WBL Online Application 2021-2022
Be sure you look over the application and ensure you have everything you need and can complete it in one sitting. Please know:
1. Applying for WBL is does not have to be a final decision. It is to get a conversation started. So, don't wait until the last minute. Your schedule won't be changed to accommodate WBL until May.
2. If you have had SIGNIFICANT discipline issues or chronic attendance issues prior to this school year, you may not qualify. Please see Ms. Boyer with questions about your circumstances.
3. Be sure you have asked two teachers if they can provide a good recommendation for you to be in the Work Based Learning Program. I will be soliciting a recommendation from them.
* Required
Email address
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Who is your study hall teacher? (First Initial, Last Name)
*
Your answer
What grade will you be in 2021-2022 School Year? (Only rising Juniors & Seniors are eligible for WBL)
*
Grade 11
Grade 12
What is Your Cell Phone Number
*
770-xxx-xxx (use dash)
Your answer
What is your school email address?
*
Type your email address exactly. This should by your student/lunch number @
cartersvilleschools.org
Your answer
Who do you live with?
*
Mother
Father
Both Parents
Other
What is your mother's first name? (can also be guardian)
*
Your answer
What is your mother's last name?
*
Your answer
Mother's Cell Phone Number
*
770-xxx-xxx (use a dash)
Your answer
Mother's Email Address
*
Sample
mother@yahoo.com
Your answer
What is your father's first name?
*
Your answer
What is your father's last name?
*
Your answer
Father's email address?
*
Sample
father@yahoo.com
Your answer
Father's Phone Number
*
770-xxx-xxxx
Your answer
Are you currently a WBL Student?
*
Yes
No
Are you presently Employed?
*
Yes
No
I have a seasonal job lined up for the summer
If you are currently employed OR if you have job lined up for the summer
Provide the following in the space below: 1. Name of the Company 2. Company Phone Number 3. First and Last Name of Supervisor 4. Rate of pay
Your answer
Do you currently have OR will you have transportation to/from work before the 2021-2022 School Year?
*
Each student must provide their own transportation. If you have a different circumstance please describe in OTHER
Yes
No
Other:
Required
Do you or will you have a valid driver's license before the 2021-2022 School Year?
*
Yes
No
Other:
Required
List the first and last name of the 1st teacher you've asked to recommend you for WBL.
*
Your answer
List the first and last name of the 2nd teacher you've asked to recommend you for WBL.
*
Your answer
I have taken the YouScience Assessment
*
Yes
No
I am interested in the following WBL placements (you may check more than one)
*
Work Based Learning/YAP- Placed in a paid or unpaid job OUTSIDE OF SCHOOL SYSTEM
Education Majors (Employees intern at the Primary or Elementary school) – Mostly Morning Periods
Medical or Science Majors (Morning and Afternoon Positions)
Legal Related Internships (Police, Guards, DTF, FBI, CIA, Lawyers, Paralegals)
Required
Please check all the periods you are willing to consider for Work-Based Learning- Schedules won't be made until the end of the school year and will depend on other classes you are requesting.
*
For each period in Work Based Learning, you will need to work 5 hours each week. 3 periods= 15 hours, 2 periods= 10 hours, 1 period= 5 hours per week.
Morning Schedule: Must have a MINIMUM OF TWO, MAXIMUM is THREE PERIODS
6-8th periods
7-8th periods
8th period only
Required
What are your immediate plans after High School?
*
Obtain a 4 year degree at a traditional 4 Year University
Obtain a 4 year degree but start locally first (Georgia Highlands or Chattahoochee Technical College) and then transfer to a traditional 4 year University
Go into a military branch
Obtain a technical degree from a specialist school or a technical university
I have no idea
Enter the workforce
Check all of the CTAE (Career Technical and Aviation Education) clubs that you are interested in joining next year.
*
Future Business Leaders of America (FBLA)
Robotics
Health Organizational Student Association (HOSA)
Unmanned Aerial Club
Teaching as a Profession
Required
Check ALL that apply to you.
*
I have taken MORE THAN ONE classes in:
Graphic Arts (Mrs. Veiga)
Engineering ( Mrs. Rowser)
Video Broadcast (Mr. Putnam)
Healthcare ( Coach Hardy)
Business (Mrs. Spradley, Coach Graves)
CAHISCO (Mrs. Spradley)
Automotive (Coach Corrigan)
JROTC
Law & Legal Services (Mr. Murray)
Teaching as a Profession (Dr. Foster)
AP or Honors Math
AP or Honors Social Studies
AP or Honors Science
AP or Honors English
Theatre/Drama course
Chorus/Band course
More than two Language courses
Art course
Required
What other courses are you considering for next year?
*
Dual Enrollment - Kennesaw State University, Georgia Highlands, Chattahoochee Technical College
Dual Enrollment - ON CAMPUS Chattahoochee Technical School, Embry Riddle
Mentorship - In office interns - front office, attendance, media center, etc.
Yearbook Staff
I just want WBL
Other:
Required
How did you hear about WBL? (check all that apply)
*
A current WBL student presented to my class or study hall
Flyers posted in the school
Announcements
Ms. Boyer Spoke to My Class or Study Hall
Another CTAE teacher recommended WBL
My Guidance Counselor Recommended Me
Other:
Required
1. Why do you want to participate in the Work Based Learning/ Youth Apprenticeship Program and what do you hope to gain? (Minimum word count is 100)
*
Your answer
2. What kind of career do you envision for yourself in the future? (Minimum word count is 100)
*
Your answer
Send me a copy of my responses.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms