Common Contracts
3 similar Work-Based Learning Agreement contracts
Work-Based Learning AgreementWork-Based Learning Agreement • July 12th, 2022
STUDENT INFORMATION STUDENT NAME: CELL PHONE #: DATE OF BIRTH: EMAIL: HOME ADDRESS: CITY/ZIP: PARENT/GUARDIAN NAME: PARENT/GUARDIAN CELL PHONE #: EMERGENCY PHONE #: PARENT/GUARDIAN EMAIL: STUDENT’S CAREER GOALS:••• EMPLOYER/MENTOR INFORMATION COMPANY NAME: COMPANY ADDRESS: CITY/ZIP: EMPLOYER/MENTOR’S NAME: EMPLOYER/MENTOR’S JOB TITLE: EMPLOYER/MENTOR’S PHONE #: EMPLOYER/MENTOR’S EMAIL: BUSINESS HOURS AVAILABLE: SCHOOL INFORMATION CAREER PATHWAY: CTE PROGRAM: SCHOOL SITE: INSTRUCTOR NAME: INSTRUCTOR PHONE #: INSTRUCTOR EMAIL: BEST TIME TO CONTACT: SAFETY INFORMATION The instructor has reviewed general safety procedures in class. The employer/mentor will review the safety procedures at the work site to include the location of emergency exits, fire extinguishers, and first-aid kits. DATE COMPLETED: EVALUATION Work-based learning experiences are co-supervised and co-evaluated by an instructor and an employer/business mentor.
Work-Based Learning AgreementWork-Based Learning Agreement • July 12th, 2022
STUDENT INFORMATION STUDENT NAME: CELL PHONE #: DATE OF BIRTH: EMAIL: HOME ADDRESS: CITY/ZIP: PARENT/GUARDIAN NAME: PARENT/GUARDIAN CELL PHONE #: EMERGENCY PHONE #: PARENT/GUARDIAN EMAIL: STUDENT’S CAREER GOALS:••• EMPLOYER/MENTOR INFORMATION COMPANY NAME: COMPANY ADDRESS: CITY/ZIP: EMPLOYER/MENTOR’S NAME: EMPLOYER/MENTOR’S JOB TITLE: EMPLOYER/MENTOR’S PHONE #: EMPLOYER/MENTOR’S EMAIL: BUSINESS HOURS AVAILABLE: SCHOOL INFORMATION CAREER PATHWAY: CTE PROGRAM: SCHOOL SITE: INSTRUCTOR NAME: INSTRUCTOR PHONE #: INSTRUCTOR EMAIL: BEST TIME TO CONTACT: SAFETY INFORMATION The instructor has reviewed general safety procedures in class. The employer/mentor will review the safety procedures at the work site to include the location of emergency exits, fire extinguishers, and first-aid kits. DATE COMPLETED: EVALUATION Work-based learning experiences are co-supervised and co-evaluated by an instructor and an employer/business mentor.
Work-Based Learning AgreementWork-Based Learning Agreement • July 12th, 2022
STUDENT INFORMATION STUDENT NAME: CELL PHONE #: DATE OF BIRTH: EMAIL: HOME ADDRESS: CITY/ZIP: PARENT/GUARDIAN NAME: PARENT/GUARDIAN CELL PHONE #: EMERGENCY PHONE #: PARENT/GUARDIAN EMAIL: STUDENT’S CAREER GOALS:••• EMPLOYER/MENTOR INFORMATION COMPANY NAME: COMPANY ADDRESS: CITY/ZIP: EMPLOYER/MENTOR’S NAME: EMPLOYER/MENTOR’S JOB TITLE: EMPLOYER/MENTOR’S PHONE #: EMPLOYER/MENTOR’S EMAIL: BUSINESS HOURS AVAILABLE: SCHOOL INFORMATION CAREER PATHWAY: CTE PROGRAM: SCHOOL SITE: INSTRUCTOR NAME: INSTRUCTOR PHONE #: INSTRUCTOR EMAIL: BEST TIME TO CONTACT: SAFETY INFORMATION The instructor has reviewed general safety procedures in class. The employer/mentor will review the safety procedures at the work site to include the location of emergency exits, fire extinguishers, and first-aid kits. DATE COMPLETED: EVALUATION Work-based learning experiences are co-supervised and co-evaluated by an instructor and an employer/business mentor.
