WORK-BASED LEARNING PROGRAM APPLICATION 2024-2025
The application below is for potential enrollment in the Work-Based Learning Program for the 2024-2025 school year.  Submitting an application does not guarantee enrollment in the program.
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Thank you for your interest in the Work-Based Learning program! The Work-Based Learning program gives students a unique opportunity for students to learn two ways: school (taught employability skills) and work (at an off-campus site with a business/company). Students can receive course credit by completing a combination of coursework, required weekly work hours, and satisfactory employer evaluations. If you are interested in the program, please complete the WBL Application and send the link to two of your Spring 2024 teachers to complete the Teacher Recommendation Form for 2024-2025 listed below.  It is the responsibility of the student to send the link to the teachers.

Teacher Recommendation Form: https://forms.gle/iGvpgKe8devyGUwb8


Completing the WBL Application ONLY STATES THAT YOU ARE INTERESTED - IT DOES NOT MEAN THAT YOU WILL BE SCHEDULED FOR WBL. *Final approval is pending on your Application, inquires into your Attendance & Disciplinary history, and two teacher recommendation forms from your CURRENT TEACHERS (Students who have been approved will be notified by Mrs. Smith.
DEADLINE TO SUBMIT FOR EARLY APPROVAL is Friday, March 15, 2024 for Fall 2024.
Last Name *
First Name *
Student Number (without the "s") *
Cell Phone Number *
XXX-XXX-XXXX
Email Address *
What is the name of your parent/guardian? *
What is your parent/guardian's cell phone number?   XXX-XXX-XXXX   *
Select your current grade *
What is your overall grade point average? *
Select your Counselor *
Select your Completed Pathway  *
Which semester(s) would you like Work-Based Learning? *
What WBL period(s) do you prefer? If approved, this does not mean that you will be scheduled for the selected period(s). *
Based on the previous question, if you have a Special Circumstance, please explain below. If you do NOT have a Special Circumstance, please type N/A *
Who is a current teacher that you would like to complete a teacher recommendation for you? *
Who is another current teacher that you would like to complete a teacher recommendation for you? *
Do you participate clubs/organizations/sports on at school? *
If you participate in extra-curricular activities/sports, please check all that apply. *
Required
Are you currently employed? (The employment deadline for Fall 2024 is August 16, 2024) 
(WBL does not allow Weekends ONLY for the program)
1 period = 10 hours/week
2 periods = 15 hours/week
3 periods = 20 hours/week
 *
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