Work Based Learning (WBL) Student Application

For Equal Employment Statistical Information Only.

Reminder: Many employers conduct background checks during the interview/selection process.

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By signing this application, I hereby authorize the Work-Based Learning Office, pursuant to Section 438(b) 4(B) of the Family Educational Rights and Privacy Act, to acquire copies of my academic transcripts and grade reports. It is understood that my transcript(s) shall become a permanent part of my Work-Based Learning file. Additionally, I authorize the disclosure of all information on this form to my Work-Based Learning employer or any potential employer.

I understand that I CANNOT begin counting work hours until I am approved for WBL participation. I realize that Work-Based Learning is a graded, academic class in which I am to pay for as I would any other class. I understand that I am expected to work at least 160 hours for 1 credit hour, 320 hours for 2 credit hours, and 480 hours for 3 credit hours per semester.

I UNDERSTAND THAT FTCC DOES NOT GUARANTEE EMPLOYMENT TO ANY STUDENT.

I also agree to abide by the Work-Based Learning policies and complete all required paperwork in a timely manner.

FTCC is an affirmative action/Equal Opportunity Employer.

By signing below, I confirm that I have read, fully understand, and agree to abide by the statements above.