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WORK-BASED LEARNING WORK-BASED LEARNING PROGRAMSPROGRAMS
FORMS AND FORMS AND PROCEDURESPROCEDURES
Susan Gubing, SUNY OswegoSusan Gubing, SUNY Oswego
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Job Satisfaction
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BEFORE YOU PLACE A STUDENTBEFORE YOU PLACE A STUDENT
Verify program enrollment or teacher recommendation.
Obtain signed “Parental Permission” form.
Photo copy the student’s Employment Certificate and Driver’s License.
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BEFORE YOU PLACE A STUDENTBEFORE YOU PLACE A STUDENT
Record student’s Social Security number.
Review student’s “Program Enrollment” form.
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BEFORE YOU PLACE A STUDENTBEFORE YOU PLACE A STUDENT
Review student’s “Career Planning” and or IEP document.
Review student’s current activity plans. (Clubs, sport teams, family vacations.)
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BEFORE YOU PLACE A STUDENTBEFORE YOU PLACE A STUDENT
Review student’s resume and/or Employability Skills Profile.
Verify “Safety Training” instruction.
Discuss the training parameters: Days, hours, tasks, duration, pay.
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BEFORE YOU PLACE A STUDENTBEFORE YOU PLACE A STUDENT
Discuss transportation issues. Using a street map, map the
travel route with the student. Verify “Pre-employment”
lessons have been completed. Job application, calling employer,
dressing for interview, interview techniques, etc.
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Thinking about retirement?
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WITH THE EMPLOYERWITH THE EMPLOYERBefore You Place the StudentBefore You Place the Student
Meet with the employer to discuss: Training plan. Safety considerations. Pay, hours, days, etc. Insurance coverage.
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WITH THE EMPLOYERWITH THE EMPLOYERBefore You Place the StudentBefore You Place the Student
Meet with the employer to discuss: The “culture” of the company. Memorandum of Agreement Student evaluation form and
procedures. Long term plans for this
training site.
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WITH THE EMPLOYERWITH THE EMPLOYERBefore You Place the StudentBefore You Place the Student
Meet the student’s supervisor.
Tour site – look for hazardous situations.
Invite CTE teacher to view the job site and meet the employer with you.
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Many jobs come with benefits!
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NOW YOU ARE READY TO PLACE NOW YOU ARE READY TO PLACE THE STUDENTTHE STUDENT
Arrange for interview. Keep in close contact with
employer. Determine start date. Obtain signed
“Memorandum of Agreement” along with Training Plan.
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WHEN STUDENT BEGINS TRAININGWHEN STUDENT BEGINS TRAINING
All parties (parents, student, employer and WBL Coordinator should possess:
“Emergency Contact Information”
Training Plan and Memorandum of Agreement
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WHEN STUDENT BEGINS TRAININGWHEN STUDENT BEGINS TRAINING
“New York State Labor Laws
List of “Prohibitive Occupations”
Procedures for terminating agreement.
All parties (parents, student, employer and WBL Coordinator should possess:
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ESSENTIAL ELEMENTS OF FORMSESSENTIAL ELEMENTS OF FORMS
School name and logo Program name Name of form Coordinator’s name Address, phone, fax,
website, email address.
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ESSENTIAL ELEMENTS OF FORMSESSENTIAL ELEMENTS OF FORMS
Signature area – printed and script.
Dates, titles. Sufficient space to insert
information. School name on each page. Page numbers
1 of 3 pages
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ESSENTIAL ELEMENTS OF FORMSESSENTIAL ELEMENTS OF FORMS
One page forms are the best.
Run back-to-back if form is two pages.
District review? Verify signatures Civil Rights Statement
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Sample FormsSample Forms
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ENROLLMENTENROLLMENT
1. Personal information
2. School schedule/transcript data
3. Teacher recommendation
4. Parent contact information
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ENROLLMENTENROLLMENT
5. Career interests/plans
6. Skills, previous work experience
7. Program rules
8. Student’s responsibilities
9. Civil Rights Statement
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PARENTAL PERMISSIONPARENTAL PERMISSION
1. Give permission to participate in program.
2. Acknowledges form of transportation.
3. Medical authorization.
4. Photo release
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PARENTAL PERMISSIONPARENTAL PERMISSION
5. Labor laws/prohibited occupations.6. Parent contact information7. Termination from program.8. Civil Rights Statement
ABC programs and policies are consistent with pertinent federal and state laws and regulations and prohibit discrimination in its programs, activities and employment on the basis of race, color, national origin, gender, religion, age, disability, political beliefs, sex, sexual orientation, or veteran's, marital or family status.
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MEMORANDUM OF MEMORANDUM OF AGREEMENTAGREEMENT
Contract parties. Employer agrees…. School agrees…. Student/parent agrees… Civil Rights Statement
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TRAINING PLANTRAINING PLAN
Contract parties Work Schedule Student career goals List of training tasks
Training time Area for evaluation
Safety Training Dress and Behavior Code
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DRIVING/TRANSPORATIONDRIVING/TRANSPORATION
Nassau and Suffolk Counties – Junior Driving License.
Motor Vehicle form MV 287 or MV58 School stationery – verifies student is
enrolled in state approved program. Student must drive “alone.”
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Additional FormsAdditional Forms
Time Cards Student Evaluations Marketing Brochures Business Cards
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REGIONAL RESTRICTIONS FOR REGIONAL RESTRICTIONS FOR A JUNIOR LICENSEA JUNIOR LICENSE
“You may drive alone only directly between your home and employment, a work-study program, a course at a college, university, or registered evening high school, a driver education course, or while engaged in farm employment.”
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Driving …. "School Course" means instruction, education or training
that is licensed or approved by a state agency or department, or training conducted by the U.S. Armed Forces. The term "school course" does NOT include extracurricular activities, sports or social events for which no scholastic credits are given.
"Employment" means a place of business at which you are paid to work on a regularly scheduled basis. You may NOT drive during work or as part of your work duties, such as for deliveries.
