Reedley College � Clovis Center

							6/27/07 ej
                                          SCCCD – North Centers
                                         Cooperative Work Experience
                                                 Application

      SCHEDULE #                       COURSE                   SEMESTER                     INSTRUCTOR



Student

ID#                                                     Home Phone #

Home Address
                              Street                             City                State              Zip

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To be eligible for Work Experience credit for Fall & Spring, you must be employed and be enrolled in at least 7
units, including Work Experience. For the summer session, you must be employed and enrolled in at least one
other course.

How many college units are you enrolling in? ____       (not eligible if enrolling in less than 7 units for Fall and
Spring)

Are you employed? YES _____            NO _____ (if no, not eligible for Work Experience)

College Major (circle one):            Agriculture                   Child Development                  Business
                                       Fashion Merchandising         Manufacturing
                                       Other: ____________________________________

Enrolling in (circle one):             AG 19V           CD 19V             FM 19V             LH 19V
                                       MFG 19V          NR 19V             CO TR 19G          BA 19V

What subject related to your major are you taking concurrently? ____________________

Have you taken Work Experience before?         NO ____           YES ___ Number of WE units earned ____


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                                          EMPLOYMENT INFORMATION

Business Name

Business Address

Business Phone

Supervisor’s Name

Job Title

Is your employment Paid? _____ Volunteer? _____No. hours per week ______



_____________________________________                            _______________________
Student Signature                                                Date
6/27/07 ej




                                      COOPERATIVE WORK EXPERIENCE

                                              INFORMATION SHEET


Please go to http://www.urworking.com to sign into your class

Eligibility for work experience (Vocational and General):
 Must be enrolled in a minimum of 7 units for Fall & Spring (including cooperative work experience)
 For Summer session, you must be enrolled in at least one other course
 Must be employed (volunteer or paid)


Vocational Work Experience Students:
 Must be employed in a job related to specific educational goals.
 Must be majoring in a field directly related to vocational work experience course.
 Or, be taking simultaneous course work in a field directly related to vocational work experience course.

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The amount of college credit earned by the student for cooperative work experience education is dependent upon the
number of hours worked during the semester as follows:

        PAID EMPLOYEE                                           VOLUNTEER EMPLOYEE

A. 75 hrs/semester = one unit                 A. 60 hrs/semester = one unit

B. 150 hrs/semester = two units               B. 120 hrs/semester = two units

C. 225 hrs/semester = three units             C. 180 hrs/semester = three units

D. 300 hrs/semester = four units (not         D. 240 hrs/semester = four units (not
        applicable to General Work                            applicable to General Work
        Experience)                                           Experience)


NOTE: General Work Experience units are determined as noted in A-C above.
       Maximum units allowed for vocational work experience = 16.0
       Maximum units allowed for general work experience = 6.0

             Some work experience units are transferable to California State Universities.

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        Student responsibilities:             Instructor responsibilities:
        Maintain timesheet                    Assist students with completing contract
        Complete Contract                     Site visitations
        Be enrolled in 7.0 units              Verify number of hours worked
        to be eligible for credit.            Issue student’s grade.



                      Instructor will contact work experience students early in the semester.