WBL Activity Log (After the Fact)

Hi Connectors! Thanks for your great work. Before we get started....

  • If this activity was already pledged in ELENA, please create a placement from the pledge record in ELENA, do not use this form. 
  • Do you need to log multiple employers for the same event, like a career fair? Save yourself some serious time and use the Multiple Employer form instead.
About the School/District

If there is no specific school, select your district agency again here.

About the Employer/Company

Search here for current ELENA companies. Don't see the Employer/Company you worked with listed? Enter it below in other "Employer/Company Name"

if not found above, enter full company name here

About your Contact at the Employer

About the Placement/Activity

Sector / Industry

Additional Sector / Industry

If this was a recurring experience, enter the total # of hours - like 4/hours week for 5 weeks = 20

would you recommend we do this again?

Primary Educator Info
Excellent! Put the school-based educator's info here, if you know it. This isn't YOUR info (as the connector). That comes next. This will create a contact record in ELENA attached to the school listed above.

If for group of learners, and you know course / class description or number. Otherwise, leave blank.

Form Follow-up Info

Thank you for doing this!

Please give us YOUR contact info in case the form throws an error or we need to follow-up for any reason. We want to make sure your good work doesn't get lost.

Thank you for helping keep our data in tip top shape. We appreciate you! Astro Thank you