Work-Based Learning Application- Chestatee HS
Please complete the information below if you are interested in joining the Work-Based Learning Program.  Please complete ALL items! Submission of this application and pertinent forms is your first effort for acceptance into the Work-Based Learning Program.  It is important that you read all of the application information so that your submission is correct and complete.  Submitted information will be used to determine program acceptance.
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Applicant's First Name *
Applicant's Last Name *
Current Age
 *
Expected Graduation Year *
Student ID Number *
Email Address (Can not use icloud email or hallco email) *
Cell Phone Number *
Indicate your future career/job interest. *
Are you currently employed? *
If you answered "no" above, what type of job/internship are you interested in? *
If you answered "yes" above, what business do you work for? (name of company) *
Do you currently (or will you have) a vehicle & school parking permit in order to travel to and from work? *
Which periods do you want to be released from school? Check all that apply. Note: middle of the day only is not an option. *
Required
Check all the pathways you have earned high school credit in (or are currently enrolled in). *
Required
List the pathway(s) you have more than 1 high school credit in (or will once this school year is complete) *
Are you interested in the Honor's level of WBL? Note: you must take at least 2 WBL courses, be in at least the 2nd level pathway course (from above) and have had previous honors level or higher courses to be considered) *
Do you play sports/in the band for the school? *
Please list school or community clubs, sports and/or activities you actively participate in. *
Briefly explain why you want to participate in the WBL program. *
Parent/Guardian Name(s) *
Parent Cell # *
Parent E-mail Address *
Name of first teacher you will send a recommendation form to. (Must be a high school teacher but you do not have to be currently enrolled in his/her class.) *
Name of second teacher you will send a recommendation form to. (Must be a high school teacher but you do not have to be currently enrolled in his/her class.) *
Copy and paste the following and e-mail it to BOTH of the teachers you listed above. Note: All Hall County teacher emails are firstname.lastname@hallco.org. (exp. holli.howard@hallco.org)                                                                                                                                      
My name is _______________ and I am applying for the Work-Based Learning Program. I have selected you to fill out a teacher recommendation form for me. Please complete the form at the link listed within 72 hours. My student ID number is _____________. Thank you for taking the time to help me with this portion of my application. https://forms.gle/XJpKUnr8HFX3JWqk9 
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