JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Work-Based Learning Student Job Survey
Let us know about your job (paid or volunteer) by filling out the information below. You might qualify for work-based learning and earn a graduation cord! This should take less than 3 minutes to fill out.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Your phone number
*
Your answer
High School
*
DHS
EHS
LHS
PHS
Grade
*
9
10
11
12
Indicate your career cluster(s) from your IGP:
Agricultural, Food and Natural Resources
Architecture and Construction
Arts, Audio Visual Technology & Communications
Business Management & Administration
Education & Training
Finance
Government and Public Administration
Health Science
Hospitality and Tourism
Human Services
Information Technology
Law, Public Safety and Security
Manufacturing
Marketing
Science, Technology, Engineering and Mathematics
Transportation, Distribution & Logistics
I'm not sure
Business Name
*
Your answer
What is your job at work?
*
Your answer
Work Supervisor's Name
Your answer
What is the business or supervisor's phone number?
Your answer
What is the supervisor's email address?
Your answer
For more information contact:
Anna Esuary, Work-Based Learning Facilitator
annaesuary@pickens.k12.sc.us
864-397-1083
tinyurl.com/MY-SDPC-WBL
(or)
Your high school's Career Development Facilitator:
DHS: Suzan Potter (
suzanpotter@pickens.k12.sc.us
)
EHS: Jennifer Bigsby (
jenniferbigsby@pickens.k12.sc.us
)
LHS: Joshua Black (
joshuablack@pickens.k12.sc.us
)
PHS: Hannah Smith (
hannahsmith@pickens.k12.sc.us
)
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This form was created inside of SCHOOL DISTRICT OF PICKENS COUNTY.
Report Abuse
Forms