FORMS

Agency Evaluation (Potential)

Use this form to predict training site, employer, and mentor effectiveness.

All Aspects of Industry Framework

This document provides workplace experience observation question prompts for students to ask employers, supervisors, and mentors.

Agency Evaluation (Student)

Use this form to grade your training, mentor, and working conditions.

Business|Community Survey

Use this form to determine student employment possibilities.

Business Orientation

Use this form to detail your onboarding experience.

Contract Program of Work

Use this form to detail your objective, implementation, and measurable evaluation.

Coordinator Duties and Responsibilities

Use this form to rate trainees according to the Career Readiness Standards.

Employing youth 16 & Older

Use this guide for workers 16 years and older in any position not listed as hazardous.

Enrollment

Use this form to describe your past work experience and identify which businesses you'd prefer to work for.

Extended Contract Itinerary

Use this form to detail places, persons, and work to be done.

Follow-up Form (Student)

Use this form to provide your post-graduation status.

Hazardous Occupation Exemption Agreement

Use this form to allow student learners to work be exempted from child labor laws that apply to hazardous occupations.

 

Interview Evaluation

Use this form to evaluate interviewees according to appearance, personality, desire, and career objectives.

Introduction Card

Use this form to evaluate interviewees according to appearance, poise, attitude, and verbal expression.

Job Interview Practices

Use this form to review the do's and don'ts of interviewing.

Proof of Insurance and Emergency Contact Form

Use this form to provide and attach your insurance plan information.

Student Interview Questions

Use this form to review 15 constructive interview questions.

Teacher Recommendation

Use this form to rate effective teacher qualities and habits such as dependability, leadership, and attendance.

Training Agreement

Use this form to gain a cooperative training mentor.

Training Plan

Use this form to highlight and rate task(s) objective, status, and progress.

Travel Log

Use this form to detail your travel destination, purpose, contact person, and mileage.

Visitation Log

Use this form to detail your workplace visits.

Weekly Wage

Use this form to provide your site, supervisor, and number of hours worked.

Workplace Experience

Use this form to acknowledge, agree, and abide by the Work-Based Learning rules.

Work-Based Learning Evaluation Report Form

Use this form to rate the trainee's annual performance on the Nebraska Career Readiness Standards and Progressive Job Tasks.

 

RESOURCES

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Employing Youth 16 and Older

Use this guide for workers 16 years and older.

Guidelines for Implementing
Work-Based Learning Strategies

This guide lists course offerings that meet the Work-Based Learning Supplemental Endorsement Requirement.

Work-Based Learning Supplemental Endorsement

This guide lists course offerings that meet the Work-Based Learning Supplemental Endorsement Requirement.