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Work-Based Learning Application
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* Indicates required question
Email
*
Your email
Student Name
*
Your answer
1) Which Semesters are you wanting to be enrolled in WBL? (check all that apply)
*
Summer 2021
Fall 2021
Spring 2022
Required
2) Which block(s) are you wanting to leave campus to work? (check all that apply)
*
1st
2nd
3rd
4th
Summer 2021 - no block required
Required
Are you considered 'on track' to graduate with your Senior Class? (Grades, Attendance, Discipline)
*
Yes
No - WBL is not recommended for students who are failing behind in their academic coursework.
3) Do you have any other responsibilities or obligations that could interfere with your ability to commit time after normal school hours to this program?
*
Yes
No
4) If yes, please explain.
Your answer
5) Do you have reliable transportation to get to and from work?
*
Yes
No
6) Are you currently employed?
*
Yes
No
If no, please provide any special instructions regarding the employment that you are seeking.
Your answer
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