WBL Interest Application for 2018-2019
All components of the WBL/YAP application should be submitted to Ms. Boyer, Room 101

1. Lime Green Interest Sheet
2. Online Application Submitted by the deadline
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.

First Name *
Your answer
Last Name *
Your answer
Who is your current eighth period teacher? (First Initial, Last Name) *
Your answer
Are you currently a WBL Student? *
What grade will you be in 2018-2019 School Year? *
What is Your Cell Phone Number *
770-xxx-xxx (use dash)
Your answer
What is your email address? *
Be sure this is an email that you check FREQUENTLY. Example: samiesue25@yahoo.com
Your answer
Verify your email address *
Type your email address exactly one more time.
Your answer
Who do you live with? *
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 *
Your answer
What is your father's first name? *
Your answer
What is your father's last name? *
Your answer
Father's email address? *
Your answer
Father's Phone Number *
770-xxx-xxxx
Your answer
Are you presently Employed? *
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 2018-201 School Year?9 *
Each student must provide their own transportation. If you have a different circumstance please describe in OTHER
Required
Do you or will you have a valid driver's license before the 2018-2019 School Year? *
Required
List the first and last name of one of the teachers you've asked to recommend you for WBL. *
Your answer
List the first and last name of the second teacher you've asked to recommend you for WBL. *
Your answer
What are your immediate plans after High School? *
Check all of the CTAA (Career Technical and Aviation Academy) clubs that you are interested in joining next year. *
Required
Check ALL that apply to you. *
I have taken classes in:
Required
What other courses that need approval are you considering for next year? *
Required
How did you hear about WBL? (check all that apply) *
Required
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