WBL Interest Form for 2022-2023
If you are interested in WBL for the 2022-2023 school year,  please fill out the form below and submit. If you have any questions, please contact Brett Dillin (brett.dillin@gcssk12.net)  or Steven Cornett (steven.cornett@gcssk12.net). We are located in the Advanced Studies Building.

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First Name *
Last Name *
Email Address (the one you check regularly) *
Current grade level *
Expected Graduation Year *
Cell number *
Describe your future Career/Job Interest after graduating from high school or college. *
List any related CTAE courses you have completed. *
Are you involved in a sports team or extracurricular activity after school? Please explain. *
Explain why you want to participate in the Work-Based Learning program. *
If chosen for WBL, how would you get to the job? *
Are you employed now? *
If so, where do you work?
How many hours do you work a week? *
Is this the job you want to use for your WBL placement? (Understand that you must be employed when school starts) *
Are you interested in an unpaid internship during your WBL period related to your future career? For ex. healthcare, elementary education, or a real estate office? *
Is there a certain period(s) that you would need WBL because of your job placement? Check all that apply. *
Required
Do you understand that in order to be accepted and get credit for WBL you must be employed in either a paying job or an internship that we assisted in your getting?
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Any special comments or concerns?
Submit
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