General Services  Resources  Brown Bag RX Program  Women's Program
 Locations  Job Fairs  Job Seekers    SCSEP    Job Club  Employers    Employer Based Training    Business Advisory Board    Submit a Job Order  Host Agencies    SCSEP Forms
 OVERVIEW Homecare Services  Cleaners to the Rescue  Stay@Homecare
 Encore Candidates How it works Candidate FAQs Apply to be an Encore member  Encore Host Agencies How it works Agency FAQs
 Farmers Market  Congregate Meals  Emergency Food Pantry  Home Delivered Meals  Festive Food Catering
 Benefits  Volunteering  Volunteer Resources   Programs
   Caring Companions    CATCH Kids Program    Healthy U    TV Crew  Partners  Events
Sponsorships SOAR Nominations

Follow us:

Find us on these sites! Follow our Facebook page! View our videos on Youtube! Check out our Pinterest page! Check out our LinkedIn page! Check out our Twitter page!

Click here to join our online mailing list.

Will you be 'Sweet to a Senior'
for Sweetest Day?

100% of your donation is tax-deductible

There are many ways to help

Mini Job Fairs



Corporate Office:
2279 Romig Road
Akron, OH 44320
Phone: 330-253-4597
TF: (800) 554-5335
TTD: (330) 996-7683
Fax: (330) 762-5571

Host Agency Forms

Become a Host Agency

Host Agency Successes.The Host Agency is the heart of the SCSEP Program and is typically a community-based organization, government agency, or non-profit agency. By training at a Host Agency, older workers (participants) build the skills and behaviors needed to be successful in obtaining a job and keeping it. Also, work-training in a realistic "job environment" provides learning and feedback that will help participants be successful in the long-term.

Host Agency Forms

- Available Training Opportunities Form (pdf) (doc)
- Available Training Opportunities Sample Form (pdf) (doc)
- Host Agency Re-Certification Checklist (pdf) (doc)
- Host Agency Agreement (pdf) (doc)
- Host Agency Authorized Signature Form 2012-13 (pdf) (doc)
- Host Agency Supervision Report (pdf) (doc)
- Host Agency Supervisor Sample Letter (pdf) (doc)
- Host Agency Training Meeting Instructions (pdf) (doc)
- Local Income Tax Form (pdf) (doc)
- New Host Agency Certification Checklist (pdf) (doc)


- SCSEP Manual (pdf) (docx)
- Host Agency Supervisor's Responsibilities (pdf) (doc)
- Discipline Procedure (pdf) (doc)
- Training Performance Evaluation (pdf) (doc)
- Exit Evaluation (pdf) (doc)
- Payroll Schedule 2012-13 (pdf)
- Training Assignment Titles (pdf) (doc)
- Snow Day/Emergency Day Policy (pdf) (doc)


- SCSEP Manual (pdf) (docx)
- Time Sheet (pdf) (doc)
- Payroll Schedule 2012-13 (pdf) updated
- Emergency Medical Information Form (pdf) (doc)

W/C Packet

- Workers Compensation Instructions (pdf) (doc)
- Accident Investigation Report (pdf) (doc)

Employment Focus Newsletter

Read about how other agencies are benefiting from a partnership with Employment & Training Solutions.