WBL Application

Applicant Information

Please enter your full school email address and select an option from the search results. If your email is not displayed, or you see an incorrect email address (if any), click the checkbox below to manually enter in your contact details.

School Email Address

I don't see my email address

First Name

Middle Name

Last Name

School Email Address

Personal Email

Preferred Email

What name would you like to be called?

Additional Details

Please enter additional details below.

Gender

Pronouns

Pronouns (other)

Race

Ethnicity

Date of Birth

Applicant Email Validation Message

Applicant Phone Number

Please enter without any spaces, dashes or symbols.

Applicant Alternate Phone Number

Please enter without any spaces, dashes or symbols.

Address

Street Address

Address Line 2

City

State

Zip Code

Parent/Guardian Information

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Phone Number

Please enter without any spaces, dashes or symbols.

Parent/Guardian Email Address

Relation to Applicant

Email Validation Message

School and Interest Information

I am applying for:

CTE WBL InternshipSpecial Education WBL Internship

What CTE classes have you taken or are taking?

What school are you currently attending?

What is your current course of study?

What grade are you in?

I am MOST passionate about a career in the following industry

What other industry are you most passionate about?

Counselor Information

Name

My counselor is not on this list

First Name

Last Name

I understand that I will not be officially enrolled in the WBL program until my WBL Coordinator has approved my job site and a training agreement and training plan have been signed by all parties, including my parent/guardian.

I understand that a paid WBL position must act as legal employment. I must be on the business payroll with taxes being withheld.

NOTICE OF NONDISCRIMINATION: It is the policy of the KRESA school district not to discriminate on the basis of race, color, national origin, gender, age, disability, height, weight or marital status in its programs, services or activities. The following person has been designated to handle inquiries regarding the nondiscrimination policies: KRESA Human Resources Department, 1819 E. Milham Ave, Portage MI 269-250-9200

Hidden Fields

Lead ID

Contact ID

WBL RT ID

CTE RT ID

Student RT ID

Guardian RT ID

Application Owner ID

Counselor ID