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Work-Based Learning

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WBL Forms

Work-Based Learning students are responsible for maintaining required documentation during the semester that will become their workbook for the WBL class. Preregistration forms are to be completed by students seeking an override to register for a WBL course. Post-registration forms are to be completed during the semester by students or WBL faculty coordinators.

NOTE: Please type the information into the form, then print and sign. Forms also can be printed out and completed by hand.

Preregistration documents

  • Form 1150 - Application for Work-Based Learning (fillable)
  • Form 1275 - Measurable Learning Objectives Worksheet
  • Form 1564 - Agreement/ Employment Information Sheet (fillable)

Post-registration documents

  • Form 1445 – Employer's Final Evaluation of Student (fillable)
  • Form 1446 – Student's Final Self-Evaluation
  • Form 1567 - Mid-Term Employer Site Visit Report
  • Form 1568 - Mid-Term Student Report (fillable)
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9101 Fayetteville Road, Raleigh, NC 27603
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