Work Experience 12A Activation Assignment Student’s Name: Student’s Email: Cell: Parent’s Name: Parent’s Email: Phone #: Cell #: Gender: M F Current School: Are you currently timetabled for a support block at another school? Yes No Have you previously taken a Learn@Home Course? Yes No I have attached my carefully and thoroughly completed activation assignment By signing below we are making a formal commitment to completing this course through weekly submission of work that meets Learn@Home’s Academic Honesty guidelines. I understand the grade for this assignment will be part of my overall course mark. Parent’s Signature: _____________________ Date: ___________________ Student’s Signature: _____________________ Date: ___________________ Teacher’s Use Only Marked Date: ___________________ Communication Date: ____________ Communication Notes: In-Person Email Telephone Training Plan: Excellent Very Good Satisfactory Workplace Safety Worksheet: Excellent Very Good Satisfactory Meeting Interview: Excellent Very Good Satisfactory __________________ Teacher Signature Score: __________
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Work Experience 12A Activation Assignment
Student’s Name:
Student’s Email: Cell:
Parent’s Name:
Parent’s Email:
Phone #: Cell #: Gender: M F
Current School:
Are you currently timetabled for a support block at another school? Yes No
Have you previously taken a Learn@Home Course? Yes No
I have attached my carefully and thoroughly completed activation assignment
By signing below we are making a formal commitment to completing this course through
weekly submission of work that meets Learn@Home’s Academic Honesty guidelines. I
understand the grade for this assignment will be part of my overall course mark.
Work Experience 12 provides students with an opportunity to plan and prepare for their careers beyond secondary school. Students combine
school courses and a minimum of 100 hours of paid or unpaid career related work experience, workshops, field trips, post secondary visits,
and curriculum work. Work Experience placements in the community can be school arranged, student arranged or a combination of the two.
Students will be required to complete 20 hours of paperwork that supports the program including but not limited to: job application,
resume, covering letters, job interview, reflective learning, and a work
experience evaluation. Application for Learn@Home’s Work Experience 12 is completed through consultation with the programs coordinator, vice-principal, or
principal.
S.D. #68 Nanaimo-Ladysmith
Work Experience 12 Evaluation Form
Student: Student #: Grade:
Course Outline: Work Experience 12 consists of students completing a minimum of 100 hours of paid or unpaid work experience, training, workshops, field trips, post secondary visits, and curriculum work. Work Experience placements in the community can be school arranged, student arranged or a combination of the two. Students will be required to complete approximately 20 hours of documentation that supports the program including but not limited to: job application, resume, cover letter, job or information interview, reflective learning, and evaluation of the work experience. Tick one or two areas you are interested in below.
… Business & Applied Business … Health and Human Services … Human Services & Social Sciences … … …
Fine Arts, Design & Media Fitness and Recreation Trades and Technology
… …
Liberal Arts and Humanities Science and Applied Science
… Trades & Technology … Tourism, Hospitality and Foods
Activities completed: The student has participated in a combination of the following activities to complete Work Experience 12:
Superhost Paid work experience Reflection sheets Foodsafe Unpaid work experience Portfolio criteria sheets WHMIS Field trip First Aid Post Secondary Liaison Squirrel Immersion Activity Other Other Total # of hours
Evaluation: 1
Meets Expectations
2 Good
3 Very Good
4 Exceptional/ Outstanding
Teacher evaluation
25% Training Plan & Workplace safety Resume Cover Letter Final Report /25 75% Completed work experience
Strong evaluation from employer Self evaluation Reflection sheets – analyze skills Effort Initiative Meeting deadlines Total hours completed Other /75
Date: Teacher: Final Mark:
WEX 12 Activation: Training Plan
Student Name:
Work Site Telephone #: Work Site Employer Address:
Teacher/Monitor Name:
Work Site Fax #:
Work Site Employer (Business
Name):
Work Site Employer Email:
1. Student Focus Area: Please () the area that applies to your Work Experience. Refer
to the Focus Area section for descriptions of each. Business and Applied Business Liberal Arts and Humanities
Fine Arts, Design, and Media Science and Applied Science
Fitness and Recreation Tourism, Hospitality, and Foods
Health and Human Services Trades and Technology
2. Focus Area-related Courses Taken/Planned:
1.
4.
2.
5.
3.
6.
3. Employer On-Site Safety Orientation Provided:
Y / N (Please circle)
4. Days/Hours to be worked: Provide an example of a typical week during your Work
Experience
Mon. Tue. Wed. Thur. Fri. Sat. Sun.
Hours
Total:
5. Outline: Provide a general description of the nature of work to be performed during the
work experience placement,
6. Duties/Tasks: List the specific duties/tasks to be observed or performed alone or with
assistance.
Duty/Task Observed Performed
With Help
Performed
Alone
7. Employability Skills: List the employability skills to be practiced. Refer to the
Employability 2000+ list for examples of skills you may acquire
during your Work Experience
Skill Performed
With Help
Performed
Alone
By their signatures, the parties signify their agreement with the Training Plan School:
Parent/Guardian (if applic.) Employer:
Contact Name: (Print)
Student Signature: Contact Name (Print)
Signature:
Parent/Guardian Signature: Employer Signature:
Date:
Date: Date:
WEX12 Activation: Workplace Safety Work Safety Worksheet
A. Please review the sheet entitled: WCB Regulation 3.12: The Right to Refuse Unsafe
Work
B. Did you receive a work site safety orientation? _________________
C. Answer the following:
1. What are the potential dangers on your job?
2. How do you protect yourself from these dangers?
3. What safety gear are you expected to wear at work?
4. Who is responsible for providing the gear?
5. What is the procedure if you are injured at work?
6. Are there hazardous materials on the worksite? If yes, What are they?
7. Did you take a WHMIS course?
If so, when?
8. Which machinery/equipment/power tools have you been trained to use?
WCB Regulation 3.12: The Right to Refuse Unsafe Work Procedure for Refusal:
(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 receiving 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.
(5) 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.
The above named student is registered with the School District in a course called Work Experience 12. This course allows students to develop a program that meets their personal needs while attaining the skills and knowledge required in making a smooth transition to post-secondary training and/or work. Please assist us by ticking the appropriate column in the chart below. This information will be used as part of the student assessment for the Work Experience 12 final mark.
What is needed (training, schooling, pre-requisite high school courses, etc.)
Resume & Cover Letter
Attach Resume and cover letter on separate pages.
Please see examples on Google or use a Word Template (open Word, File, new, open a template)
You have now finished your Work Experience 12 Activation Assignment. Please bring all this work to the meeting you booked or contact Learn@Home (250-740-2032) to schedule an appointment with Rick McDonough ([email protected]). We are located in the tower behind NDSS on 355 Wakesiah Avenue. We are on the third and forth floors. Check in to room 257. See you soon.