Work-Based Learning Application
 Please keep the following general information in mind before applying.
- You will need transportation available to leave campus.  Either you drive, or have a ride pick you up.  Staying on campus is not an option.

- You can have WBL on your schedule for 1-3 periods.  For every period of work-base you need to work a minimum of 7.5 hours per week.  For example a student with 2 periods of work-base needs to work a minimum of 15 hours per week.

- If you do not have a job, start looking NOW!   It is not my responsibility to find you a job...please understand that your ability to find employment is your responsibility.  I will have from time to time paid or unpaid opportunities and will communicate those as they come.

- Understand that you do not have obtain all your hours during your WBL period(s).  Your hours are calculated monthly.  You can obtain your hours in the evening or on the weekends.

- NO on-campus internships will be available (Ex. Office Aids, Teacher Assistants)..

- You do have ASSIGNMENTS for WBL!  Your grade is based upon job performance, assignments and wage/hour reports.

- The first day of the semester, you will NOT leave campus early.  We will report to Room A2100/Mrs. Lester's during your WBL period(s) to discuss the program.  

If you have any questions please see Mrs. Lester in Room A2100 or email her at whitney.lester@dcssga.org.  
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Email *
Email Address *
First Name *
Last Name *
Are you presently employed? *
If you are employed, what is the Name of your Employer (Business Name)?
If you are accepted into the Work-Based Learning Program, will you have transportation to leave school? *
Which semester(s) are you wanting to be enrolled in WBL? (check all that apply) *
Required
What period(s) would you like to have work-based learning? You must work 7.5 hours per week for each period of WBL (7.5 hours per week = 1 period, 15 hours per week = 2 periods, 22.5 hours per week = 3 periods).
(Check all that apply)
4th Period
2nd Semester
I certify that I have completed the above application form after careful consideration.  If I am accepted for, I will take advantage of every opportunity to improve my skills and efficiency in the classroom and the world of work.  I agree to abide by all rules, regulations and guidelines of the work-based learning program. Marieca Williams *
Please type your name as your digital signature.
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