PCHS Work-Based Learning Application

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WBL Requirements: Students must be 16 and have the following: 75 GPA, good attendance, appropriate behavior, have at least 1 credit in a pathway course and have a career goal. Completion of this application does not guarantee that you are in the program. You will be contacted by the school WBL Coordinator for final approval.

Email *

First Name *

Last Name *

Student Cell Phone *

Student Email - use your personal email account, not your student # Paulding account *

Current Grade Level *

Sophomore

Junior

Senior

Which semester are you applying? Check all that apply. *

I am applying for NEXT semester, this school year

I am applying for next school year, both semesters, 2023 - 2024

I am applying for Fall Semester next school year (2023)

I am applying for Spring Semester next school year (2024)

Required

Which CTAE Pathway(s) have you completed and/or taken (at least 1 credit by the end of this school year)? *

Agriscience (02)

Business (07)

Culinary (20)

Healthcare (25)

Digital Technology (11)

Graphic Design

Public Safety (43)

JROTC (28)

Automotive (47)

Cosmetology (12)

Energy

Cybersecurity

Marketing

Select ALL that apply

Is this Year 1 or Year 2 for you in the WBL program? *

Year 1 (1)

Year 2 (2)

How many blocks of Work-Based Learning are you requesting? *

1 Block (4)

2 Blocks (5)

What is your career goal? *

Do you currently work or intern? *

You will need to have a job by the beginning of the semester for which you are applying for. (January 3, 2023 or August 1, 2023). This may be a paid or unpaid position.

Yes

If yes above, list your business name.

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