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San Joaquin Delta College
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Work Experience Program
Students in the Quad

Work Experience Student Application Packet

FALL 2016

August 22 - December 16, 2016

If the student has any unpaid fees or registration issues which would delay enrollment into the program, Student Application Packet will automatically be disqualified.

If a student is unable to complete the average number of hours per week, the student will not earn the unit(s) requested from the program. Please review your employment schedule prior to submission and discuss the requirement with your supervisor.

Application Deadline:

Friday, September 2, 2016 by 5:00pm

Application acceptance & student enrollment is pending Work Experience Instructor availability AND student employment duties falling within the designated areas.


Print Student Application Packet

Student must come to Division Office to complete the Instructor Add Memorandum.  The document will not be mailed, faxed, or e-mailed to the student.

Application Packet contains form fields, you may save the document to your desktop and complete information prior to printing. You will need Adobe Acrobat Reader to complete the application packet on your computer.

PRINT:  Work Experience Student Application Packet

Important Notice to All Students:

Student Application Packets must be submitted and approved

before deadline.

The student MUST complete an INSTRUCTOR ADD FORM in Holt 140, Applied Science, Business & Technology Division office when application packet has been reviewed and approved at the time of submission.

Complete application packet includes the following:

  1. Student Agreement form (both pages with signature)
  2. Application form
  3. Employer Verification form
  4. Instructor Add Memorandum form (Complete in Holt 140)

All application packets are subject to review and can be rejected if student has not completed the student responsibilities.


All application packets must be neat, clear and complete for review.


Contact Information



Applied Science, Business & Technology Division

Holt Building, Room 140

Telephone: (209) 954 - 5230

Hours of Operation:  

Monday - Friday   8:00 am - 5:00 pm





Connect With Us

San Joaquin Delta College
5151 Pacific Ave
Stockton, California 95207
(209) 954-5151