WORK EXPERIENCE - CUM WORK RECORD SPRING 2025
WE student keeps track of his/her hours to meet the minimum Work Experience requirement based on unit load. The Cumulative Work Record is completed, approved, and signed off by both the student and Site Supervisor at the end of the semester using this online form. Please review all WE requirements, forms, and district resources at the SDCCD Work Experience website.

Questions or need accommodations? Please email the designated SDCCD campus Work Experience Coordinator for more information:

City College - Nicole Vargas | nvargas@sdccd.edu
Mesa College - Shawn Fawcett | sfawcett@sdccd.edu
Miramar College - Kyoka Hashimoto | khashimoto@sdccd.edu

  • COURSE INFORMATION

  • Work Experience credit is awarded based on 54 hours of paid/unpaid work, internship, or volunteering per unit the student is enrolled. View the Work Experience Student Handbook for minimum hours required per semester by unit.
  • Work Experience credit is awarded based on 54 hours of paid/unpaid work, internship, or volunteering per unit the student is enrolled. View the Work Experience Student Handbook for minimum hours required per semester by unit.
  • Work Experience credit is awarded based on 54 hours of paid/unpaid work, internship, or volunteering per unit the student is enrolled. View the Work Experience Student Handbook for minimum hours required per semester by unit.

  • STUDENT INFORMATION

  • SDCCD Student ID #
  • - -

  • WORK EXPERIENCE COMPANY / STUDENT POSITION INFORMATION

  • - -

  • CUMULATIVE WORK RECORD - VERIFICATION OF WORK EXPERIENCE HOURS

    Directions:
    1. For each day worked by week, indicate the total hours worked in increments of a quarter hour. Round minutes to the nearest quarter hour (ie: 4 hours and 10 minutes worked = 4.25 hours). Do not report your shift beginning and ending time, only the total hours worked.
    2. Enter "0" for each day you did NOT work.
    4. Your Supervisor will sign off on your work record below to verify your hours.
    5. This form and your work hours will be reviewed by your Work Experience Instructor at the second site visit.

    *Note: Complete recording your hours prior to the second site visit. Please ESTIMATE your work hours for the last few weeks of the term.*

    WE Credit & Hour Requirements - WE Hours Must Be Completed Within Course Dates:
    1 unit - 54 Hours Unpaid | Paid
    2 units - 108 Hours Unpaid | Paid
    3 units - 162 Hours Unpaid | Paid
    4 units - 216 Hours Unpaid | Paid

    View the SDCCD Academic Calendar for dates for each week of the semester.
  • 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
    Monday
    Tuesday
    Wednesday
    Thursday
    Friday
    Saturday
    Sunday
    WEEK TOTAL
  • Please indicate the start and end dates and total # of weeks of your Work Experience hours
    (ie: 1/29/24 - 5/25/24, 16 Weeks)
  • NOTE: WE Student must calculate cumulative total hours worked for the semester.

    Work Experience credit is awarded based on 54 hours of paid/unpaid work, internship, or volunteering per unit the student is enrolled. By completing the WE Application and enrolling in WORK 270, you have acknowledged and agreed to fulfill all requirements and expectations of the Work Experience class as outlined by Title 5 and the Work Experience Student Handbook including minimum hours required per semester by unit. Failure to meet these requirements, specifically the minimum # of hours, may result in a failing grade assigned for your Work Experience course.

    WE Credit & Hour Requirements - WE Hours Must Be Completed Within Course Dates:
    1 unit - 54 Hours Unpaid | Paid
    2 units - 108 Hours Unpaid | Paid
    3 units - 162 Hours Unpaid | Paid
    4 units - 216 Hours Unpaid | Paid
  • NOTE: This form should only be uploaded if approved by your assigned Work Experience Instructor and Mesa's Work Experience Coordinator for special circumstances to earn WE hours in lieu of hands-on training in the field. The form must be completed and signed by the student and WE Instructor.
  • NOTE: This section should only be completed if approved by your assigned Work Experience Instructor and Mesa's Work Experience Coordinator for special circumstances to earn WE hours in lieu of hands-on training in the field. The form must be completed and signed by the student and WE Instructor.

  • MESA COLLEGE SBVI PLAN COMPLETED HOURS

    MESA COLLEGE SBVI STUDENTS ONLY - SBVI requires that you spend a minimum of 60 hours developing and launching or growing your business. Please report all the hours that you spent working on your small business by the categories listed below and calculate the total hours.
  • Orientation Meeting Learning Agreement Meeting Hours meeting with Esther Hours meeting with Eddie Mentoring Hours Hours working on business development Total SBVI Hours
    Hours

  • STUDENT AUTHORIZATION OF WORK EXPERIENCE HOURS

    I verify that the dates and hours indicated above are valid and I have met the minimum required hours of Work Experience based on my enrollment.
  • Clear
    Please use your computer mouse cursor or finger on a tablet to physically sign your name as you would for a wet signature.

    UNABLE TO SIGN THE FORM?
    If you have previously started the form and selected "Save & Resume Later," click on the "Clear/Delete" link in the bottom right corner of the signature field. This will clear the field and allow you to sign and submit the form.

  • SITE SUPERVISOR AUTHORIZATION OF WORK EXPERIENCE HOURS

    I verify that the dates and hours indicated above are accurate and have been accomplished by this student.
  • Clear
    Please use your computer mouse cursor or finger on a tablet to physically sign your name as you would for a wet signature.

    UNABLE TO SIGN THE FORM?
    If you have previously started the form and selected "Save & Resume Later," click on the "Clear/Delete" link in the bottom right corner of the signature field. This will clear the field and allow you to sign and submit the form.
  • / /

  • Need to finish this form later? Click “Save & Resume Later” at the bottom of this form to generate a unique URL with the information you've entered. Copy/paste the URL link to email yourself. Later or at a site visit, click on the link in your email to open the form and enter any remaining information or add a signature to submit.