Work-Based Learning Interest Form
Complete this form ONLY if you are interested in scheduling for WBL AND you currently have a job.

WBL will be placed on on quarter per hour of WBL release, BUT you will be responsible for full semester of time sheet to receive a passing grade. Ms. Lewis will provide more information once the form is complete.
Email *
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First and Last Name *
Phone number for WBL Supervisor to contact you *
Method of Northview Schooling *
Required
Place of Employment *
Number of hours you work a week. *
How many hours of WBL would you like to schedule? *
What Northview class will you be dropping to make room for WBL? *
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