Student Application Package

Comox Valley School District #71 Career Education Secondary School Apprenticeship Program Student Application Package What is Secondary School Apprentice School District Application Form ITA SSA Apprentice Registration Form Work Based Training Report Form School District Safety Checklist Worksafe BC Employer Clearance Letter Note: 1. Incomplete packages will NOT be processed. 2. This package is to be completed by all applicants wishing to apply for admission to the Secondary School Apprenticeship (SSA) program. 3. Deadline for submission of this application to your school Career Centre Coordinator is: 4. Completing this application does not guarantee acceptance into the SSA program. 1

Table of Contents What is Secondary School Apprenticeship 3 Student Application Process 4 WorkSafe BC Employer Clearance Letter (completed with Work Experience Co-ordinator) 5 Secondary School Apprenticeship Safety Checklist 6, 7 Transition Plan (completed with Career teacher and counsellor) 8 Occupational Health and Safety Regulation 3.12: The Right to Refuse Unsafe Work 9 Work Experience Orientation and Training Plan (completed with Work Experience Co-ordinator) 10 Work Site Inspection Sheet (completed with Work Experience Co-ordinator) 11 Secondary School Apprenticeship Work Based Training Log 12 Employer's Evaluation (completed with employer) 13, 14 SSA Scholarship Application 15 ITA s Work-Based Training Report (completed with Work Experience Co-ordinator) 16 ITA s SSA Registration Form (completed with Work Experience Co-ordinator) 17 2

WHAT IS SECONDARY SCHOOL APPRENTICESHIP (SSA)? Secondary School Apprenticeship is a joint Ministry of Education and Industry Training Authority (ITA) Program open to Grade 10-12 students of 15 years of age or older who are motivated to gain hands-on training in a designated trade, including students on the Grade 12 Dogwood or Adult Graduation Programs. SSA is a provincial career program that: Introduces students to industry training programs in British Columbia Combines the K-12 education and apprenticeship training systems, leading to both secondary school graduation and ongoing apprenticeship training for trade certification in BC Enables students to register with the ITA as an apprentice sponsored by an employer Allows students to start accumulating hours toward trade certification SSA involves students : Completing work-based training, which is skill development through practical, hands-on experiences under the supervision of certified tradespersons or equivalent Working toward completing 480 hours of work-based training with a sponsor employer Earning course credits SSA 11A, SSA 11B, SSA 12A, and SSA 12B, worth 4 credits each Being apprentices in any trade that is recognized by the ITA. See the list of Red Seal and BC Trade programs at www.itabc.ca/traningprograms.php taking optional Level 1 Apprenticeship Technical Training for chosen apprenticable occupations. SSA work-based training hours : accrue only after students apply for registration as apprentices with the ITA students are paid (between $6.00 - $19.00 /hr) must be reported by sponsors to the ITA and recorded by apprentices and the District SSA Coordinator must be verified by a certified tradesperson or equivalent students are awarded a $1,000 scholarship upon continuation of their trade and application The goal for SSA is to provide seamless transition from school to work and to expand the number of B.C. trained and skilled persons to fill predicted industry needs. How to Become Eligible Through family or business contacts, identify an employer who is trades qualified and willing to register you as an apprentice in the desired occupation. You may also have the opportunity to identify a potential employer by participating in Career Preparation/Work Experience Program in your school. Contact your school s Career Centre Coordinator for more information G.P. Vanier : 250-338-2110 Mark R. Isfeld 250-334-4628 Highland 250-339-3617 Randy Grey, Careers Program Coordinator, 250-897-5632 3

Student Application Process (check as completed) Student: Date Received: I have a prospective SSA Sponsor Employer. Company Name: I have visited the Industry Training website: http://www.itabc.ca (Industry Careers A-Z) and looked up information about the trade of. I have also viewed the related post-secondary website and understand the technical training requirements for this trade. I have discussed Apprenticeship and the Trades with my parent/guardian. I have a Resume and Cover Letter written to my prospective SSA employer. I have a Letter of Recommendation from my school/community to send to my prospective employer. I have participated in an Information Interview about this trade by visiting (Company Name) to ask questions about the work environment and expectations. If you already have a host SSA Employer, it is ideal to visit a second, related company to gain perspective in this trade. I have a printed transcript of my courses, have done a Graduation Credit Check and understand the SSA credits as they relate to my graduation plan. I understand the difference between the SSA Program and full-time Apprenticeship, including the length of training (number of years) required for this trade. I am aware that I must maintain a C+ average in my Grade 12 year and be employed as an Apprentice 6 months after graduation to be eligible for the SSA $1,000 Scholarship (see SSA Scholarship Application Form). I have completed the Trainee and Sponsor Employer Registration Form. Once registered, I have discussed worksite orientation, safety and the training plan with my School Co-ordinator and SSA employer. I have discussed the Post Secondary Institution Application Process for Level 1 Technical Training in this trade with my School Co-ordinator. Completed by Student and returned to the Work Experience Office 4

Comox Valley School District #71 Career Education Directions: Obtain a WorkSafe BC Employer Clearance Letter 1. Go to WorkSafe BC site: http://worksafebc.com 2. Select Get Clearance Letter under Insurance on the home page. 3. Scroll down and click Get a Clearance Letter. 4. Business Name: Comox Valley School District #71 5. Worksafe BC # 037606 6. Contact Information: Your School Phone #, email, address etc. 7. Enter Legal Name of Business 8. Click Search 9. Scroll down to find out if the Employer s WorkSafe BC record has been found 10. Click Create Clearance Letter 11. The Employer s WorkSafe BC # and status is indicated in the letter. 12. Print a copy for your records. Completed by the Work Experience Coordinator 5

Secondary School Apprenticeship Student Safety Checklist Employer: Student Name: # Task Yes No N/A 1 I was given an orientation regarding workplace safety and generic risks of this job. 2 Hazards and risks specific to this workplace were identified during this orientation (physical, chemical, biological etc.). They are: 3 I have reviewed the emergency procedures (fire, earthquake) with my employer. They are: 4 I know the location of the fire extinguishers and fire alarms. Describe location: 5 I have been informed of who the health and safety committee members are. They are: 6 I have been informed of the WHMIS procedures at my worksite. They are: 7 I know where the incident report forms are stored. Describe the location. 8 I have been informed that Personal Protective Equipment IS/ IS NOT required. List: 9 I have requested that I will be trained on any machinery or equipment prior to use. Possibly: 10 When in doubt about how to do something safely. I will ask before I begin. 11 I have been informed that I WILL BE/ WILL NOT BE working alone. 12 I have been taught proper lifting procedures/ergonomics (if applicable). 13 Have you been made aware of any potential dangers or hazards, Such as air quality, noise levels, tripping hazards, etc? They are: 14 I have discussed the WorkSafe BC accident or injury procedure. 15 I know who I should report workplace hazards/injuries to. They are: 16 I know where the First Aid Station is located. Describe location: Completed by the Student, reviewed with Employer and returned to the Work Experience Coordinator 6

First Aid Attendant: EMERGENCY INFORMATION Outline the procedures at your work site if you are injured: Step 1: Step 2: Step 3: Receive first aid and / or be transported to a doctor of hospital, as required. Step 4: Report to parents and school immediately. Step 5: Complete all forms and contact WorkSafe BC within 72 hours of injury. Find out more You can get more information on young worker safety from the WCB. Phone 1-604-231-8578 in the Lower Mainland, or toll-free elsewhere to 1-888-621-7233, local8578. Fax 1-604-207-1478 Email yworker@wcb.bc.ca Visit their web site at http://youngworker.healthandsafetycentre.org/s/home.asp Completed by the Student & Employer and Student keeps with this booklet 7

Comox Valley School District #71 Career Education WE and SSA Post Secondary Transition Plan Note: 1. Ensure you have included and considered your high school graduation requirements in your Transition plan. 2. You may need to modify you timeline to achieve your graduation requirements & participate in the SSA program. 3. Complete the 3 Year Education/Transition plan in full beginning with your Grade 10 courses. 4. Timetable changes should be made with the approval of your school s Career Teacher Contact and/or Counsellor Name: School Birthdate: Grade Students are required to complete a minimum of 80 credits (equivalent to 20 four-credit courses) in Grades 10-12 for graduation. Most students choose to complete more than 80 credits. 1. Required Courses 52 credits in courses listed below: Language Arts 10-4 credits Fine Arts / Applied Skills 4 credits Science 10 4 credits Mathematics 10 4 credits Physical Education 10 4 credits Language Arts 11 4 credits A Social Studies 11, 4 credits Mathematics 11 4 credits Science 11 4 credits Language Arts 12 4 credits Planning 4 credits Grad Transition Plan 4 credits Social Studies 10 4 credits Note: Graduation = Minimum 4 Grade 12 level courses + *Grad Transition Plan 12 2. Elective Courses 28 credits Note: SSA students complete 16 elective credits requirements through the Secondary School Apprenticeship Program. Course numbers are: SSA 11A, SSA 11B, SSA 12A and SSA 12B Note: Work Experience is a good start to an SSA and counts towards graduation credits. There are up to 8 elective credits that can be used. Course numbers are WE12A, WE12B Year: Year: Year: Grade 10 Semester 1 Grade 10 Semester 2 Grade 11 Semester 1 Grade 11 Semester 2 Grade 12 Semester 1 Grade 12 Semester 2 Total Credits: Total Credits: Total Credits: Total Credits: Total Credits: Total Credits: Total Credits Predicted (required + elective): Student Signature Parent/Guardian Signature School Career Teachers Contact and/or Counsellor Date Return to Work Experience office 8

Occupational Health and Safety Regulation 3.12: The Right to Refuse Unsafe Work 1. A person must not carry out or cause to be carried out any work process or operate or cause to be operated any tool, appliance or equipment if that person has reasonable cause to believe that to do so would create an undue hazard to the health and safety of any person. 2. A worker who refuses to carry out a work process or operate a tool, appliance or equipment pursuant to subsection (1) must immediately report the circumstances of the unsafe condition to his or her supervisor or employer. 3. A supervisor or employer reviewing a report made under subsection (2) must immediately investigate the matter and a. ensure that any unsafe condition is remedied without delay, or b. if in his or her opinion the report is not valid, must so inform the person who made the report. 4. If the procedure under subsection (3) does not resolve the matter and the worker continues to refuse to carry out the work process or operate the tool, appliance or equipment, the supervisor or employer must investigate the matter in the presence of the worker who made the report and in the presence of a. A worker member of the joint committee. b. A worker who is selected by a trade union representing the worker, or c. If there is no joint committee or the worker is not represented by a trade union, any other reasonably available worker selected by the worker. If the investigation under subsection (4) does not resolve the matter and the worker continues to refuse to carry out the work process or operate the tool, appliance or equipment, both the supervisor, or the employer, and the worker must immediately notify an officer, who must investigate the matter without undue delay and issue whatever orders are deemed necessary. 9

SSA Training and Safety Plan Student: Employer Contact: Company Name: Address: Resume: Phone: Outline of Duties/Tasks: Workplace specific skills: Employer: Please Initial I have reviewed work site safety at our workplace with the Secondary School Apprentice student: I have reviewed the worksite training plan with the Secondary School Apprentice student: All parties signify their agreement of the terms by signing below: Employer School Representative Student Date Return to Work Experience office 10

WORK SITE INSPECTION SHEET Employer: Phone: Address: Fax #: City: Postal Code: Contact Person: WorkSafe BC #: School Career Teacher Contact In completing this form, please bear in mind that in evaluation of the worksite, the two most important considerations are: 1. the provision of a safe work environment 2. the interest and concern of the site supervisor for the student PLEASE CHECK THE APPROPRIATE DESCRIPTION: This is a standard worksite (where a worker performs the tasks and responsibilities related to a career under supervision of a worksite employer). This is a non-standard worksite (a location created by the school district for the purpose of providing work experience, a volunteer position, a post-secondary placement in which the student participates as a student, not an employee. This is a physically safe worksite (including location, condition of the environment, building structure, etc.) Necessary safety practices are in place and the student will be informed of these. The employer/supervisor is familiar with and supports the objectives of the program. The employer/supervisor will ensure that the student is adequately instructed/trained and supervised. The employer/supervisor will ensure a comfortable working environment for the student including acceptance of the student as an integral part of the work team, freedom from harassment, reasonable expectations for work, breaks, lunch, etc. The employer/supervisor is willing to assist in the evaluation of the student, to provide access to teachers on the worksite and to discuss the student s progress with the student and school staff. Please list any reservations, concerns or limitations you have about this worksite. Safety attire and/or equipment required: Completed by: (please print) Name & Signature Position Date Completed by Work Experience Teacher 11

Secondary School Apprenticeship Work Based Training Log Student: Submit this activity report to your worksite supervisor for verification, also visit your School Co-ordinator every 120 hours to discuss your ongoing work performance. Student: I.D.# Work Supervisor/title: Business/Agency: Phone: School Co-ordinator: New Safety Procedures Day Date Hours Work Duties Learned/Practiced Total Hours: Work Supervisor s comments about student performance or safety: Signature Student Signature Worksite/Agency Supervisor 12

Employer s Evaluation of Secondary School Apprenticeship Student Student Name Employer Name Your constructive criticism enables us to help the students gain maximum benefit from their participation in the Secondary School Apprenticeship Program. Please complete an evaluation following each 120 hour period of work. Please see back of form for a more detailed description of the evaluation criteria. 1. Weak 2. Needs Improvement 3. Good 4. Excellent Fundamental Skills SKILLS Communication (Listening, writing, speaking) 120 HOURS SSA 11A Date: 120 HOURS SSA 11B Date: 120 HOURS SSA 12A Date: 120 HOURS SSA 12B Date: 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 Information management 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 Numeracy 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 Think and solve problems 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 Personal Management Skills Punctuality 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 Responsibility 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 Shows Initiative 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 Adaptability 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 Work Safety 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 Teamwork Skills Respect 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 Cooperation 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 Courtesy 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 Technical Skills Use of Tools/Equipment 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 Quality of work 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 Efficiency 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 Employer Signature Employer Signature Employer Signature Employer Signature Student Signature Student Signature Student Signature Student Signature Comments: 13

Fundamental Skills Student Evaluation Criteria Employer Use Excellent (4) Good (3) Need Improvement (2) Weak (1) Communication (listening, writing, speaking) Mature & effective Communication Uses appropriate communication skills Struggles to comprehend and/or uses inappropriate language Information Management Efficient and demonstrates initiative Organized and/or follows instruction Usually orderly and attempts to with little explanation follow instructions Numeracy Makes estimates and verifies calculations Able to observe and record data using appropriate methods of technology Think and solve problems Creative in exploring possible solution & acts Recognizes most aspects of situations & on opportunities to improve applies problem solving techniques Struggles to use numbers effectively Struggles to find solutions to situations and problems Lacks the desire or effort to communicate effectively Work station is disorganized and/or needs repeated instructions Lacks the desire or effort to communicate effectively Unable to identify & assess situations or problems Personal Management Skills Punctuality Never late for start of day or returning from breaks Seldom late for start of day or returning from breaks Responsibility Performs beyond employer expectations Can be counted on to complete assigned tasks well and on time Shows initiative Independent, creative and resourceful in Works independently on routine tasks accomplishing tasks. Looks for things to learn & exhibits some resourcefulness to to do begin next task Adaptability Anticipates the need to adjust. Has a positive Adjusts readily attitude towards change Work Safety Consistently demonstrates and encourages Follows work place safety standards work place safety Often late for start of day or returning from breaks Accepts responsibility but struggles to meet timelines After instruction does routine tasks acceptably but needs prompting Makes necessary adjustments after considerable coaxing and instruction Can identify protocol but inconsistent with implementation Too frequently late for continued employment Refuses to be accountable for own actions Takes little or no initiative. Has to be instructed repeatedly and requires urging Has difficulty adapting to new situations Blatant disregard for work place safety Teamwork Skills Respect Cooperation Courtesy Always respects the thoughts & individual differences of others in the workplace Initiates team approach and demonstrates team member skills Always polite and considerate of others, their property and the workplace environment Often respects the thoughts and individual differences of others in the workplace Understands the need to seek a team approach and demonstrates team member skills Often polite and considerate of others, their property and the workplace environment Seldom respects the thoughts & individual differences of others in the workplace Understands the need to seek a team approach, but lacks skills as a team member Seldom polite and considerate of others, their property and the workplace environment Is self centered. Has little regard for others. Is antagonistic. Does not recognize the need to work as a team Never polite and considerate of others, their property and the workplace environment Technical Skills Use of Tools/Equipment Quality of Work Efficiency Always demonstrates proper use and care of tools and equipment Work is always well done & supervisor is satisfied with final product Always demonstrates good use of time and looks for new ways to be more productive Often uses tools and equipment in a proper manner Often uses tools and equipment in a proper manner Often uses his/her time well and works in a productive manner Seldom uses tools and equipment in a proper manner Seldom uses tools and equipment in a proper manner Completes assigned tasks. However, could be more productive with better use of time Shows disregard for proper use and care of tools and equipment Is unable to produce a product that is of acceptable quality Is usually unproductive due to poor use of time 14