ESS COOPERATIVE EDUCATION STUDENT INFORMATION FORM
Welcome to Cooperative Education! Please tell us a bit about yourself.
STUDENT NAME
Your answer
Email Address
Your answer
Home Phone
Your answer
Cell Number
Your answer
What is the best way to reach you?
Are you interested in a Full Day or Half Day Co-op Placement
Required
Plans After High School
Required
What is your method of transportation to co-op
Your answer
Are you interested in applying to one of the Specialized Co-op Placements
Required
Indicate below some of the occupations that would interest you at co-op.
Select a maximum of 3 occupations
Required
How would you rate the stress in your life right now?
Low Stress
High Stress
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