WORK EDUCATION AGREEMENT ADJUSTMENT TO HOURS
Adjustments are sometimes necessary to a
student's hours as stated on the Work Education Agreement form completed at
the beginning of the program.
It is the responsibility of the student
to inform the Cooperative Education teacher and parent/guardian
before
adjusting the hours at the placement for an unscheduled
period of time.
Complete the information required and
attach it to the original Work Education Agreement form.
This is to be kept on file in the Cooperative Education Office at the school.
| STUDENT NAME: ____________________________________________________________ | |
| COURSE: _________________________________ | DATE: ______________ |
| SCHOOL: _________________________________ | TEACHER: ______________ |
| PLACEMENT:____________________________________________________________ | |
|
SCHEDULE ADJUSTMENT |
|
DATES: __________________________________ _______ DATES:
__________________________________ _______ |
|
| NEW HOURS:
__________________________________ _______ NEW HOURS:
__________________________________ _______ |
|
|
___________________________ |
___________________________ |
|
Student Signature |
Parent/Guardian Signature |
|
___________________________ |
___________________________ |
|
Employer/ Supervisor Signature |
Teacher/Monitor Signature |
|
S:\Rivet, L\forms 2003 04 docushare\Revised Word Ed. Agreement Adjust. to hours.wpd |
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