Coop Agreement Form: Behavioral Neuroscience at Northeastern University

COOP AGREEMENT FORM

On This Page
Coop Agreement
Related Links
Preparation Checklist
Work Behavior Guide
Forms:
Worksheet
Own Job Petition
Preference List
Resume Guide
Sample Resume 1
Sample Resume 2

Student Name
Date
Email
Address while on coop
Phone # while on coop
Employer
Location
Position
Co-op begins
Are there any special conditions of employment?
Hourly pay rate:
Hours per week:
Please check any of the following that are applicable to the position you have accepted:
Housing Subsidy	Shift Differential	Uniforms
Tuition Support	Holiday Premium	Meals
Bonus Payment	Relocation	Overtime
Paid Holidays	Job Related Supplies	Tips
Paid Vacation	Company Transportation
NOTE: By submitting this document to your coop advisor you agree that all statements enclosed are correct to the extent of your knowledge.