SDCCD Work Experience Application Summer 2023
The WE Application is completed before the start of the term by the student in order to provide details of their WE placement and receive an add/permission # to enroll in a WE course. Please review all WE requirements needed and steps to enroll at the SDCCD Work Experience website

Questions or need accommodations? Please email the designated SDCCD campus Work Experience Coordinator for more information.
Mesa College - Shawn Fawcett | sfawcett@sdccd.edu
Miramar College - Kyoka Hashimoto | khashimoto@sdccd.edu

NOTE: Shawn Fawcett is currently on maternity leave. Please contact Megan Boquet at mboquet@sdccd.edufor questions & assistance with Mesa College Work Experience.

NOTE CITY COLLEGE STUDENTS: Do NOT complete this online form. City College Work Experience process will be completed via paper forms. Contact the WE instructor for the course that you would like to enroll in directly.

COVID-19 ADJUSTMENTS: Both in-person or remote work will be accepted for Work Experience. In addition, the WE faculty orientation and site visits, which typically occur in-person, may take place virtually, most likely via Zoom. For more detailed information, please visit the SDCCD Work Experience website. Students completing in-person placements are highly encouraged to follow all health and safety protocols outlined by the CDC, Public Health Officials, and employment site.
  • COURSE INFORMATION

    For the satisfactory completion of all types of Work Experience Education, students may earn up to a total of 16 semester credit hours. Title 5, Section 55253.

    View the SDCCD Class Schedule to determine the appropriate Work Experience course to take based on your placement, hours, and certificate/degree requirements.
  • Work Experience credit is awarded based on 75 hours of paid work/internship or 60 hours of unpaid internship per unit the student is enrolled. By completing the WE Application and enrolling in WORK 270, you have acknowledged and agreed to fulfill all requirements and expectations of the Work Experience class as outlined by Title 5 and the Work Experience Student Handbook (Page 13) including minimum hours required per semester by unit. Failure to meet these requirements, specifically the minimum # of hours, may result in a failing grade assigned for your Work Experience course.

    WE Hours Must Be Completed Within Course Dates:

    1 unit - 60 Hours Unpaid | 75 Hours Paid

    2 units - 120 Hours Unpaid | 150 Hours Paid

    3 units - 180 Hours Unpaid | 225 Hours Paid

    4 units - 240 Hours Unpaid | 300 Hours Paid
  • Work Experience credit is awarded based on 75 hours of paid work/internship or 60 hours of unpaid internship per unit the student is enrolled. By completing the WE Application and enrolling in WORK 270, you have acknowledged and agreed to fulfill all requirements and expectations of the Work Experience class as outlined by Title 5 and the Work Experience Student Handbook (Page 13) including minimum hours required per semester by unit. Failure to meet these requirements, specifically the minimum # of hours, may result in a failing grade assigned for your Work Experience course.

    WE Hours Must Be Completed Within Course Dates:

    1 unit - 60 Hours Unpaid | 75 Hours Paid

    2 units - 120 Hours Unpaid | 150 Hours Paid

    3 units - 180 Hours Unpaid | 225 Hours Paid

    4 units - 240 Hours Unpaid | 300 Hours Paid
  • NOTE CITY COLLEGE STUDENTS: Do NOT complete this online form. City College Work Experience process will be completed via paper forms. Contact the WE instructor for the course that you would like to enroll in directly.

    Work Experience credit is awarded based on 75 hours of paid work/internship or 60 hours of unpaid internship per unit the student is enrolled. By completing the WE Application and enrolling in WORK 270, you have acknowledged and agreed to fulfill all requirements and expectations of the Work Experience class as outlined by Title 5 and the Work Experience Student Handbook (Page 13) including minimum hours required per semester by unit. Failure to meet these requirements, specifically the minimum # of hours, may result in a failing grade assigned for your Work Experience course.

    WE Hours Must Be Completed Within Course Dates:

    1 unit - 60 Hours Unpaid | 75 Hours Paid

    2 units - 120 Hours Unpaid | 150 Hours Paid

    3 units - 180 Hours Unpaid | 225 Hours Paid

    4 units - 240 Hours Unpaid | 300 Hours Paid
  • MESA IMPACTSHIP PROGRAM (MIP)



    Get $$$ for Workforce Training! Interested in receiving a one-time $1000 payment (AKA stipend) or hourly compensation to offset expenses during your workplace training & enrollment in a Work Experience course? Check out and apply for the Mesa Impactship Program (MIP). Complete the intake form to check your eligibility!

    *NOTE: Eligible students must be enrolled in a Work Experience or DCP course through Mesa College for the participating semester.
  • STUDENT INFORMATION

  • Enter the # of college units you have previously earned based on enrollment in a Work Experience course(s) at any college.
  • - -
  • If Yes, please contact your assigned SDCCD campus Work Experience Coordinator for additional steps and approval.

    Mesa College - Shawn Fawcett | sfawcett@sdccd.edu
    Miramar College - Kyoka Hashimoto | khashimoto@sdccd.edu
  • If Yes, please contact your assigned SDCCD campus Work Experience Coordinator for additional steps and approval.

    Mesa College - Shawn Fawcett | sfawcett@sdccd.edu
    Miramar College - Kyoka Hashimoto | khashimoto@sdccd.edu

    Note: International students are required to attend the International Student Orientation, Employment Workshop, submit a CPT checklist, and update your I-20 in order to enroll in Work Experience.
  • If YES, please contact a Veteran Counselor and/or Veteran Services to understand how enrolling in a Work Experience course may impact your education plan and/or VA benefits.
  • If Yes, please contact your assigned SDCCD campus Work Experience Coordinator for additional steps and approval.

    Mesa College - Shawn Fawcett | sfawcett@sdccd.edu
    Miramar College - Kyoka Hashimoto | khashimoto@sdccd.edu

    NOTE: A certified Work Permit will be required for students under 18 years of age.
  • If YES, please contact the Counseling or Advising Office at your institution to ensure that SDCCD Work Experience courses will satisfy your individual academic program requirements.

  • NOTE: To avoid delays in completing your lab hours, please get your immunization record prior to the semester starting. Please contact your worksite placement for instructions on how to submit and meet requirements.

    If you are NOT a Child Development student, please answer 'No' to the previous question.
  • WORK EXPERIENCE COMPANY / ORGANIZATION INFORMATION

    Please provide some details on where you will be completing your work experience placement.
  • (if different than company address)
  • Assigned person at company to supervise & evaluate student during SDCCD Work Experience.
  • - -
  • WORK EXPERIENCE POSITION INFORMATION - EMPLOYMENT / INTERNSHIP / VOLUNTEER

    Please provide some details on how you will be completing your work experience placement.
  • Note: If you are just starting work for this company, please indicate "0".
  • Note: If you are just starting work for this company, please indicate "0".
  • Sunday Monday Tuesday Wednesday Thursday Friday Saturday Average Total Hours Per Week
    Shift Hours (am/pm)
  • For this work experience, will you:

    Please provide some details on specific activities you will be completing your work experience placement.
  • (ie: forklift, bulldozer, press machinery)
  • If you answered NO to all of the above questions, please type "n/a."
  • REQUIRED FORMS

    The following forms must be completed in order to submit a Work Experience Application and to receive approval to obtain an ADD code to enroll.
  • INSTRUCTIONS: View the Online Work Experience Orientation and upload completed Work Experience Orientation Quiz. Upon completion of the quiz, save as a PDF with a file name that includes your first and last name, WE Quiz, and term/year (ie: John Doe - WE Quiz - Spring 2019). Upload saved file into the online Work Experience Application. This quiz is required to receive an ADD code.

    Online Work Experience Orientation

    Work Experience Orientation Quiz
  • INSTRUCTIONS: SDCCD Volunteer Worker Registration Form - Only required of students working in on-campus in an unpaid position within a department at City College, Mesa College, or Miramar College. Please select appropriate campus where placement is being completed. Signatures required of Site Supervisor and Dean/Manager of Department.

    SDCCD Volunteer Worker Registration Form
  • 21st CENTURY PROFESSIONAL SKILLS PRE-WORK EXPERIENCE SELF-EVALUATION

    Work Experience is designed to help students develop professional skills through hands-on experience. Evaluate your current performance/ability of each of these 21st Century workplace skills prior to beginning your Work Experience. Ratings of student performance of each skill will be shared with your Work Experience Instructor and Site Supervisor to be discussed at the beginning and end of your Work Experience.
  • Excellent Above Average Competent Unsatisfactory Not Applicable
    ADAPTABILITY: Open to new experiences by trying out different work environments, roles, and tasks.
    ANALYSIS/SOLUTION MINDSET: Examines information and data using critical thinking skills and considers different ways to solve a problem.
    COLLABORATION: Able to work with a diverse team, encourages using skills of all, and able to manage conflict.
    COMMUNICATION: Articulates thoughts and ideas verbally and in writing in a professional manner, uses appropriate content, uses non-verbal communication to make things clear.
    DIGITAL FLUENCY: Has a basic understanding of computer, online tools, hardware, and software to find data, information, answer questions, or help solve a problem.
    ENTREPRENEURIAL MINDSET: Self-motivated, risk-taker, and seeks new knowledge, skills, ideas, and greater work responsibilities.
    EMPATHY: Develops good relationships with people from diverse backgrounds and cultures by being a good listener, asking questions to understand what the other person is feeling, being honest, and mirroring nonverbal communication to build trust.
    RESILIENCE: Sets priorities and goals, anticipates possible consequences, develops back-up plans, learns from feedback, and believes in personal growth.
    SELF-AWARENESS: Knows own skills and strengths, works to improve weaknesses, maintains self-discipline, takes personal responsibility, and attempts to grow professional manner.
    SOCIAL/DIVERSITY AWARENESS: Values diversity in the workplace, develops relationships with people of different backgrounds, and seeks out new ideas from others.
  • Describe any area(s) and/or skill(s) that show great promise or need improvement.
  • STUDENT AUTHORIZATION

    As a Work Experience student, I understand and approve that my Work Experience Instructor/Coordinator will be providing information about my Work Experience educational activities and enrollment to my Site Supervisor/company and my Site Supervisor/company will be providing information to my Work Experience Instructor/Coordinator concerning my educational job-related objectives and records.

    I also acknowledge and agree to fulfill all requirements and expectations of the Work Experience class I enroll in as outlined by Title 5 and the Work Experience Student Handbook (Minimum # of hours, required forms, evaluations, etc.).
  • Please use your computer mouse cursor or finger on a tablet to physically sign your name as you would for a wet signature.

    UNABLE TO SIGN THE FORM?
    If you have previously started the form and selected "Save & Resume Later," click on the "Clear/Delete" link in the bottom right corner of the signature field. This will clear the field and allow you to sign and submit the form.
  • / /
  • Need to finish this form later? Click “Save & Resume Later” at the bottom of this form to generate a unique URL with the information you've entered. Copy/paste the URL link to email yourself. Later or at a site visit, click on the link in your email to open the form and enter any remaining information or add a signature to submit.