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Run: Work-Based Learning Training Agreement (Paid/Unpaid)

A work-based learning agreement for paid or unpaid student placements that records responsibilities, safety expectations, and required approvals before the p...

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Submission Notice and Consent

Placement type (required)

Consent to collect and use the information in this form for work-based learning placement administration (required)

Yes No N/A

Additional notes for the school coordinator

Student Information

Student full name (required)

Student ID

Grade level (required)

School name (required)

Program or career pathway

Student email

Placement Details

Placement title or role (required)

Employer / host organization name (required)

Worksite address (required)

Placement start date (required)

Placement end date

Weekly schedule (required)

Expected hours per week (required)

Worksite supervisor name (required)

Paid or Unpaid Terms

Hourly wage (required)

Required for paid placements only.

Pay frequency (required)

Unpaid placement acknowledgement

For unpaid placements, confirm that the student understands the placement is unpaid and is for educational purposes.

Yes No N/A

Responsibilities and Safety Expectations

Student responsibilities (required)

Employer responsibilities (required)

School responsibilities (required)

Required safety training completed before the placement begins (required)

Yes No N/A

Transportation arrangement (required)

Parent or Guardian Acknowledgement

Parent or guardian name (required)

Parent or guardian email

Parent or guardian phone

Acknowledgement and consent (required)

Yes No N/A

Signatures and Approval

Student signature (required)

Parent or guardian signature

Employer signature (required)

School coordinator signature (required)

Approval date (required)

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