Career Development

Career Development Internship (CDI) Supporting Forms and Documents


BEFORE CDI Required Forms and Documents

CDI Parent/Guardian Approval and Registration Form (A1) (Adobe PDF Document191 KB)
Parents/guardians must sign this form to provide consent for their son/daughter to participate in a CDI.

Teacher/CDI Facilitator On-Site Placement and Safety Assessment (A2) (Adobe PDF Document183 KB)
This document outlines the criteria for an on-site placement and safety assessment.

CDI Student Training Agreement Form (A3) (Adobe PDF Document 75 KB)
This form outlines a student’s responsibilities and goals at the internship site.

CDI On-Site Internship Supervisor Approval Form (A4) (Adobe PDF Document57 KB)
This form must be signed by the on-site internship supervisor for a student’s participation in a CDI.

Letter of Explanation to Work Placement Sites (A5) (Adobe PDF Document 252 KB)
This letter outlines Manitoba Education and Training’s criteria for providing students with Workers Compensation coverage.

Important Notice for Submission of Work Placement Registration Forms (A6) (Adobe PDF Document 124 KB)
This document outlines the importance of submitting work placement registrations before commencing CDI hours.

New Worker Safety and Health Orientation Form (A7) (Adobe PDF Document 45 KB)
This orientation must be completed by the student and on-site internship supervisor at the beginning of a student’s placement.

My Safety and Health Checklist (A8)* (Adobe PDF Document 212 KB)
This checklist informs students of their rights and responsibilities during their internship.

Workplace Essential Skills: Work ReadyChecklist (A9)* (Adobe PDF Document 201 KB)
This form helps students identify their essential skills.


DURING CDI Suggested Forms and Documents

Student CDI Orientation (Sample) (B1) (Adobe PDF Document 184 KB)
This document provides a list of suggested topics that teachers/CDI facilitators may cover in a CDI orientation.

CDI Student Interest Form (Sample) (B2) (Adobe PDF Document 62 KB)
This form helps teachers/CDI facilitators better understand a student’s career interests.

Goals, Interests, and Hobbies: Student Survey (Sample) (B3) (Adobe PDF Document 45 KB)
Students may complete this inventory and attach it to their resumé.

CDI Suggested Learning Goals (Sample) (B4) (Adobe PDF Document 89 KB)
This document provides teachers/CDI facilitators with suggested CDI learning goals.

CDI Journal Form (Sample) (B5) (Adobe PDF Document 41 KB)
This form provides a sample format for student reflective journaling.

CDI Record of Communication (Sample) (B6) (Adobe PDF Document 57 KB)
Teachers/CDI facilitators may use this log to record their communication with the on-site internship supervisor.


AFTER CDI Required Forms and Documents

CDI Hours Interned Form (C1) (Adobe PDF Document 67 KB)
Students use this form to record their hours at the placement site.

CDI On-Site Internship Supervisor Feedback Form (C2) (Adobe PDF Document 237 KB)
On-site internship supervisors use this form to provide participating students with feedback for their performance at the internship site.

Student’s CDI Reflection (C3) (Adobe PDF Document 181 KB)
This document provides teachers/CDI facilitators with possible CDI reflection options.

Student’s CDI Post-Internship Survey (C4) (Adobe PDF Document 57 KB)
This document provides teachers/CDI facilitators with a sample post-internship survey.

My Safety and Health Checklist (A8)* (Adobe PDF Document 212 KB)
This checklist informs students of their rights and responsibilities during their internship.

Workplace Essential Skills: Work ReadyChecklist (A9)* (Adobe PDF Document 201 KB)
This form helps students identify their essential skills.


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Students are required to complete these forms twice to demonstrate their knowledge both before and after employment.