FOR OFFICE USE ONLY

School: ______

Internship Program: ______

FOR OFFICE USE ONLY

School: ______

Internship Program: ______

WORL BASED LEARNING

DRIVING PERMIT

Dear Parents/Guardians of Work Based Learning students:

Students are required to have reliable transportation to and from their Work Based Learning (WBL) experience. Because your student will be driving, riding with another, or driving others to work, it is necessary to take a few precautions.

As a part of the WBL program, your student has been given the privilege of being released from school early each day. Students must sign out at the office and leave school premises. The student is meant to be at work during this time, or to make good use of their time completing school work in anticipation of working after school hours. Please note that early-release privileges will be revoked in the event of loss of employment. Students will be required to report to the instructor’s classroom or other agreed upon location until the student is re-employed. Being unemployed could reflect negatively on the student’s final grade.

Please complete the bottom portion of this memo and return it to school. Please call if you have any questions or concerns regarding the WBL program. My number is ______.

Sincerely,

NAME: ______

TITLE: ______

SCHOOL: ______

✂✂✂✂✂✂✂✂✂✂✂✂✂✂✂✂✂✂✂✂✂✂✂✂✂✂✂✂✂✂✂✂✂✂✂✂✂✂✂

Please check all that apply, sign and return:

□ My student has permission to drive to his/her WBL experience.

□ My student has permission to ride with another student(s) to his/her WBL experience.

□ My student has permission to transport another student(s) to their WBL experience.

□ My student has permission to be transported by MSDLT staff to their WBL experience.

My student, ______, has my permission to participate in the WBL experience and be transported and/or provide transportation as indicated above.

I/We understand that he/she will be released from Lawrence Central/Lawrence North or McKenzie Center each day, and will be required to report to work or use their time appropriately. The student may not stay on school grounds. I/We further understand that should my student become unemployed or lose placement, the early release privilege can be revoked until another job is found.

______

Student Signature Date Parent/Guardian Signature Date

FOR OFFICE USE ONLY

School: ______

Internship Program: ______