and that advance notice must be given if either party desires to terminate or modify this contract.

PA SIGNATURE:                                          STUDENT SIGNATURE

                                                                                                                                   

DATE:                                                            DATE:                                               

 

APPROVAL BY ORS

                                               

DATE: