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   Gestamp Work-Based Learning Program                                2024-2025
Application
Email *
First Name  *
Last Name *
Email: *
Applicant's phone number: *
Birthday  ex: 07/11/2006 *
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What school do you attend? *
Please choose your 2024-2025 grade level  *
How would you rate your school attendance? (1-5) *
Poor
Excellent
Since you have entered high school, have you been suspended from school?  *
Since you have entered high school, have you been in ISS?  *
It is a requirement that all WBL must have reliable transportation to and from school and your job site. Do you have reliable transportation? *
Who recommended you to apply for the program? *
List your last three work or volunteer experiences? *
List three things that you are proud of about yourself? *
What are two future career goals that you have set for yourself? *
What things do you like about your favorite academic subject? *
What are your hobbies? *
If selected, what would you hope to gain from the program? *
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