Wrk Based Learning Manual The Wrk Based Learning Manual is a resurce fr all levels f Career and Technical Educatin. The resurces can be mdified t include additinal schl crpratin and lcal requirements.
Table f Cntents Cntent Page Number Mdels f Wrk Based Learning 2 Respnsibility Sheets 3 Student Infrmatin Sheet 4 Training Plan 5-7 Training Agreement 8-9 Dcumentatin f Wrk Experience Frms 10 Site Visit Recrd 11 Prtfli Guidelines 12 Wrk Based Learning Manual, Indiana Department f Educatin, 2018-2019 1
Mdels f WBL *Cperative prgrams must fllw all federal and state laws related t student emplyment and cperative educatin. Please refer t 511 IAC 8-2-5 Wrk Based Learning Manual, Indiana Department f Educatin, 2018-2019 2
Recmmended Guidelines Semester based Credits per semester Hurs f wrk experience Hurs f classrm instructin Supervisin Visits per semester 1 Credit 75-100 20-30 1-2 2 Credits 150-175 50-60 2-3 3 Credits 225-250 80-90 3-4 Respnsibility Guidelines Schl Crpratins may add additinal requirements based n lcal needs Student Create cllabratively a standards based training plan Placement in a setting that relates t a chsen career pathways and meets ne f the mdels f wrk based learning Sign a site agreement Cmplete schl-based training in wrkplace skills Prvide transprtatin Cmplete a prtfli Prvide wrk dcument reprts Teacher Prvide schl-based training and teaching f wrkplace skills Create cllabratively a standards based training plan Cntact and meet with mentr/placement supervisrs t explain standards based training plan Create and sign a site agreement Help implement and assess the standards based training plan Cmplete evaluatin and imprvement plans fr student Visit ptential sites befre placing students with business r industry Cnduct visits t student placements: please refer t page tw Mentr/Placeme nt Supervisr Meet with teacher t review standards based training plan Prvide safe and sanitary cnditins Sign a site agreement Prvide safety instructins t the student fr all tasks and duties t be perfrmed. Help implement and assess the standards based training plan Meet and/r cmmunicate with the teacher at peridic intervals t discuss the student s prgress. Cmplete evaluatin and imprvement plans fr student. Mnitr student attendance. Administratin Prvide teacher time fr adequate supervisin during placement hurs Supprt and implement rules and regulatins related t student release prcedures Parents/Guardian s Sign site agreement Sign and review standards based training plan Supprt student in cmpleting standards based training plan Cntact the teacher when prblems r questins arise cncerning the student s emplyment. Wrk Based Learning Manual, Indiana Department f Educatin, 2018-2019 3
Student Infrmatin Name Age Student ID Date f Birth Address Cell Phne Driver s License Parent/Guardian Name Hme Phne if available Access t Transprtatin Occupatin Parent/Guardian Address Student s Career Objective Site Preferences- Indicate the type f site yu prefer fr yur WBL experience 1. 2. Number f Absences this year Tardies this year Previus Wrk Experience Emplyer infrmatin Full Time Part Time Jb Descriptin and Duties Are yu currently emplyed? If yes, where? Attach a resume`: Include as references, names f three teachers wh can attest t the quality f the wrk. [INSERT SCHOOL CORPORATION DISCRIMINATION POLICY] T the Student: Wrk Based Learning prvides an pprtunity t be cnsidered fr emplyment and career explratin in yur field f interest. By participating in this prgram, yu indicate that yu are sincerely interested in receiving n-the-jb training. If yu accept this respnsibility, please sign. Student Date T the Parent r Guardian: D yu cnsent t yur daughter r sn entering a Wrk Based Learning prgram and d yu agree t cperate with the schl and the wrk site in making the training and educatin beneficial t yur child? Parent r Guardian Date Wrk Based Learning Manual, Indiana Department f Educatin, 2018-2019 4
Wrk Based Learning Training Plan Student Name Wrk Based Learning Psitin Hurly Wage r Payment Amunt Emplyer/Hst Supervisr Title E-mail Phne Number Type f Wrk Based Learning Experience (Please chse ne) Registered Apprenticeship Pre-Apprenticeship/Yuth Apprenticeship Cperative Internship On-the-jb training Schl-based enterprise Emplyment Career Cluster Agriculture, Fd and Natural Resurces Curse sequence f related classes taken (Please List all related cursewrk t WBL psitin) Architecture and Cnstructin Arts, A/V Technlgy and Cmmunicatins Business and Marketing Educatin and Training Health Science Hspitality and Human Services Infrmatin Technlgy Manufacturing Public Safety STEM Transprtatin Cntinuing Educatin Gals Cntinuing Educatin Gals= Specific Infrmatin Business and Industry Training Prgram Tw year cllege Fur year cllege Branch f the military Apprenticeship Emplyment Other When: Where: Prgram: Wrk Based Learning Manual, Indiana Department f Educatin, 2018-2019 5
Cntent Standards The student cmpletes the fllwing prtin f the cntent standards based training plan in cllabratin with the mentr and teacher. Each standard shuld be related t the cntent f the chsen career pathway. Standards frm related curse framewrks in the chsen career pathway can be utilized. Fr each standard, please list methds t develp the skill at the wrk based learning site alng with hw the mentr and teacher will assess the skill. Mentrs and teachers need t initial t apprve. Standard#1 What can I d at the hst site t develp this skill? 1. 2. Hw will the standard be assessed by the mentr? Hw will the standard be assessed by the teacher? Mentr s Teacher s Standard#2 What can I d at the hst site t develp this skill? 1. 2. Hw will the standard be assessed by the mentr? Hw will the standard be assessed by the teacher? Mentr s Teacher s Standard#3 What can I d at the hst site t develp this skill? 1. 2. Hw will the standard be assessed by the mentr? Hw will the standard be assessed by the teacher? Mentr s Teacher s Standard#4 What can I d at the hst site t develp this skill? 1. 2. Hw will the standard be assessed by the mentr? Hw will the standard be assessed by the teacher? Mentr s Teacher s Standard#5 What can I d at the hst site t develp this skill? 1. 2. Hw will the standard be assessed by the mentr? Hw will the standard be assessed by the teacher? Mentr s Teacher s Wrk Based Learning Manual, Indiana Department f Educatin, 2018-2019 6
Hazardus Equipment Equipment Use r purpse f equipment Required Signatures Student Name (Printed): Student Signature: Date: Training Supervisr Name (Printed): Training Supervisr Signature: Date: Teacher Name (Printed): Teacher Signature: Date: Parent/Guardian Name (Printed): Parent Signature: Date: Wrk Based Learning Manual, Indiana Department f Educatin, 2018-2019 7
Training Agreement The fllwing training agreement needs t be cmpleted by the student, a parent r guardian f the student, training facility supervisr, and teacher. Training Site/Supervisr 1. The supervisr at the training site will cmplete evaluatins as scheduled by the teacher. 2. If the student is emplyed, the student emplyment will be within the prvisins f all state and federal child labr laws and existing labr management agreements. The emplyer agrees t cmply with all WBL regulatins and if utilizing cperative educatin fllw all student-learner applicable state and federal regulatins, will prvide student trainees equal pprtunity emplyment and will nt discriminate n the basis f race, clr, natinal rigin, including limited English prficiency, sex r handicapping cnditins. 3. The term f agreement shuld be fr an agreed upn length. Either party shall have the right t terminate this agreement upn written ntice. 4. The emplyer/facility will prvide adequate staffing in the instructinal areas s that n student will be expected t perfrm duties withut supervisin. 5. The emplyer/facility will prvide an pprtunity fr the student t keep up t date with plicies and new technlgy by ntifying the schl f changes in plicies and technlgy. 6. The emplyer/facility will nt emply r cntract fr the services f students r faculty members during established schl hurs. 7. T assure that the emplyer/facility has sufficient resurces t meet its bligatins under the agreement, bth parties shall cnfer prir t the start f each semester regarding the students wh will participate in the prgram at the facility and their apprximate schedule fr the semester. 8. It is the respnsibility f the student, parent and the emplyer/facility t ntify the crdinatr in writing f any accident that ccurred while at the training site. Training Facility: Training Supervisr: Cntact Infrmatin: I have read the abve training agreement and understand my respnsibilities as utlined by the agreement. Supervisr s Signature: Date: Schl/Teacher Agreement 1. The crdinatr will visit and/r cntact the training site at regular intervals t assess the student learner, t discuss the student s prgress and find ut what related instructin is needed. 2. Safety rientatin and prcedures instructin pertaining t the training site will be supplied by the emplyer. General Wrk Based Learning instructins t the student will be cvered in the related class by the teacher. 3. The emplyer and the schl will prvide instructin and experience at the training site and in the classrm. 4. The schl assumes full respnsibility fr ffering an accredited educatin prgram. 5. The instructr will plan the schedule and assist with assigning students t training sites. 6. Students and faculty will abide by existing rules and regulatins f the facility insfar as they may pertain t their activities while in the facilities building. The facility supervisr and/r crdinatr may remve students immediately that are believed t nt be cnducting their behavir in the best interest f the safety f themselves r thers. 7. The schl will require students and faculty t maintain current health recrds and immunizatins. Teacher s Name: Cntact Infrmatin: I have read the abve training agreement and understand my respnsibilities as utlined by the agreement. Teacher s Signature: Date: Wrk Based Learning Manual, Indiana Department f Educatin, 2018-2019 8
Student Agreement: Students will 1. Cmplete designated instructinal time and curriculum while maintaining academic grades, attendance and graduatin requirements t prgress t wrk based learning experience. 2. Cmplete the designated minimum hurs f supervised training at assigned facility as directed by the schl prgram. 3. Maintain minimum dress standards determined by yur training site and/r prgram crdinatr fr prfessinalism and safety expectatins. 4. Perfrm skills at the training facility that are apprpriate and within the training instructins. 5. Cntact the fllwing prir t their scheduled time: a) the schl (parent r guardian) b) training facility (student) c) instructr (parent r student) if they will be absent frm r tardy t the schl r training facility fr any reasn. 6. Prvide his/her wn transprtatin t and frm the training site. 7. Remain at the training site unless a request t transfer is apprved by the teacher-crdinatr. All training sites must be apprved by the teacher-crdinatr. 8. Be remved frm the prgram r prevented frm returning t an advanced class if students are released frm the training site by the facility fr a justified reasn. 9. Reprt a wrksite related injury t the crdinatr by the end f the next schl day. 10. Fllw the prvisins f the state and federal child labr laws. 11. Nt be required, r recmmended, t drive t, r reprt t, any internship site during any part f a day cvered by an annunced schl delay r schl cancellatin due t extreme inclement weather. Hwever, we will nt interfere with individual student decisins t drive t, r reprt t, any internship site during any such perid if the student, the student s parents (if the student is under the age f 18) and the student s internship site supervisr/mentr cnclude that such travel can take place withut undue risk t student safety. Student Name: Student Hme Schl: Parent r Guardian Name: Parent r Guardian cntact infrmatin: Prgram Placement: I have read the abve training agreement and understand my respnsibilities and relatinship t the prgram as utlined by the agreement. Student s Signature: Date: I have read the abve training agreement and understand the respnsibilities assigned t my child and the relatinship t the prgram. Parent s Signature: Date: Wrk Based Learning Manual, Indiana Department f Educatin, 2018-2019 9
Wrk Experience Frm Student Name Placement Lcatin Supervisr Name Cntact Infrmatin Grading Perid Week Mnday Date: Hurs Cmpleted: My respnsibilities tday and what I learned frm my experience: Tuesday Date: Hurs Cmpleted: My respnsibilities tday and what I learned frm my experience: Wednesday Date: Hurs Cmpleted: My respnsibilities tday and what I learned frm my experience: Thursday Date: Hurs Cmpleted: My respnsibilities tday and what I learned frm my experience: Friday Date: Hurs Cmpleted: My respnsibilities tday and what I learned frm my experience: Saturday Date: Hurs Cmpleted: My respnsibilities tday and what I learned frm my experience: Sunday Date: Hurs Cmpleted: My respnsibilities tday and what I learned frm my experience: Supervisr Signature: Wrk Based Learning Manual, Indiana Department f Educatin, 2018-2019 10
Site Visit Recrd Student s Name Site Cntact Persn (tday s visit) Date and Time Site Supervisr Purpse f Visit: Student Observatin Student Evaluatin Cnference Prblem Reslutin Other: This frm must be cmpleted fr wrk site visits. Remember t recrd bservatins, actins t be taken, and recmmendatins. Identify specific strengths and needed imprvements. General Observatins: Student Cnference/Cmments: Wrk Site Supervisr Cnference/Cmments: Teacher/crdinatr s Signature: Wrk Based Learning Manual, Indiana Department f Educatin, 2018-2019 11
Wrk Based Learning Prtfli Guidelines Students enrlled in Wrk Based Learning must cmplete a prtfli (traditinal r electrnic). Sample items t include: Philsphy Statement Five Year Gal Plan Cver Letter Resume High Schl Transcript Letters f Recmmendatin Skills List Career Pathway related Experiences Cntent Standards Training Plan Wrk Samples Use f Career Pathway Technlgy Cmmunity/Vlunteer Service Extra-curricular Activities CTSO experience Prfessinal Organizatins Certificatins/Dual Credit if applicable Other One page descriptin f career philsphy Five year gal plan shuld include educatinal, prfessinal, and persnal gals Cver letter written with a purpse and in the crrect frmat Detailed descriptin f activities in the crrect frmat All available grading perids included General letters f recmmendatin (2 t 3 these can be cpies f nes that yu may already have; letters shuld be frm a wrk supervisr, teacher, cach, etc. n family r friends. Specialized classes, hardware/sftware skills, technical cmpetencies, wrkshps cmpleted, sft skills be detailed Examples include wrkshps, cnferences, summer camps, field trips, jb shadwing, fficer psitins, etc. This sectin shuld include paid and nnpaid wrk in detail. Include the cntent standards training plan and assessment f the standards. Include at least tw exemplary wrk samples. Samples can include: pictures, narratives, examples f written wrk r prjects Please share at least tw frms f technlgy related t career pathway and hw it was utilized. Dcument at least 10 hurs f cmmunity service fr the year. Include a letter fr each activity. Examples f relevant extra-curricular activities including leadership rles within the activities Examples f membership and participatin within a CTSO. Include research r summary abut at least ne prfessinal rganizatin related t future career pathway Include dcumentatin f any certificatins r dual credit earned related t career pathway Pictures, award certificates, special prjects, special achievements, ther Wrk Based Learning Manual, Indiana Department f Educatin, 2018-2019 12