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Summer WBL
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
School You Attend
*
Cherokee Bluff
Chestatee
East Hall
Flowery Branch
Johnson
Lanier College and Career Academy
North Hall
West Hall
VPOC
Your Cell #
*
Your answer
Your email address (not hallco address)
*
Your answer
Where do you work? (Business name)
*
Your answer
Mentor/Boss/Supervisor's Name
*
Your answer
Below you will verify if you are seeking 1 full credit or 1/2 credit.
I will be able to work at least 150 hours between June 1 to July 28 to earn
1 full
credit of WBL
*
Yes
No
I will be able to work at least 75 hours between June 1 to July 28 to earn
1/2 credit
of WBL
*
Yes
No
I understand I must submit weekly assignment(s) in addition to my hours.
*
yes
No
I understand I will be visited at least 3 times by my summer WBL coordinator.
*
yes
No
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