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.
Six District Educational CompactWork-Based Learning Agreement • July 12th, 2022
✓ A learning agreement consistent with the student’s career goals outlining the Work-Based Learning (WBL) details and competencies shall be developed cooperatively by the student, parent, instructor and employer/mentor and updated as needed.
In accepting a work-based learning position, I will honor the following agreement:Work-Based Learning Agreement • May 26th, 2023
Work-Based Learning Agreement/Release Statement Terms and ConditionsWork-Based Learning Agreement • March 3rd, 2021
STUDENT: Agrees to develop well-planned, measurable learning objectives in conjunction with the Faculty Coordinator and the Site in relation to the goals of his/her instructional program. Student also agrees to abide by the College's WBL rules and regulations and those of the Site and to immediately report to their Faculty Coordinator any problems occurring on the job or changes in job duties and/or responsibilities. Further, the student grants permission for the Site to discuss the student's progress with the Faculty Coordinator.
WORK-BASED LEARNING TRAINING AGREEMENT James Cash Penney WORK BASED LEARNING AGREEMENTWork-Based Learning Agreement • August 3rd, 2020
The training shall be on-the-job and in the related career area to facilitate the process by which the trainee will become proficient in the occupation.
WORK-BASED LEARNING AGREEMENT | STUDENTS PAID BY BUSINESSESWork-Based Learning Agreement • January 30th, 2018
WORK-BASED LEARNING AGREEMENTWork-Based Learning Agreement • September 22nd, 2020
The undersigned parties agree to enter into a student Work-Based Learning Experience for the purpose of educating the student named above.
WORK-BASED LEARNING AGREEMENT | STUDENTS PAID BY BUSINESSESWork-Based Learning Agreement • August 3rd, 2018
ContractWork-Based Learning Agreement • August 4th, 2023
Education and Workforce Development Cabinet Work-Based Learning Agreement Plan Date:WBL Type (Check one): □ Co-op/Tiger Works □ Internship □ Shadowing □ Apprenticeship/TRACK
Work-Based Learning Agreement/ ExpectationsWork-Based Learning Agreement • December 3rd, 2014
keep such records of work experiences and wages (if applicable) earned as required by the school and to submit them on or before specified deadlines
SCHOOL NAME – ADDRESS – PHONE NUMBER WORK-BASED LEARNING AGREEMENTWork-Based Learning Agreement • October 19th, 2024
Start Date: / / End Date: / / Grading Period(s): Career Field Pathway (if applicable): This experience will be considered for Credit Flexibility: ☐ Yes ☐ No Type of Work-Based Learning:☐ Off-Site Placement or Internship☐ Apprenticeship/Pre-Apprenticeship☐ Remote or Virtual Placement☐ Entrepreneurship☐ School-Based Enterprise☐ Simulated Work Environment Pay Rate: /hour(if applicable) Typical Weekly Schedule: Job Description:
❑Revised Covid-19 Work-Based Learning AgreementWork-Based Learning Agreement • October 20th, 2021
SOUTHERN HILLS CAREER AND TECHNICAL CENTER WORK BASED LEARNING AGREEMENTWork Based Learning Agreement • September 11th, 2020
Student Name: Worksite: Address: Supervisor: City/Zip: Address: Phone: City/Zip: Program: Phone: Job Title: Supervisor’s Email Address:
Work Based Learning Agreement FormWork Based Learning Agreement • January 10th, 2020
NB: This form MUST be completed and signed by the Student, the WBL Tutor, and the Placement Supervisor at the beginning of the placement. A signed copy should be kept by all parties
Rochester City School District Work-Based Learning (WBL) AgreementWork-Based Learning Agreement • March 20th, 2018
🞏 Co-op: The purpose of a Co-op program is to further develop what the student learns in school with a work-based learning experience. This is generally a paid work experience. Students are able to earn up to 2 credits, with each half credit earned equivalent to 150 hours worked.
HUM AN SER VICESWork-Based Learning Agreement • July 30th, 2020
Measurable Learning Objectives (MLOs) 3 – 6 WBL Application 7 Medical Insurance Sheet 8 WBL Agreement 9 – 10 Release Agreement 11 On-Site Evaluation 13 - 14 Final Information Sheet 15 Employer Final 16 - 19 Student Final 20 Orientation Statement 21 Time Sheets 22 – 28 Grade Information Sheet 29 Grade Sheet 30
This establishes an agreement between the Buffalo City School District (BPS) and Business:Work-Based Learning Agreement • March 4th, 2021
Work-Based Learning Agreement Form (FORM A)Work-Based Learning Agreement • December 9th, 2020
Student Information Name: R# Phone: Date Program/Major Term: Fall ☐ Spring ☐Summer☐ Student Demographic InformationYour response is voluntary, information will not be used in a discriminatory manner and will remain confidential to individualstudents and only reported in general aggregate data Gender: 1st generation college student☐ Ethnicity Employer Information Employer Name Phone Number Address City State Zip Supervisor’s Name Supervisor’s Phone Number Supervisor’s Email: Position is with current employer☐ Position is new employer☐ Learning Plan Position Title: Start DateClick here to enter a date. End DateClick here to enter a date. Work days & Hours Hourly wage Planned Work Activities/ What I will learn. 1. 2. 3. 4. 5. This agreement is entered into with the expectation on the employer’s part and the understanding on my partthat I will complete the above employment during the specified period of time. Student signature DateClick here to enter adate. Employer signature DateClick her
WORK-BASED LEARNING TRAINING AGREEMENT James Cash Penney WORK BASED LEARNING AGREEMENTWork-Based Learning Agreement • August 3rd, 2020
The training shall be on-the-job and in the related career area to facilitate the process by which the trainee will become proficient in the occupation.
Work-Based Learning AgreementWork-Based Learning Agreement • February 19th, 2015
According to Tennessee Child Labor Law and WBL Policies, this form must be kept up-to-date in the personnel file at the workplace and at the school. Copies of the Safety Training Log and the WBL Agreement must be kept on file at the school for five years after placement.
ACADEMY FOR FACILITIES MANAGEMENTWork Based Learning Agreement • April 1st, 2012
Pre-Employment Transition Services Group Setting: Work-Based Learning (WBL) AgreementWork-Based Learning Agreement • June 29th, 2023
This form outlines the WBL duties, wages / salary, expected schedule, contact information and the terms of DVR reimbursement for the host employer.
SCHOOL TO WORKWork-Based Learning Agreement • July 3rd, 2013
Administrators of the various school to work programs shall work with employers to develop opportunities for work-based and work-related learning experiences. The components of these experiences shall be written into agreements between the employers and the Dayton School District. Each agreement will include assurances from the safety laws and rules, restrictions on the hours of minor workers or volunteers, and, if students are compensated for their work, that the students are covered by the employer’s workers’ compensation insurance. Violation of these assurances is grounds for immediate termination from the program. Every effort shall be made to structure each school to work program so that no employee or agent of an employer will have regularly scheduled, unsupervised access to a student or students will include an individualized analysis of the safety of the student will include a provision that such employees or agents shall undergo a background check at the Dayton School District
WORK-BASED LEARNING EDUCATION INTERNSHIP TRAINING AGREEMENTWork-Based Learning Agreement • June 10th, 2021
Student’s Name Program Work-Based Learning - Rhonda Reynolds School Christiansburg High School School Division MCPS Business Name Address Job Title On-site Supervisor Name Age of Student Supervisor’s Email
Work-Based Learning AgreementWork-Based Learning Agreement • July 15th, 2014
Wake Technical Community College and the cooperating employer agree to observe placement procedures and employment practices which conform to all State, Federal, and local laws, and the Wake Tech policies and procedures (including nondiscrimination toward any participant or employee because of race, color, national origin, religion, gender, disability, age, genetic information, or any other legally protected classification).
Work-based Learning AgreementWork-Based Learning Agreement • July 5th, 2022
• Apply math concepts, including measurement, operations, and higher mathematics to relevant applications and specific tasks.
Rochester City School District Work-Based Learning (WBL) AgreementWork-Based Learning Agreement • November 4th, 2015
🞏 Co-op: The purpose of a Co-op program is to further develop what the student learns in school with a work-based learning experience. This is generally a paid work experience. Students are able to earn up to 2 credits, with each half credit earned equivalent to 150 hours worked.
Quarter 1 Course Number Course Title CR MEC Elective chosen from list on the right 5 MEC Elective chosen from list on the right 5 Work-Based Learning Agreement Total Credits 10Work-Based Learning Agreement • April 7th, 2022
STUDENT NAME/SID ENTRY COORDINATOR FACULTY NAME Jason Sawatzki or Carl Wenngren CONTACT INFO jason.sawatzki@cptc.edu or carl.wenngren@cptc.edu PROGRAM COUNSELOR Taylor McGovern CONTACT INFO taylor.mcgovern@cptc.edu PROGRAM START QUARTER Every Quarter
Work-Based Learning Agreement FormWork-Based Learning Agreement • July 4th, 2013
Student’s Name: Address: Phone: Student ID Number: Age: Date of Birth: Grade: Work Site: Address: Phone: School: Coordinator: Phone: Parent/Guardian: Phone:
WORK-BASED LEARNING AGREEMENTWork-Based Learning Agreement • September 3rd, 2024
General Data Protection Regulation (GDPR) The GDPR sets out the main rules for handling personal data in the Netherlands. See: https://autoriteitpersoonsgegevens.nl/nl/onderwerpen/avg-europese-privacywetgeving Work-based learning (WBL) WBL is education in the profession’s vocational practice, which takes place in an accredited work- placement company pursuant to a work-based learning agreement. A successfully completed WBL is a statutory requirement for certification. WBL page The section of the WBL agreement (WBLA) that includes the student’s details, the programme and the work-placement company. Elective components Elective components are compulsory and, in addition to the qualification, provide an opportunity to further enhance or expand the preparation for the labour market or an advanced programme. Theelective component can (partly) take place during the work-based learning. Complaints facility A single point of contact for students for complaints, appeals and/or disputes. It can
Gulfport Job Corps Center Work-Based Learning AddendumWork-Based Learning Agreement • February 11th, 2019
WORK-BASED LEARNING – Non-CTE Paid or UnpaidWork-Based Learning Agreement • January 3rd, 2013
Name (Last, First) Grade Paid or Unpaid Monitored by a certificated teacher?(Y/N) Credit granted? (Y/N) < 48 hours per week at work and school? (Y/N) Written training agreement and training plan on file?(Y/N) Attendance records maintained by employer? (Y/N) 1 documented site visit once every 9 weeks?(Y/N) FTE Total WBLPortion (must be≤ .5)
Student Name Class Semester Hours Required Supervisor Phone Employer Employer Address Supervisor Supervisor EmailWork Based Learning Agreement • August 6th, 2014
Sandhills Community College and the cooperating employer/agency agree to observe placement procedures and employment practices which conform to all federal, state, and local laws and regulations (including nondiscrimination toward any participant or employee because of race, color, religion, sex, veteran's status, disability, or national origin). The following statements constitute the Agreement on which participation in the Work Based Learning Program through WCE at Sandhills Community College is based:
