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Work Experience - Learning Agreement Summer 2023
The WE Learning Agreement is completed at the 1st site by the student, Site Supervisor, & faculty with agreed upon learning objectives or projects for the student to complete throughout the term.
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.
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.edu
for questions & assistance with
Mesa College Work Experience
.
NOTE:
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.
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.
Campus:
*
City College
Mesa College
Miramar College
Academic Term & Year:
*
Please select
Summer 2023
MESA COLLEGE Work Experience Course:
*
Please select the MESA COLLEGE Work Experience course you are currently enrolled in for this term.
CACM 270 - 1 Unit - Whitfield, T. - Class # 31356 - 8 WK: 6/5-7/29/23 - Hours: 60 Unpaid | 75 Paid
EXSC 270 - 1 Unit - Herron, C. - Class # 30866 - 8 WK: 6/19-8/12/23 - Hours: 60 Unpaid | 75 Paid
FASH 270 - 2 Unit - Phillips, A.M. - Class # 31367 - 10 WK: 6/5-8/12/23 - Hours: 120 Unpaid | 150 Paid
FASH 270 - 3 Unit - Phillips, A.M. - Class # 31368 - 10 WK: 6/5-8/12/23 - Hours: 180 Unpaid | 225 Paid
GIS 270 - 2 Unit - Russell, R. - Class # 30438 - 10 WK: 6/5-8/12/23 - Hours: 120 Unpaid | 150 Paid
HOSP 270 - 1 Unit - Lizano, A. - Class # 31369 - 8 WK: 6/19-8/12/23 - Hours: 60 Unpaid | 75 Paid
HOSP 270 - 2 Unit - Lizano, A. - Class # 32140 - 8 WK: 6/19-8/12/23 - Hours: 120 Unpaid | 150 Paid
HOSP 270 - 3 Unit - Lizano, A. - Class # 30475 - 8 WK: 6/19-8/12/23 - Hours: 180 Unpaid | 225 Paid
INTE 270 - 3 Unit - Hines, J. - Class # 30439 - 10 WK: 6/5-8/12/23 - Hours: 180 Unpaid | 225 Paid
INTE 270 - 4 Unit - Hines, J. - Class # 31370 - 10 WK: 6/5-8/12/23 - Hours: 240 Unpaid | 300 Paid
SUST 270 - 1 Unit - Gorman, K. - Class # 31371 - 8 WK: 6/19-8/12/23 - Hours: 60 Unpaid | 75 Paid
SUST 270 - 2 Unit - Gorman, K. - Class # 31372 - 8 WK: 6/19-8/12/23 - Hours: 120 Unpaid | 150 Paid
SUST 270 - 3 Unit - Gorman, K. - Class # 30944 - 8 WK: 6/19-8/12/23 - Hours: 180 Unpaid | 225 Paid
WORK 270 - 1 Unit - Consuegra, P. - Class # 30474 - 8 WK: 6/19-8/12/23 - Hours: 60 Unpaid | 75 Paid
WORK 270 (VIP Students Only) - 1 Unit - Consuegra, P. - Class # 31014 - 8 WK: 6/19-8/12/23 - Hours: 60 Unpaid | 75 Paid
WORK 270 (Mesa Impactship Only) - 1 Unit - Consuegra, P. - Class # 31373 - 8 WK: 6/19-8/12/23 - Hours: 60 Unpaid | 75 Paid
WORK 270 – 1 Unit – Lizano, A. – Class # 32169 – 4 WK: 7/18-8/12/23 – Hours: 60 Unpaid | 75 Paid
WORK 270 - 2 Unit - Lizano, A. - Class # 31374 - 8 WK: 6/19-8/12/23 - Hours: 120 Unpaid | 150 Paid
WORK 270 - 3 Unit - Lizano, A. - Class # 31375 - 8 WK: 6/19-8/12/23 - Hours: 180 Unpaid | 225 Paid
WORK 270 - 4 Unit - Lizano, A. - Class # 31900 - 10 WK: 6/5-8/12/23 - Hours: 240 Unpaid | 300 Paid
TEST COURSE
Credit is awarded based on 75 hours of paid work/internship or 60 hours of unpaid internship per unit the student is enrolled. View the
Work Experience Student Handbook (Page 13)
for minimum hours required per semester by unit.
MIRAMAR COLLEGE Work Experience Course:
*
Please select the MIRAMAR COLLEGE Work Experience course you are currently enrolled in for this term.
EXSC 270 - 1 Unit - Morelewski, K. - Class # 30237 - 8 WK: 6/20-8/12/23 - Hours: 60 Unpaid | 75 Paid
BUSE 270- 2 Unit - Ortega, A. - Class # 30141- 10 WK: 6/05-8/12/23 - Hours: 120 Unpaid | 150 Paid
BUSE 270 3 Unit - Ortega, A. - Class # 31606- 10 WK: 6/05-8/12/23 - Hours: 180 Unpaid | 225 Paid
BUSE 270 4 Unit - Ortega, A. - Class # 31608- 10 WK: 6/05-8/12/23 - Hours: 240 Unpaid | 300 Paid
TEST COURSE
Credit is awarded based on 75 hours of paid work/internship or 60 hours of unpaid internship per unit the student is enrolled. View the
Work Experience Student Handbook (Page 13)
for minimum hours required per semester by unit.
CITY COLLEGE Work Experience Course:
*
Please select the CITY COLLEGE Work Experience course you are currently enrolled in for this term.
City College Work Experience process will be completed via paper forms. Contact the WE instructor directly.
NOTE:
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.
Credit is awarded based on 75 hours of paid work/internship or 60 hours of unpaid internship per unit the student is enrolled. View the
Work Experience Student Handbook (Page 13)
for minimum hours required per semester by unit.
STUDENT INFORMATION
Student Name:
*
First
Last
CSID:
*
Student Phone:
*
###
-
###
-
####
Student Email:
*
WORK EXPERIENCE COMPANY / POSITION INFORMATION
Company/Organization Name:
*
Type of Work:
*
Paid
Unpaid
Address:
*
Worksite Address:
(if different than company address)
Site Supervisor Name:
*
Site Supervisor Title:
*
Site Supervisor Phone:
*
###
-
###
-
####
Site Supervisor email:
*
Student Employment / Internship / Volunteer Duties:
*
Job Duty 1
Job Duty 2
Job Duty 3
Job Duty 4
What are your four (4) main duties or assigned responsibilities for the student's current position?
WORK EXPERIENCE REQUIREMENTS & EXPECTATIONS
LEARNING AGREEMENT: The student will comply with the Work Experience guidelines and regulations. The instructor will visit the student's place of employment/internship, consult with the employer/mentor regarding the student's job performance, and grant academic credit for successful completion of the program. The employer/mentor and the college agree to provide the necessary supervision and guidance to ensure maximum educational benefit from this work experience. The employer/mentor will verify the hours completed by the student during the course term.
JOB-ORIENTED LEARNING OBJECTIVES: For each semester that a student is enrolled in Work Experience, it is necessary to identify new or expanded job-oriented learning objectives. These objectives are formulated by the student, reviewed and approved by both the supervisor/mentor and the college instructor. Should an objective require revision anytime during the semester, the instructor must be notified.
SMART LEARNING OBJECTIVES:
(Specific, Measurable, Achievable, Relevant, Time-Based)
SMART Learning Objectives are developed prior to the first site visit. Ratings are determined during the second site visit.
SMART LEARNING OBJECTIVE #1:
Describe your work-based project or learning objective and what you plan to accomplish:
*
How will this project or objective be achieved? Provide specific details:
*
How will this project or objective be measured and evaluated by you and your supervisor? (specific outcome product or measurable result)
*
Deadline for SMART learning objective to be completed:
*
MM
/
DD
/
YYYY
SMART LEARNING OBJECTIVE #2:
Describe your work-based project or learning objective and what you plan to accomplish:
*
How will this project or objective be achieved? Provide specific details:
*
How will this project or objective be measured and evaluated by you and your supervisor? (specific outcome product or measurable result)
*
Deadline for SMART learning objective to be completed:
*
MM
/
DD
/
YYYY
SMART LEARNING OBJECTIVE #3:
Describe your work-based project or learning objective and what you plan to accomplish:
*
How will this project or objective be achieved? Provide specific details:
*
How will this project or objective be measured and evaluated by you and your supervisor? (specific outcome product or measurable result)
*
Deadline for SMART learning objective to be completed:
*
MM
/
DD
/
YYYY
STUDENT AUTHORIZATION
The undersigned agree to the above and the validity of the SMART job-oriented learning objectives listed on this form and agree they are measurable and can be properly evaluated at the end of the term.
Student Signature:
*
Clear
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.
EMPLOYER SITE SUPERVISOR AUTHORIZATION
The undersigned agree to the above and the validity of the SMART job-oriented learning objectives listed on this form and agree they are measurable and can be properly evaluated at the end of the term.
Site Supervisor Signature:
*
Clear
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.
WORK EXPERIENCE INSTRUCTOR AUTHORIZATION
The undersigned agree to the above and the validity of the SMART job-oriented learning objectives listed on this form and agree they are measurable and can be properly evaluated at the end of the term.
WE Instructor Signature:
*
Clear
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.
Date Time
*
MM
/
DD
/
YYYY
Alternate Site Visit - Electronic Authorization of Student Learning Agreement
If an Alternate Site Visit has been approved by the Work Experience Dean, please have missing parties sign the paper version of the Student Learning Agreement and scan/upload the file electronically to this online Learning Agreement form.
Paper Student Learning Agreement PDF
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.
