Work-Based Learning Application for 2024-2025,                2nd Semester                                                                                                              and                                                        Work-Based Learning Application for 2025-2026
For juniors and seniors interested in WBL for school year 2024-25 
 
*Thank you for your interest in the WBL Program! Completing the form ONLY SAYS THAT YOU ARE INTERESTED. The Coordinator will follow up with you with an email or text.
What school do you attend *
Please list your CTAE teacher (usually this is your pathway/elective's teacher) *
Your Student ID# *
Last Name *
First Name *
Graduation Year *
Which Semester are you applying *
Please provide your email address (enter carefully) *
Your cell# *
Provide a parent last name and first name *
Your parent's cell # *
Provide your counselor's name *
What are your career goals? *
Select your CTAE Pathway - Mark only one oval *
Do you have your parents' approval to enroll in WBL and leave school early? *
How many periods would you like to take WBL (parent and counselor must approve) *
Are you currently employed? *
Please provide the EXACT name of the company for which you are currently employed (Name and where you work/Your Employer).        If unemployed, write N/A
What is the company's phone number?  
What is the company's "exact" address?
Please provide the manager's first and last name
Please provide the date (month/year) you were hired
If you have any questions, feel free to contact Ms. Paige, the WBL Coordinator, at 470-344-9702 or valerie_a_paige@dekalbschoolsga.org
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