Student Name _________________________________ Date_______________________

Email/Phone___________________________________ School_____________________

**SIGNATURES REQUIRED: Student + Parent + Work Supervisor Please Submit to:Career Pathways & Learning AlternativesRoom 130 John Barsby Community School550- Seventh St. Nanaimo B.C. V9R 3Z2Phone: 250.753.6331 | Fax: 250.753.8502 | Email: CTC@sd68.bc.ca

CONTACTSRoxanne Boyko Joel Bennett(Dover, NDSS, Ladysmith, Wellington, (Cedar, Island ConnectED, Barsby, LearningExplore – Sampler, CTC) Alternatives, Explore – Skills, CTC)District Career Programs Coordinator Outreach and Work Experience teacher250.713.4581 250.816.2496rboyko@sd68.bc.ca joel.bennett@sd68.bc.ca

PACKAGE - CHECK LIST

Online Registrationwww.ctc-careerpaths.ca

Identification (government issued)

ASSIGNMENTS FORMS

Resume Interview Safety Questions

(not required if not working, will be completed at a later date)

Requires student, parent and supervisor signatures Letter Of Understanding Reporting An Injury Contact Information Contact and Training Plan

If no work placement complete student, parent signatures only.Parent signatures required for students under 18 year old.

Refusal of Unsafe Work

Notes:

REGISTRATION PACKAGE – SIGNATURES REQUIRED WEX/WRK

ABOUT THE COURSEThis course allows students to observe, learn and practice employability skills, off campus, in a workplace setting and builds on the knowledge gained from Planning 10 or Career Life Connections (Capstone Project)

Students will further explore personal skill inventories, earn a variety of employability skills and identify safety hazards. Students work a minimum of 90 hours in one or more work placements in one or more focus areas.Students that enroll in WEX 12B must have successfully completed WEX 12A and must work at either a different approved work site or work at the same work site but in a significantly different role.

There are two types of work placements: Standard (volunteer) and Non-standard (paid).

FOCUS AREASThe purpose of these courses is to allow the student to explore one or more focus areas. The focus areas are:

Business and Applied Business Fine Arts, Design and Media Fitness and Recreation Liberal Arts and Humanities Science and Applied Sciences Health and Human Services Construction (residential) Construction (industrial)

WORKERS’ COMPENSATION COVERAGE (WCB)Each of these courses allows students to work off-campus in a workplace. The Ministry of Education provides WCB coverage for youth in Standard or non-paid work experience placement; WCB coverage is limited to the times and dates set out in the signed agreement during which a student is participating in unpaid work experience. Employers must provide WCB coverage to with students in paid positions.

RESUME: a resume is required. See below for some tips on how to prepare a resume.Tips on how to build a resume

You will need to get some information before you get started: contact information, job objective, education (grade, school, and expected grad date/year), hobbies and interests (optional), certifications/training (if applicable). If you have certifications attach a copy to your resume.

WORD usually has templates: it may be helpful to create your first resume using a template. To find the templates look under “File” and “New from Template”. If this is the first time you are building a resume then you may find this website helpful.http://resume.manitobacareerdevelopment.ca/en/index.php

See next page for action verbs for resumes

ASSIGNMENT 1

ASSIGNMENT 2: INTERVIEW QUESTIONSStudent name:____________________________ Date _________________

1. What type of work/volunteer experience do you have?

2. What are your short term education and career goals? (expected grad date______________)

3. What are your long term education and career goals?

4. Do you have any special certifications or training?

5. Give two qualities that you have that would make you a good employee

6. Give one skill or quality you feel you need to develop. How are you working on this?

7. What are some of your interests, hobbies, school clubs or teams?

8. You see someone at your workplace doing something unsafe, what would you do?

9. You have a conflict with a co-worker. What would you do?

I have completed: I am enrolled in:

Planning 10 or Career Life Connections Planning 10 or Career Life Connections

Tips To Prepare For a Job InterviewPractice Good Nonverbal Communication- It's about demonstrating confidence: standing straight, making eye contact and connecting with a good, firm handshake. That first nonverbal impression can be a great beginning -- or quick ending -- to your interview.

Dress for the Job or Company- Today's casual dress codes do not give you permission to dress as "they" do when you interview. It is important to look professional and well-groomed. Whether you wear a suit or something less formal depends on the company culture and the position you are seeking. If possible, call to find out about the company dress code before the interview.

Listen- From the very beginning of the interview, your interviewer is giving you information, either directly or indirectly. If you are not hearing it, you are missing a major opportunity. Good communication skills include listening and letting the person know you heard what was said. Observe your interviewer, and match that style and pace.

Don't Talk Too Much - Telling the interviewer more than he needs to know could be a fatal mistake. When you have not prepared ahead of time, you may ramble when answering interview questions, sometimes talking yourself right out of the job. Prepare for the interview by reading through the job posting, matching your skills with the position's requirements and relating only that information.

Don't Be Too Familiar - The interview is a professional meeting to talk business. This is not about making a new friend. Your level of familiarity should mimic the interviewer's demeanor. It is important to bring energy and enthusiasm to the interview and to ask questions, but do not overstep your place as a candidate looking for a job.

Use Appropriate Language- It's a given that you should use professional language during the interview. Be aware of any inappropriate slang words or references to age, race, religion, politics or sexual orientation -- these topics could send you out the door very quickly.

Don't Be Cocky- Attitude plays a key role in your interview success. There is a fine balance between confidence, professionalism and modesty. Even if you're putting on a performance to demonstrate your ability, overconfidence is as bad, if not worse, as being too reserved.

Take Care to Answer the Questions- When an interviewer asks for an example of a time when you did something, he is seeking a sample of your past behavior. If you fail to relate a specific example, you not only don't answer the question, but you also miss an opportunity to prove your ability and talk about your skills.

Ask Questions- When asked if they have any questions, most candidates answer, "No." Wrong answer. Part of knowing how to interview is being ready to ask questions to demonstrate an interest in what goes on in the company. Asking questions also gives you the opportunity to find out if this is the right place for you. The best questions come from listening to what you're asked during the interview and asking for additional information.

Don't Appear Desperate- When you interview with the "please, please hire me" approach, you appear desperate and less confident. Maintain the three C's during the interview: cool, calm and confident. You know you can do the job; make sure the interviewer believes you can, too.

By Carole Martin-Monster Contributing Writer

ASSIGNMENT 3: WORKSITE SAFETYIf you have more than one work placement this form must be completed for each one. Not required if currently not working, will be completed at later date.

A. Did you/will you receive a work site safety orientation? ______________________________

When? _______________________________________________________________________

B. Student received WCB Regulation 3.12: The Right to Refuse Unsafe Work

C. Answer the following.

1. Workplace Hazards. Please check and list prevention of any hazards on your worksite(s)

Hazards Prevention Biological Hazards (mold, insects/pests/ communicable disease, etc.)

Chemical & Dust Hazards (cleaning products, pesticides, asbestos, etc.)

Ergonomic Hazard (repetition, lifting, awkward posture, etc.)

Physical Hazards (noise, temperature extremes, radiation, etc.)

Safety Hazards (slips, trips, falls, faulty equipment, etc.)

Work Organization Hazards (stress)

2. What PPE (personal protective equipment) or safety gear are you expected to use at work.

Hard hat Safety glasses Welding Mask

Respirator Gloves Steel toed shoes

High visibility clothing Earplugs Safety Harness

Other (describe)

3. What is the procedure if you are injured at work?

H

T

T

4. List any certifications you have earned. (WHMIS, Fall Arrest, Food Safe etc.)

5. Are there hazardous materials on your worksite? If yes, what are they?

Corrosive:o Bleach, ammonia, vinegar.

Flammable:o Gasoline, acetone, oil (cooking or motor)

Irritant:o Soaps or detergents, acids, solvents, wood dust, welding fumes.

Toxic:o Drain cleaner, gasoline, motor oil, rubbing alcohol, bleach

Health hazard:o Asbestos, communicable disease.

Explosive:o Unstable explosives, self-reactive substances and mixtures

Compressed gas:o Welding gases, compressed air, liquefied gas.

6. Have you been trained to use any machinery/equipment/ power tools?

Compound miter saw Drill Circular saw Jigsaw Table saw

Palm sander Planer Band saw Router

Knives/ meat slicer Deep fryer Dishwasher Other(please describe below)

PROGRAM I understand that for work experience there is a minimum age of 14 years old; there is no maximum

age. I understand that for Secondary School Apprenticeship the minimum age is 15 years old and I must be enrolled in the program no later than the school year in which I am 18 years old as of July 1.

I understand that work place hours begin AFTER the registration package is received, complete and approved.This approval includes a school orientation/meeting between the coordinator and a student and a work site visit between the work place supervisor and coordinator.

I understand that if I have paid employment that my employer must have WCB coverage and as an employee I have WCB coverage.

I understand that if I am in a volunteer placement I will be covered by WCB through the Ministry of Education only AFTER the paperwork is complete and only during the agreed upon time.

INSTRUCTOR DOCUMENTS

I will submit all documents, assignments, and hours and maintain regular communication with the instructor.

PROBLEMS OR DIFFICULTIES DURING THE PLACEMENT If a problem arises during the work experience place then I will immediately contact the instructor, Roxanne Boyko, 250-713-4581, share the situation and discuss possible solutions.

CHANGE OF EMPLOYMENTIf I no longer work for this registered employer and/or change employers then I will contact the coordinator, Roxanne Boyko, 250-713-4581, immediately to discuss this change.

EMPLOYER RULES

I will follow the company rules, regulations, and procedures during the work experience placement.

ILLNESS, ABSENCE OR LATENESSI must call and speak directly with a supervisor and inform him/her of an illness, absence or lateness.

CELL PHONES AND ELECTRONIC DEVICE USAGEI understand that I am not to use my cell phone or electronic device while performing my work experience duties.

DRESS CODEI will follow the company’s dress code and wear the appropriate clothes.

TRANSPORTATION TO AND FROM THE WORKPLACEI am responsible for all transportation to and from the work experience worksite.

CONFIDENTIALITYI will respect the confidentiality of the company, staff and clients at the work placement so I will not communicate any information relative to the company, staff and clients.

☐ I understand and agree to participate in this program under these conditions:

Student Name_________________________ Student Signature_______________________________

FORMS – LETTER OF UNDERSTANDING

FORMS - REPORTING AN INJURY

PAID EMPLOYMENTStudents in paid work experience placements must have Worker’s Compensation Coverage with the employer. Whileenrolled in the work experience program, students must report injuries to both the employer and work experience coordinator, Roxanne Boyko, 250-713-4581. WCB injury reports must be completed within 3 days of the injury.

UNPAID EMPLOYMENTThe Provincial Government will cover the WCB for students that volunteer in work experience placements that are arranged by Nanaimo-Ladysmith Public Schools. If there is an injury please follow this procedure:1. Contact Roxanne Boyko 250-713-4581 or Derek Beeston 250-714-4842.2. Complete a WCB Employer's Report of Injury or Occupational Exposure (Form 7) within 3 days of the injury.3. School District #68 must be listed as the student's employer on all WCB forms.4. The student's occupation is "work experience student".5. The claim will be assigned to the provincial government (not school district)6. The WorkSafeBC account number is 4000, and the "classification unit number" is 841102.7. Leave "type of business", "operating location number", and "employer payroll contact" cells blank.8. List "worker's occupation" as "work experience student".9. Check "temporary" and "student" in the section on worker information.If this is a serious injury, please also contact the emergency contact person and/or doctor below:

Emergency Contact Person:

Phone (home):

Phone (cell):

Doctor Name:

Phone:

List of Allergies:

Medical Condition(s):

Other comments:

Copy to: Student/parent Coordinator Employer

The information on this form is collected as required by Ministerial Order 237/11 (M33/09), the Work Experience Order. The information on this form is collected under the authority of the School Act, Sections 13 and 79. The information provided will be used for educational program purposes and when required, may be provided to health services, social services or other support services as outlined in Section 79(2) of the School Act. The information on this form will be protected under the Freedom of Information and Protection of Privacy y act. If you have any questions about the collection and use of this information, please contact the principal of your school, District Coordinator, or the information & Privacy Officer, School District 68, 395 Wakesiah Ave, Nanaimo, B.C. V9R 3K6 (250) 754-5521.

STUDENT INFORMATIONStudent Name:

Address:

Phone: Email:

PARENT/GUARDIAN INFORMATION (if student is under 18 years of age)Parent/Guardian Name:

Address:

Phone: Email:

EMPLOYER INFORMATIONSupervisor Name: Business Name/ Legal Business Name:

Address:

Phone: Fax:

Cell: Email

DISTRICT CONTACTRoxanne Boyko,District Career CoordinatorPhone: 250.713.4581Fax: 250.713.2043rboyko@sd68.bc.ca

Joel BennettOutreach/ Work Experience TeacherPhone: 250.816.2496Fax: 250.753.8502Joel.bennett@sd68.bc.ca

Contact Information Nanaimo Ladysmith Public Schools

Contract valid when all signatures are complete and within the dates stated below. By their signatures the parties signify their agreement to the terms and conditions set out in this contract. Please make sure all areas requiring signatures are complete.

SIGNATURES

Student_______________________________/___________________________________ Date:_________________ (Name Please Print) (signature)Parent/Guardian ____________________________/______________________________ Date:_________________ (Name Please Print) (signature)Employer Contact/Supervisor________________________/________________________ Date:_________________ (Name Please Print) (signature)District Coordinator: ___________________________/____________________________ Date:_________________ (Name Please Print) (signature)

PLACEMENT INFORMATIONPosition Start Date: End Date:

Volunteer | Paid (circle one) WCB Coverage yes | noDress Code: Schedule

Work tasks Tools and equipment Training

The parties agree to a work experience placement (the “work experience placement”) for the Student with the Worksite Employer on the following terms and conditions:

FORMS - CONTRACT AND TRAINING PLAN

1. TERM OF AGREEMENTThis Agreement will be in effect during the start and end dates unless it is ended at an earlier time. The signatories acknowledge agreement with this plan for this period of the SSA/WEX program. If there are any changes then the student and employer must contact the coordinator.

2. STUDENT DUTIESThe Student agrees to perform without payment those duties assigned to the Student from time to time by the Worksite Employer in consultation with the Board’s representatives. The Student agrees to comply with the Worksite Employer’s rules and all applicable safety regulations. Special Rules and Regulations are to be communicated by the Worksite Employer to the Student.

3. DAYS AND HOURS OF THE WORK EXPERIENCE PLACEMENTThe Student agrees to perform those duties as assigned by the Worksite Employer in accordance with the days and during the hours indicated on the reverse side at such other times, in writing, as may be agreed by the Worksite Employer, Board of Education and Student. If the Student is employed by the Worksite Employer beyond the days and hours agreed upon by the Worksite Employer, Board of Education and Student, none of the provisions of this Agreement apply.

4. SUPERVISIONThe Student agrees to be under the direct supervision of the Worksite Employer and the Worksite Employer agrees to supervise the Student at all times during the work experience placement.

5. SITE SAFETY ORIENTATIONThe Worksite Employer will provide to the Student site and work-specific safety training and will not permit the Student to perform any duties unless the Student has all safety equipment required for the tasks to be performed by the Student.

6. BOARD ACCESSThe Worksite Employer agrees to allow Board of Education representatives to have access at any time to the Worksite Employer’s worksite and the Student.

7. TRANSPORTATIONThe parties agree that the parent(s) or guardian(s) and the Student are solely responsible for the Student’s transportation to and from the Worksite Employer’s worksite. Students are not permitted to act as volunteer drivers while on a Work Experience Placement.

8. EVALUATIONWhen requested by the Board, the Worksite Employer will evaluate the Student’s performance of the Student’s duties, report that evaluation in the form required by the Board, and consult with Board representatives about the evaluation.

9. WORKERS’ COMPENSATION ACT INJURY COVERAGEStudents in a work experience placement at a standard worksite are covered by the Workers’ Compensation Act and are considered to be workers of the Government of the Province of British Columbia for Workers’ Compensation purposes only. Coverage is limited by the terms and conditions set out in the Minutes of the Workers’ Compensation Board dated January 29, 2008. WorkSafeBC WCB coverage for any paid work experience must be covered by the employer, and will not be covered by the Province.

10. NOTICE OF INJURYThe Worksite Employer will, if a Student is injured, immediately report the occurrence of injury to the District Careers Coordinator, 250-713-4581 (cell) or CTC@sd68.bc.ca. A copy of the WCB report and/or other First Aid documents must be provided to the Board within 48 hours.

11. INDEMNITYThe Board agrees to indemnify and hold harmless the Worksite Employer, its employees and agents from any and all claims, demands, actions and costs whatsoever that may arise out of the negligent acts or omissions of the Board, the Board’s employees and the Student, in their performance of this agreement, unless such negligent acts or omissions are at the direction of or occasioned by the Worksite Employer, its employees or agents.The Worksite Employer agrees that it will not require the Student to perform any task unless such task might reasonably be expected to be within the scope of the Student’s training and abilities.

12. INSURANCEThe Board shall maintain liability coverage to protect the Board, the Board’s employees, and the Student during their performance of this agreement. The Board will not be responsible for any loss or damage to the Worksite Employer’s property unless such loss or damage is due to the willful acts or omissions of the Student or is caused by theStudent acting outside the Student’s authorized duties.

13. MINIMUM AGEThe parent(s) or guardian(s) of the Student warrant that the Student is 14 years of age or older at the date of this Agreement. *A student must be at least 14 years of age to participate in a work experience placement.

14. EFFECT ON EMPLOYEESThe Worksite Employer agrees that the placement of the Student will not affect the job security of any employee of the Worksite Employer and will not affect the WorksiteEmployer’s hiring practices. The placement of the Student will be in addition to the Worksite Employer’s full complement of employees. The Student will not be a replacement for any employee.

15. TERMINATION OF THE AGREEMENTAny party to this Agreement may end it at any time by giving notice in writing to all other parties at the addresses given in this Agreement.

16. REFERENCE

In this Agreement a reference to the Board includes Board officers, employees or representatives acting within the scope of their employme17. CONFIDENTIALITYAll parties agree to maintain in the strictest confidence, information that comes to their knowledge during the

work experience.

The entire list of employee/employers Rights and Responsibilities can be found on the WorkSafeBC website:

http://www2.worksafebc.com/publications/OHSRegulation/Part3.asp#SectionNumber:3.23

As a young worker is if important to know that you can refuse unsafe work. Please read and review the “Refusal of Unsafe Work” below:

Refusal of Unsafe Work3.12 Procedure for refusal(1) A person must not carry out or cause to be carried out any work process or operate or cause to be operated any tool, appliance or equipment if that person has reasonable cause to believe that to do so would create an undue hazard to the health and safety of any person.(2) A worker who refuses to carry out a work process or operate a tool, appliance or equipment pursuant to subsection (1) must immediately report the circumstances of the unsafe condition to his or her supervisor or employer.(3) A supervisor or employer receiving a report made under subsection (2) must immediately investigate the matter and(a) ensure that any unsafe condition is remedied without delay, or(b) if in his or her opinion the report is not valid, must so inform the person who made the report.(4) If the procedure under subsection (3) does not resolve the matter and the worker continues to refuse to carry out the work process or operate the tool, appliance or equipment, the supervisor or employer must investigate the matter in the presence of the worker who made the report and in the presence of(a) a worker member of the joint committee,(b) a worker who is selected by a trade union representing the worker, or(c) if there is no joint committee or the worker is not represented by a trade union, any other reasonably available worker selected by the worker.(5) If the investigation under subsection (4) does not resolve the matter and the worker continues to refuse to carry out the work process or operate the tool, appliance or equipment, both the supervisor, or the employer, and the worker must immediately notify an officer, who must investigate the matter without undue delay and issue whatever orders are deemed necessary.

I have read and understand that I have the right to refuse unsafe work.

_______________________________________________ ___________________________________________________Student Name (please print) Supervisor Name (please print)

_______________________________________________ ___________________________________________________Student Signature Supervisor Signature

FORMS - REFUSAL OF UNSAFE

Date: __________________________________________ Date: ______________________________________________