Work Based Learning Sign-up Form
We are now taking sign ups for Work-Based Learning (WBL).  WBL is a program where students that are seniors or juniors go to school ½ day and go to an employer ½ day to earn school credit. You must also have completed a career pathway OR in the process of completing a career pathway to be accepted.  If you are interested in finding out more about Work-Based Learning please complete the following information.  Any questions email bcampbell.lfo@catoosa.k12.ga.us

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Student Full Name *
Student Cell / Phone Number *
What grade are you going into next year? 
(Only upcoming Seniors and Juniors can apply)
 *
Parent/Guardian Name *
Parent/Guardian Cell Number *
Have you ever failed a class at LFO? *
If you failed a class, what class was it?
Have you had problems with attendance or tardies to school? *
Have you received ISS while at LFO? *
If you have received ISS, explain what for.
Please select all CTAE pathways that you have taken at least one class in? (select all that apply) *
Required
Are you a PATHWAY COMPLETER? *
If you are a PATHWAY COMPLETER, what pathway did you complete?
If you are not a pathway completer yet, which pathway are you looking to complete and how many classes do you have left in that pathway? (It takes 3 classes to complete the pathway)
Do you currently have a job? *
What is your current job and MANAGER's name and do you plan to keep this job for WBL?
Do you drive or will be driving by August? *
Do you have any other responsibilities and/or obligations that could interfere with your ability to commit time after school hours to WBL? *
Required
If yes, please explain.
List three teachers that know you well and would give you a good recommendation...... *
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