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Work-Based Learning Program
Work-Based Learning Manual - Assurances Checklist

"There are a lot of ways people learn. You can learn in the classroom, but the best learning sometimes takes place actually on the job. First of all, it's a clearly applied skill. Second of all, it's a very specific skill and one that really matters. We're finding that many of our children learn better in an actual work setting, particularly when it is combined with an academic experience."
– Michael O. Leavitt, Former Governor of the State of Utah

Assurances Checklist Document - Word | PDF

INTRODUCTIONWork-Based Learning Logo
Work-Based Learning programs offered in Utah's public education system must meet state program standards.

ASSURANCES CHECKLIST
Utah State Board of Education Rule R277-916-6 states, “Work-Based Learning (WBL) shall be integrated into all levels of the education delivery system and shall be coordinated within the cones of the district and between regions.”

For purposes of this document, the following definition will apply to Work-Based Learning programs:

Work-Based Learning is a coherent sequence of career awareness, exploration, job training and workplace experience activities that are coordinated with school-based learning activities.  There are Work-Based Learning activities appropriate for every grade level, K-12, to support students in developing career awareness, exploring career options, developing appropriate workplace skills and relating academic skills to real world applications.

This checklist is part of the annual Work-Based Learning Funding Application.  It serves a dual purpose of self-evaluation to determine program strengths and weaknesses and to provide information to the Utah State Office of Education in order to meet technical assistance needs.  This checklist will also be discussed when district/charter school and/or Utah State Office of Education staff make program approval monitoring visits to the schools.

Achievement Ratings
1 =  MAJOR improvement needed   2 =  MINOR improvement needed 3 =  GOOD 4 =  SUPERIOR

Using the Achievement Ratings listed above, identify the number that best describes the degree to which your school meets the quality indicators for the program standards that follow. For items rated 1 or 2, please attach a written description of plans to meet the indicator.

To be eligible for WBL funds, districts/schools and charter schools shall:

STANDARD 1
QUALITY INDICATORS Rating
1. Have the program approved by the local board 1 2 3 4
   1.1 Attach a copy of the current board approved policy with minutes (one copy    per district/charter school application)  
          1.1 (a)   Addresses Work-Based Learning career awareness, exploration,           orientation and preparation activities K-12  
          1.1 (b)   Addresses Work-Based Learning Liability Policy, SB-28  

   1.2 The board supports the use of USOE sponsored (as evidenced in district    policy)

 

          1.2 (a)   Utah’s Work-Based Learning Manual

 

          1.2 (b)   Work-Based Learning endorsement criteria

 

          1.2 (c)   Utah Work-Based Learning coordinator standards document

 

          1.2 (d)   Partnership agreements

 

Additional Information and/or Comments:

 

 

STANDARD 2
QUALITY INDICATORS Rating
2. Employ qualified Work-Based Learning coordination personnel 1 2 3 4
   2.1 All Work-Based Learning personnel meet state Work-Based Learning    licensure/endorsement qualifications  
   2.2 All Work-Based Learning personnel have passed background checks  
   2.3 All Work-Based Learning personnel have completed the state-approved
   Work-Based Learning basic training
 

Additional Information and/or Comments:

 

 

STANDARD 3
QUALITY INDICATORS Rating
3.  Document that a Work-Based Learning committee representing all schools within the cone, parents and the business community has been created, is functioning effectively and regularly addresses Work-Based Learning issues 1 2 3 4
   3.1 A Work-Based Learning committee is identified for each cone and meets a    minimum of two (2) times per year  
   3.2 Committee membership includes a representative from each building in the    cone, parent(s), a business representative(s) and Work-Based Learning personnel  
   3.3 Work-Based Learning appears in meeting agendas and minutes to document    that Work-Based Learning needs are being addressed  

Additional Information and/or Comments:

 

 

STANDARD 4
QUALITY INDICATORS Rating
4. Complete a cone-wide student/parent/teacher Work-Based Learning needs assessment 1 2 3 4
   4.1 The cone’s Work-Based Learning program needs have been identified for the    present funding year in coordination with Work-Based Learning cone activities  

Additional Information and/or Comments:

 

 

STANDARD 5
QUALITY INDICATORS Rating
5. Develop Work-Based Learning preparation, participation and evaluation activities for students and teachers involved in all Work-Based Learning cone activities 1 2 3 4
   5.1 Preparation  
          5.1 (a)   Community partnerships are established  
          5.1 (b)   Training agreements, skill grids and other forms/documents as           outlined in state Work-Based Learning Manual are used  
             5.1 (b)(i)   Workplace agreements contain an assurance of nondiscrimination              based on gender, race, color, national origin and disabilities that is signed by              both the employer and the school  
          5.1 (c)   SEOP coordination is assured  
   5.2 Participation  

          5.2 (a)   Identify K-12 + Work-Based Learning activities provided during the           current funding year: Evaluate each item checked using definition in state           Work-Based Learning Manual

  • Apprenticeships
  • Career Fairs
  • Clinical Work Experiences
  • Cooperative Work Experiences
  • Educator Internships
  • Field Studies
  • Guest Speakers
  • Job Shadows
  • School-Based Enterprises
  • Service Learning Opportunities
  • Student Internships
  • Teacher Internships
  • Other, please specify___________________________
 
          5.2 (b)   Describe Work-Based Learning activities in cone  
             5.2 (b) (i)   Describe high school level activities.  What services does the              WBL coordinator provide at the high school level?  
             5.2 (b) (ii)   Describe middle/junior high school level activities.  What services              does the WBL coordinator provide at the middle/junior high school level?  
             5.2 (b) (iii)   Describe elementary school level activities.  What services does              the WBL coordinator provide at the elementary school level?  
   5.3 Evaluation  
          5.3 (a)   Employer coordination visits, including periodic internship/cooperative           work experience site visits for every student  
          5.3 (b)   Participating employer evaluations are completed at the end of each           activity  
          5.3 (c)   Student evaluations are completed at the end of each activity  

Additional Information and/or Comments:

 

 

STANDARD 6
QUALITY INDICATORS Rating
6. Maintain evidence that Work-Based Learning components have been integrated and coordinated with elementary career awareness, secondary career exploration and preparation activities, integrated core curriculum activities, CTE Introduction (formerly TLC) Comprehensive Counseling and Guidance and CTE Pathways 1 2 3 4
   6.1 Work-Based Learning coordination personnel are in place to develop, monitor    or facilitate:  
          6.1 (a)   Elementary career awareness activities including, but not limited to           Core Career Connection activities  
          6.1 (b)   Secondary career exploration and preparation activities, including           CTE Introduction (formerly TLC) Work-Based Learning experiences  
          6.1 (c)   Related Work-Based Learning training including student internships           seminars/critical workplace skill classes, etc.  
   6.2 Students have the opportunity to participate in Work-Based Learning    experiences as part of a state recognized CTE Pathway  

Additional Information and/or Comments:

 

 

STANDARD 7
QUALITY INDICATORS Rating
7. Maintain evidence that Work-Based Learning activities are developed in coordination with IEP/SEP/SEOP/504 requirements in each cone 1 2 3 4
   7.1 Student participation in Work-Based Learning activities is based upon each    student’s academic/career planning process  
   7.2 A process is in place to communicate student career goals/objectives to
   Work-Based Learning personnel
 
   7.3 Work-Based Learning personnel receive appropriate cone/district    IEP/SEP/SEOP/504 training  

Additional Information and/or Comments:

 

 

STANDARD 8
QUALITY INDICATORS Rating
8. Require the inclusion of all student groups within the cone in Work-Based Learning activities 1 2 3 4
   8.1 Students of different gender, race, color, national origin and disabilities are    given equal opportunity for participation in Work-Based Learning activities  
   8.2 School and district/charter school resources are utilized by Work-Based    Learning personnel to meet diverse student needs  

Additional Information and/or Comments:

 

 

STANDARD 9
QUALITY INDICATORS Rating
9. Demonstrate coordination with employers and with other school/community development activities 1 2 3 4
   9.1 Use of appropriate documentation/forms as outlined in the state Work-Based    Learning Manual  
   9.2 Work-Based Learning personnel coordinate with school and district/charter    school calendars  
   9.3 Work-Based Learning personnel have opportunity to meet regularly with cone    administrators  

Additional Information and/or Comments:

 

 

STANDARD 10
QUALITY INDICATORS Rating
10. Verify that state Work-Based Learning funds are supporting Work-Based Learning personnel, that state funds are matched by the local recipient of funds, and that sufficient budget for Work-Based Learning personnel facilities, materials, equipment and support staff is available 1 2 3 4
   10.1 State Work-Based Learning funds and matching funds are used exclusively to    support Work-Based Learning personnel for the purpose of developing,    implementing and maintaining Work-Based Learning programs as described herein  
   10.2 Work-Based Learning funding is matched dollar for dollar according to State    Board Rule R277-916-5  
          10.2 (a) Identify how funding is matched  
   10.3 Sufficient budget for Work-Based Learning personnel, facilities, materials,    equipment and support staff is provided  

Additional Information and/or Comments:

 

 

STANDARD 11
QUALITY INDICATORS Rating
11. Require Work-Based Learning personnel to complete state-sponsored Work-Based Learning coordinator basic training and participate in ongoing professional development activities 1 2 3 4
   11.1 District/charter school and cone supports the Work-Based Learning    personnel’s participation in related training, workshops and inservices  

Additional Information and/or Comments:

 

 

STANDARD 12
QUALITY INDICATORS Rating
12. Require Work-Based Learning personnel to participate in state and district/charter school data collection and reporting 1 2 3 4
   12.1 A database of the employer and other community partners is kept and    maintained by each cone/district or charter school/region  
   12.2 Work-Based Learning personnel participate in data collection and reporting  

Additional Information and/or Comments:

 

Updated April 30, 2010  


 

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FOR MORE INFORMATION:
sherry [dot] marchant [at] schools [dot] utah [dot] gov (Sherry Marchant), Specialist
Work-Based Learning
Phone: 801>538-7594
Fax: 801>538-7868

dawn [dot] jones [at] schools [dot] utah [dot] gov (Dawn Jones) , Support Staff
Work-Based Learning
Phone: 801>538-7942




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