| CO-OP PERIOD: |
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| Name: |
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| Date: |
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| Student ID number: |
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| Grad Year:
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Division:
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Major:
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| Local Street Address: |
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| Local phone number: |
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| E-mail Address: |
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| Are you returning to your co-op job? If so where?: |
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Have you set up a co-op experience on your own? If so, where?
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| If you would like to interview through NEU, what type of
job are you interested in?: |
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| Will you have a car while on co-op: |
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| what quarter(s) do you plan to co-op?: |
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| Are you work study eligible for co-op?:
yes
no |
| LEARNING OBJECTIVES |
| What do you hope to gain personally from this co-op experience?: |
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| |
| What do you hope to gain professionally from this co-op
experience?: |
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| By submitting this form you state that you understand and
agree to abide by the following, as a participant in the cooperative
education program: |
- I will make a decision to accept a position only when I am fully aware
of, and willing to honor, my responsibilities to the cooperative
education employer.
- Once, fully aware, I will make a prompt decision in order that another
student may be offered the position if I decline it.
- Upon my acceptance of a cooperative education position, I will neither
seek out nor accept a position from any other employer for the
same quarter(s).
- I recognize my responsibility to perform all tasks assigned to me
to the best of my ability, to meet al the standards and conditions
of my employment, and to abide by the work schedule established
by my employer.
- In the event that , whith the approval of my Faculty Coordinator, I
obtain my own temporary position or participate in the experiential
program, I will file the appropiate petitions.
- I understand that the final approval to be on co-op depends on my completing
the information in the Agreement Form.
- I will work for the cooperative education employer for the specific
period of time indicated in the Agreement Form, and at the end
of that time voluntarily return to school to continue my academic
studies toward graduation.
- It is my responsibility to completemy portion of the Student-Employer
Evaluation Form made available to me at the conclusion of each
work quarter, and to give the form to my employerfor his or
her evaluation of my performance. I willthen return the completed
form to my Faculty Coordinator.
- I am aware that my conduct on each cooperative education experience
is subject to the policies and procedures of the Department
of Cooperative Education as outlined in the Northeastern University
Cooperative Education Handbook.
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Coop
Worksheet