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2018-2019 Work-Based Learning Application
If you are an upcoming Junior or Senior interested in participating in Work-Based Learning, complete the following application.
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* Indicates required question
Do you have a LEGITIMATE JOB AND RELIABLE TRANSPORTATION to leave campus during your WBL period(s)?
*
Yes
No
Name (Last, First)
*
Your answer
Cell Phone Number
*
Your answer
Email Address
*
Your answer
Are you presently employed?
*
Yes
No
If employed, who is your employer? (Business Name)
Your answer
Employer's Address
Your answer
Supervisor's Name
Your answer
Your Pay Rate
Your answer
Are you currently looking for employment?
*
Yes
No
If yes, where have you applied?
Your answer
Do you have transportation to leave school?
*
Yes
No
What is your overall grade point average?
*
4.0-3.0
2.99-2.0
1.99-1.0
What are your plans after high school?
*
Your answer
What kind of career do you envision for yourself in the future?
*
Your answer
List three teachers who are familiar with your scholastic and work performance that you would ask to recommend you for Work-Based Learning.
*
Your answer
List any additional information the WBL coordinator may need to know.
Your answer
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