Student Work Experience Form We're currently accepting placements for the 2019 / 2020 school year. Please complete the form below to apply. * indicates a required fieldEPL's Student Work Experience Program Eligibility RequirementsI am currently registered in a Student Work Experience program with my school (e.g. Work Experience 15/25/35) * RequiredYesNoI have completed the Workplace Safety Systems Course (HCS 3000) or equivalent * RequiredYesNoThank you for your interestEPL appreciates your interest in our Student Work Experience Program! Unfortunately, we are not able to consider your application for a work experience placement if you are not registered in a School Work Experience Program or have not completed the requirements of your school's Work Experience Program. If you do enrol in a school Work Experience Program and complete its requirements in the future, we hope you will consider EPL again as a placement option. All the best in your work experience search!School InformationCurrent Grade * RequiredGrade 9Grade 10Grade 11Grade 12Name of School * RequiredSchool District * RequiredEdmonton Public SchoolEdmonton Catholic SchoolOtherThank you for your interestEPL appreciates your interest in our Student Work Experience Program! Unfortunately, we are not able to consider your application for a work experience placement if you are not attending an Edmonton Public or Edmonton Catholic School, as this is a requirement of our program. All the best in your work experience search!Student InformationName * Required First Last Phone * RequiredEmail * Required Enter Email Confirm Email School Work Experience Coordinator InformationName * Required First Last Phone * RequiredEmail * Required Placement DetailsWhen would you like your placement to begin? - must be mm/dd/yyyy format * Required Date Format: MM slash DD slash YYYY How long would you like your placement to be? * RequiredHow many hours a week would you be interested in? * RequiredPlease tell us why you are interested in a work experience placement at EPL * RequiredThe branches listed will be hosting student work experience placements. Of these branches, please indicate the branch you would prefer you placement be hosted at * RequiredAbbottsfieldLondonderryEPL would like to assess the diversity of those interested in our student work experience program; the following self-declaration is optional Indigenous Ancestry Visible Minority Person with a Disability Newcomer (living in Canada for 5 years or less) Your personal information is being collected under the authority of section 33(c) of the Alberta Freedom of Information and Protection of Privacy Act ("FOIP Act"). The personal information you provide to the Edmonton Public Library (EPL) will be used for the administration and management of EPL’s Student Work Experience Program.PhoneThis field is for validation purposes and should be left unchanged. Close Can you tell me more about this webform submission? The contents of this webform are sent to library staff via email. We recommend that you do not submit confidential information (like your library card number, passwords or credit card information). If you need to share confidential information with library staff, we suggest that you use other channels of communication, such as the telephone.Visit our Privacy Statement, opens in a new window to learn more about how your personal information is handled and protected. This information will be submitted via email. Learn More. This iframe contains the logic required to handle Ajax powered Gravity Forms.