Sandhills Community College WCE WBL FORM 1 Rev. 2020
WORKFORCE CONTINUING EDUCATION (WCE)
WORK BASED LEARNING (WBL) APPLICATION
SECTION 1 TO BE COMPLETED BY THE STUDENT
Student Name: Student ID#:
Phone#:
NO
Address:
E-mail:
Are you 18 years of age or older? YES
Program:
Student Signature:
SECTION 2 TO BE COMPLETED BY THE WCE WBL STAFF DESIGNEE
Semester:
Course No. :
Linked Course No.:
Class Hours:
I verify that the student meets the eligibility requirements and has my recommendation to participate in WBL.
Program Coordinator: Date:
Forms 1-4 must be submitted for verification
within 2 days of the semester census date
ADMINISTRATIVE
VERIFICATION
Correct Class
Registered in Datatel