Work-Based Learning Log
Faculty Name
*
First Name
Last Name
Course Number
*
Subject and Course Number
Semester
*
Spring
Summer
Fall
Year
*
Number of Students
*
Campus
*
Decatur
Huntsville
Online
Dual Enrollment
ACA
LCF
Type of Experience
*
Industry Speaker in Class
Industry Tour
Mentorship
Internship
Job Shadow
Co-Op
Mock Interview
Job Fair/Networking Event
Service Learning
Industry Project
Business Name
*
POC Name
*
First Name
Last Name
POC Email
*
example@example.com
Other details or notes
Submit
Should be Empty: