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Locust Grove High School Work-Based Learning Application 2022-2023
Please use your Locust Grove High School email to fill out this form.
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* Indicates required question
Email
*
Your email
Student Name
*
Your answer
Student Lunch #
*
Your answer
1) Which Semesters are you wanting to be enrolled in WBL? (check all that apply)
*
Fall
Spring
Required
2) Which blocks are you wanting to leave campus to work? (check all that apply)
*
1st
2nd
3rd
4th
Required
3) Do you have any other responsibilities or obligations that could interfere with your ability to commit time after school hours to WBL?
*
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
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