2024-2025 WBL/Co-Op Application

IMCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED! Students must complete a separate request for consideration to work for a family business for school credit or for a business outside of the 18-mile radius of the school. 

*You must have completed at least 1 Career Technical Education Class to qualify.
 *Failure to list teacher for recommendations will label your application incomplete and will be denied.
First Name *
Last Name *
School *
What will be your grade level for the 2024-2025 school year? *
Student Cell Phone Number *
Home Mailing Address (Include City) *
Date of Birth *
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Shelby County Schools Student Email Address *
Do you have a driver's license? *
Do you have access to a car? *
What is your primary career objective (goal) after high school? *
Parent/Guardian Name(s) *
Parent/Guardian Email *
Parent/Guardian Cell Number *
Are you interested in beginning work this summer?
Clear selection
What 2 types of businesses would you prefer to work: (examples: bank, dental, retail store, legal, medical, etc.) Enter Choice 1 and Choice 2 below. *
Reason for businesses you selected as choices. *
Are you currently employed? *
If you answered "yes" to the previous question, list the name of your place of employment  and position you hold.
1. List the first and last name of your current or former Career Technical Education Teacher, (Some examples of Career Technical Education classes that you may have taken are: Career Prep, Marketing, Sports Nutrition, Engineering, Agri-Science, FACS, etc...)  *
2. List the first and last name of a current or former high school teacher to use as a reference. *
3. List the first and last name of a current or former high school teacher to use as a reference. *
I agree as a requirement of the WBL program I will attend a mandatory program orientation. *
Cooperative Education provides an opportunity to be considered for employment in businesses and  industries in our area. When you enroll in Cooperative Education, you indicate that you agree to abide by all  cooperative education rules and policies. If you accept this responsibility, please check the box below. *
Required
Signature Required: 

I will diligently check my Shelby County email for confirmation that I have been accepted to 2024 - 2025 Co-Op Program, and for the date of the mandatory meeting that will be scheduled by the coordinator for my school.
 *
Shelby County Career Technical Education does not discriminate on the basis of race, color, creed, religion, sex, age, national origin, disability, homeless status, marital status, non-English speaking ability, or migrant status in its programs and activities and provides equal access to the Boy Scouts and other designated youth groups.  

Inquiries regarding nondiscrimination policies should be directed to:

Mike Jones, Title IX Coordinator
410 East College Street
Columbiana, AL  35051
205-682-7069
MJones@shelbyed.org


Marla Aldrich, 504 Coordinator
2280 Highway 35
Pelham, AL  35124
205-682-5850
MAldrich@shelbyed.org
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