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Work-Based Learning Application for 2022-2023
For students interested in WBL for school year 2021-2022
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* Required
Thank you for your interest in the WBL Program! Completing the form ONLY SAYS THAT YOU ARE INTERESTED
Who Recommended you to WBL
Your answer
Last Name
*
Your answer
First Name
*
Your answer
School
Your answer
Student ID Number without the "S"
*
Your answer
Graduation Year
2023
2024
Clear selection
Your email address
*
Your answer
Best Contact Number For You
*
XXX-XXX-XXXX
Your answer
List your counselor
*
Your answer
Select your COMPLETED CTAE Pathway
*
Audio & Video
Band or Chorus
Business
Computer Science
Dance or Drama
Engineering
Fashion or Sports Marketing
Healthcare
Information Technology
JROTC
Visual Arts
World Languages (Completed 3 years or more)
Other:
For how many semesters do you want WBL?
*
1st and 2nd semester (entire school year)
1st semester only
2nd semester only
Which periods do you want Work Based Learning
3rd and 4th period
4th period only
Are you currently employed? (If NO, Click Submit and exit. If YES, continue to next question)
*
NO
YES
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