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FORMTEXT        FORMTEXT        FORMTEXT       FORMTEXT      Last Name First MISocial Security Number  FORMTEXT       FORMTEXT       FORMTEXT      DepartmentWork SiteCounty Name/County Number  FORMTEXT       FORMTEXT      Date StartedDate Completed  FORMTEXT       FORMTEXT      Supervisor SignaturePhone NumberDate This information must be provided so that the Promise Jobs work experience participant will receive credit for being enrolled in the Work Experience Placement Prograzšˆ Š ž   ¢ ¬ ® ° ² Æ È Ê Ô Ö Ø Ú î ð ò ü þ      & ( , „ ˆ Š ž íÙÓÉóɣÉÃÉÓɣÉÃÉÃɣÉ}ÉÃmÉ£É}_}ÉÃhØQjhØQj6@ˆýÿCJaJj\h%ûh%û@ˆýÿU hØQj@ˆýÿjèh%ûh%û@ˆýÿUjth%ûh%û@ˆýÿUjh%û@ˆýÿUmHnHujh%ûh%û@ˆýÿU h%û@ˆýÿjh%û@ˆýÿU hN ù@ˆýÿ&hØQjhN ù56@ˆýÿCJOJQJ^J#hØQjhN ù5@ˆýÿCJOJQJ^J#6zšœž„ † ˆ  * ùùùùóóóóóàÕÇ $$*$Ifa$gdØQj $$*$Ifa$$ Æ, n$*$Ifa$gd%û$*$a$$*$a$ ,þ* , R T ‚ •‚tt $$*$Ifa$gd%û$ ÆÔ $*$Ifa$gd%ûjkdÐ$$If–l”ýþÖF誂&èÂØ  tàöööÖ ÿÿÿÖ ÿÿÿÖ ÿÿÿÖ ÿÿÿ4Ö4Ö laölytþXê‚ „ † ˆ ° ² Ú Ü  —‘ˆzlzzz $$*$Ifa$gd%û $$*$Ifa$gd%û $*$a$gdØQj$*$a$hkd $$If–lÖF誂&èÂØ  tàöööÖ ÿÿÿÖ ÿÿÿÖ ÿÿÿÖ ÿÿÿ4Ö4Ö laölytþXêž   ¢ ¬ ® ² ´ È Ê Ì Ö Ø Ü Þ ò ô ö     0 4 f j n p r † ˆ Š ” – š œ ° ² ´ ¾ À Ä ïåÕåÏåɹåÕåÏåÉ©åÕåÏžžžÏÉåÉ€åÕåÉåÉpåÕåÉjLh%ûh%û@ˆýÿUjØh%ûh%û@ˆýÿUhØQjhØQj6@ˆýÿCJaJhØQj6@ˆýÿCJaJjTh%ûh%û@ˆýÿUjàh%ûh%û@ˆýÿU h%û@ˆýÿ hØQj@ˆýÿjh%û@ˆýÿUmHnHujh%û@ˆýÿUjlh%ûh%û@ˆýÿU)    2 4 h o\NNNN $$*$Ifa$gd%û$ Æ@ $*$Ifa$gd%ûkdÈ$$If–l”ýþÖr "‚¢ˆ&  `  æ  tàöööÖÿÿÿÿÿÖÿÿÿÿÿÖÿÿÿÿÿÖÿÿÿÿÿ4Ö4Ö laölytþXêh j l n p ˜ š  qhbYKKK $$*$Ifa$gd%û $*$a$gd%û$*$a$ $*$a$gdØQjŽkdÒ$$If–lÖr "‚¢ˆ&  `  æ  tàöööÖÿÿÿÿÿÖÿÿÿÿÿÖÿÿÿÿÿÖÿÿÿÿÿ4Ö4Ö laölytþXêÂ Ä Þ à þ ‘~pp $$*$Ifa$gd%û$ Æ@ $*$Ifa$gd%ûnkdÀ$$IfT–l”ýþÖF”ÿq «Ý*  tàöööÖ ÿÿÿÖ ÿÿÿÖ ÿÿÿÖ ÿÿÿ4Ö4Ö laöyt%ûŠTÄ Ü à ü   " , . 2 4 H J L V X \ „ ˆ   ¤ ¬ ° ² ¶ (ì(ò()–*¢*,+Ž++æ+,ôæôæàÖàÆÖ¶ÖàÖà¦Ö¶Öàôæôæôæà ™—™ Ž ˆ „€„ hØQjhN ù h•n@ˆýÿhN ù5@ˆýÿCJU hN ù5@ˆýÿ hN ù@ˆýÿjÐ h%ûh%û@ˆýÿUjh%û@ˆýÿUmHnHujZ h%ûh%û@ˆýÿUjh%û@ˆýÿU h%û@ˆýÿhØQjh%û6@ˆýÿCJaJh%û6@ˆýÿCJaJ'þ     0 2 Z “„vvhhh $$*$Ifa$gd%û $$*$Ifa$gd%û $*$a$gd%û$*$a$lkd$$IfT–lÖF”ÿq «Ý*  tàöööÖ ÿÿÿÖ ÿÿÿÖ ÿÿÿÖ ÿÿÿ4Ö4Ö laöyt%ûŠTZ \ † ˆ ¢ ¤ ® o\NNNN $$*$Ifa$gd%û$ Æ@ $*$Ifa$gd%ûkdF $$If–l”ýþÖr Ä^Æ' š h@  tàö'ööÖÿÿÿÿÿÖÿÿÿÿÿÖÿÿÿÿÿÖÿÿÿÿÿ4Ö4Ö laölyt%û® ° ² ´ ¶ ì(î(ð(ò()’)qhbbbbbbbb$*$a$ $*$a$gd%ûŽkdP $$If–lÖr Ä^Æ' š h@  tàö'ööÖÿÿÿÿÿÖÿÿÿÿÿÖÿÿÿÿÿÖÿÿÿÿÿ4Ö4Ö laölyt%û m. Submit this form and a copy of the completed performance evaluation to the your department's personnel assistant. Personnel Assistant: Please send this form and the performance evaluation to: Iowa Department of Administrative Services  Human Resources Enterprise Work Experience Program Coordinator Employment Bureau Hoover State Office Building Des Moines, Iowa 50319-0150 (515) 281-6480 PLEASE ADVISE THE PROGRAM ENROLLEE THAT THEY MAY SUBMIT A DAS-HRE APPLICATION AT THIS TIME. 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