SDCCD Work Experience Application Fall 2020
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 www.sdmesa.edu/work-exp.

Questions or need accommodations? Please email sfawcett@sdccd.edu to contact the Work Experience Coordinator for more information.

COVID-19 ADJUSTMENTS: In response to the current pandemic and impacted closures, remote work will be accepted for Work Experience and 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.
  • 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 Work Experience Class List to determine the appropriate 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. View the Work Experience Student Handbook (Page 13) for minimum hours required per semester by unit.
  • STUDENT INFORMATION

  • Enter the # of college units you have previously earned based on enrollment in a Work Experience course(s) at any college.
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  • If Yes, please contact the Mesa College Work Experience Coordinator at sfawcett@sdccd.edu for additional steps and approval.
  • If YES, please contact the Mesa College Work Experience Coordinator at sfawcett@sdccd.edu for additional steps and approval. 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 the Mesa College Work Experience Coordinator at sfawcett@sdccd.edu for additional steps and approval. Note: A certified Work Permit will be required for students under 18 years of age.
  • EMPLOYMENT/INTERNSHIP/VOLUNTEER INFORMATION

  • 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".
  • For this position do you:

  • (ie: forklift, bulldozer, press machinery)
  • If you answered NO to all of the above questions, please type "n/a."
  • Sunday Monday Tuesday Wednesday Thursday Friday Saturday Average Total Hours Per Week
    Shift Hours (am/pm)
  • ORGANIZATION INFORMATION

  • (if different than company address)
  • Assigned person at company to supervise & evaluate student during SDCCD Work Experience.
  • - -
  • 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.
  • READ BEFORE SUBMITTING:
    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
  • READ BEFORE SUBMITTING:
    Complete the Sexual Harassment Prevention Training. Take a screen shot of your Course Progress Report and Save document as JPEG, PNG, or PDF to your computer in a known location (ie: Desktop). Upload the saved report file directly into your online WE Application as an attachment. Your Course Progress Report must show COMPLETION OF ALL PART 1 SECTIONS, and PASSAGE OF EXAM 1. You can follow step 3 in the instructions below to access your Course Progress Report:

    Sexual Harassment Prevention Training Instructions

    Sexual Harassment Prevention Training Course Progress Report Example
  • READ BEFORE SUBMITTING:
    SDCCD Volunteer Worker Registration Form - Only required of students working in an on-campus Mesa College Department in an unpaid position. Signatures required of Site Supervisor and Dean/Manager of Department.

    SDCCD Volunteer Worker Registration Form
  • READ BEFORE SUBMITTING:
    Immunization Verification Spring 2020 - Only required of students interested in enrolling in co-requisites CHIL 270 (Pearson, L. | CRN # 22992) and CHIL 151 (Pearson, L. | CRN # 22958). These class sections must be taken together and students must complete and upload the Mesa Child Development Vaccination Form below as proof of vaccination completion. No other verification forms will be accepted.

    Child Development Vaccination Form
  • 21st CENTURY WORKPLACE 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 and my Site Supervisor will be providing information to my Work Experience Instructor/Coordinator concerning my educational job-related objectives and records.
  • 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.
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  • 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.