Forms

Students will be responsible for maintaining required documentation during the semester that will become your workbook for the Work-Based Learning (Co-op) class. This documentation validates successful completion of a work experience at Wake Tech.

NOTE: Please type your information into the form, then print and sign. You may also print and complete the forms by hand.

Pre-registration Documents
Form 1150 - Application for Work-Based Learning  (fillable)
Form 1274 - MLO Instructions & Sample page 
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)