Career Development
Career Development Internship (CDI) Supporting Forms and Documents
BEFORE CDI Required Forms and Documents
CDI Parent/Guardian Approval and Registration Form (A1) (
180 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) (183 KB)
This document outlines the criteria for an on-site placement and safety assessment.
CDI Student Training Agreement Form (A3) ( 75 KB)
This form outlines a student’s responsibilities and goals at the internship site.
CDI On-Site Internship Supervisor Approval Form (A4) (58 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) ( 222 KB)
This letter outlines Manitoba Education and Early Childhood Learning’s criteria for providing students with Workers Compensation coverage.
Important Notice for Submission of Work Placement Registration Forms (A6) ( 95 KB)
This document outlines the importance of submitting work placement registrations before commencing CDI hours.
New Worker Safety and Health Orientation Form (A7) ( 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)* ( 212 KB)
This checklist informs students of their rights and responsibilities during their internship.
Workplace Essential Skills: Work ReadyChecklist (A9)* ( 201 KB)
This form helps students identify their essential skills.
DURING CDI Suggested Forms and Documents
Student CDI Orientation (Sample) (B1) ( 172 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) ( 62 KB)
This form helps teachers/CDI facilitators better understand a student’s career interests.
Goals, Interests, and Hobbies: Student Survey (Sample) (B3) ( 45 KB)
Students may complete this inventory and attach it to their resumé.
CDI Suggested Learning Goals (Sample) (B4) ( 89 KB)
This document provides teachers/CDI facilitators with suggested CDI learning goals.
CDI Journal Form (Sample) (B5) ( 41 KB)
This form provides a sample format for student reflective journaling.
CDI Record of Communication (Sample) (B6) ( 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) ( 67 KB)
Students use this form to record their hours at the placement site.
CDI On-Site Internship Supervisor Feedback Form (C2) ( 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) ( 181 KB)
This document provides teachers/CDI facilitators with possible CDI reflection options.
Student’s CDI Post-Internship Survey (C4) ( 57 KB)
This document provides teachers/CDI facilitators with a sample post-internship survey.
My Safety and Health Checklist (A8)* ( 212 KB)
This checklist informs students of their rights and responsibilities during their internship.
Workplace Essential Skills: Work ReadyChecklist (A9)* ( 201 KB)
This form helps students identify their essential skills.
Students are required to complete these forms twice to demonstrate their knowledge both before and after employment.
