ABCUSD Work Based Learning Survey
Please provide responses to the following questions.
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First Name *
Last Name
Student ID *
High School *
What is your current grade level? *
Have you participated in a Job Shadow (visiting a place to see a career and/or talking with or viewing what people do in that career)? *
In what grade levels did you Job Shadow? (mark all that apply)
Have you participated in an internship or internship-like program? *
In what grade levels did you intern? (mark all that apply)
Have you  had a paid job? *
If yes, in what grade levels did you work (mark all that apply)?
Have you  held a volunteer position in a work setting (hospital, city/government, etc) you are interested in pursuing? *
If yes, in what grade levels (mark all that apply)?
Have you received a professional certificate or become certified? (Example: CPR, Food Handling, OSHA, Adobe, SoftWorks, AutoCad, Pharmacy, MicroSoft, EMT, etc.) ? *
If yes, what certificate(?)/certification(s)
Have you taken any course at a community college, college or online college? *
If yes, what college and what courses?
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