STEPHENSON HIGH SCHOOL WORK-BASED LEARNING PROGRAM APPLICATION 2021-2022
Please complete this WBL Student Application Form BY MARCH 1ST. *Final approval is pending completion of this application, a Teacher Recommendation from your CTAE Pathway or Humanities Teacher and one additional teacher, verification of your Attendance and Disciplinary histories, and verification by your counselor. Upon final approval, you will be notified by Mrs. Anderson.
DEADLINE TO SUBMIT IS 4PM MARCH 1, 2021
First Name *
Last Name *
Student Number (without the "s") *
YOUR cell Phone Number *
XXX-XXX-XXXX
YOUR Email Address *
Parent/Guardian's Name? *
Parent/Guardian's cell phone number? XXX-XXX-XXXX *
Select your grade for 2021-22 *
Select your Counselor *
Select your COMPLETED CTAE or HUMANITIES/FINE ARTS Pathway *
Besides your Pathway teacher, what other teacher would you like to complete a Teacher Recommendation for you? *
What school athletics/activities do you participate in and what days do you have practice/meets/games/meetings? *
Which block(s) would you like WBL? *
Are you currently employed? *
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