Work Based Learning Experience Request Form
Please fill out this form to let Your Future Is Our Business know more about the work based learning experience (WBLE) you would like us to coordinate for your students. We will follow up in 2-3 business days to arrange a time to meet with you to review details, answer questions, and finalize format, etc. If you do not hear back within 5 business days, please email 
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Email *
Educator Name *
Educator Phone Number *
School District *
Name of School *
School Address
Number of Students *
Classroom Number/Event Location
Parking and Check In instructions
Grade(s) *
What work based learning experience would you like? Some events may be held virtually *
Career Pathway Request *
If you chose "Other" on the previous question, please specify your Career Pathway Request below:
*If you've picked Career Panel please specify who you would like the Moderator of the event to be*
(A Moderator is the person who will facilitate asking questions to the Speakers)
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Please select your preferred class period(s)
Please list your preferred Date(s) and Time(s)
*Dates must be a minimum of 2 weeks after submission of this form*
Example: Dec 7th. 9AM-12pm
Questions or Comments?
This is an opportunity to share more about your classroom/request. Please add any other information YFIOB should be aware of to best fulfill your request..
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