Work-Based Learning Activity Permission Form

Work-Based Learning Activity Permission Form
WBL Coordinator
WBL Coordinator E-Mail
Student Name
First & Last Name
has my permission to participate in the required Work-Based Learning activities checked below on the following date:
Date

MonthDayYear
Date
Start Time

Hour Minutes

AM/PM Option
End Time

Hour Minutes

AM/PM Option
Location & Address:
On this date, my child will participate in the following:

Drug ScreeningInterviewBackground-CheckBusiness TourJob ShadowTraining Requirements for Internship/Co-opOther:
Other:
Should be Empty: