top of page

What job training and/or safety training has the student completed to date?

 

 

 

 

What special training will the student complete in the next __ 75 __ 125 __ 250 hours of work?

 

 

 

 

What workplace skills, attitudes and knowledge do you want the student to develop or improve upon

during the next __ 75 __ 125 __ 250 hours of work?

 

 

 

Workplace Skills

 

 

 

 

Attitudes

 

 

 

 

 

Knowledge

 

 

 

 

Will your business pay?

1. Regular wage 4. Honorarium

2. $1.00 per hour 5. No wage

3. Other (e.g., tools, gift certificates,merchandise discounts)

 

Note:

1. Inform the off-campus coordinator if the major job duties change significantly during the work experience placement.

2. Please provide the student with a one- or two-week work schedule.

 

 

 

Supervisor’s Signature: Date:

 

 

 

Student’s Signature: Date:

 

 

 

Teacher’s Signature: Date:

 

 

 

Source: Adapted with permission from materials supplied by Edmonton School District No. 7.

 

http://www.education.alberta.ca/media/616821/offcampus.pdf    pg.60

bottom of page