2024-2025 Cooperative Education Application
Please complete this application if you are interested in Cooperative Education for the 2024-2025 school year.  Note, students must provide their own transportation to and from their Cooperative Education work placement.  Students must work at least 15 hours a week in their Cooperative Education work placement (all 15 hours cannot be on the weekend).  Cooperative Education requires students to take a Cooperative Education class in addition to the work requirements.  Application must be completed by Friday, February 23rd.
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Last Name *
First Name *
Birthdate *
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DD
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YYYY
Social Security Number
Address  *
Phone Number *
Parent/Guardian #1 Name *
Parent/Guardian #1 Occupation *
Parent/Guardian #1 Employer *
Parent/Guardian #2 Name
Parent/Guardian #2 Occupation
Parent/Guardian #2 Employer
What is your career objective?  What do you hope to do after you graduate from high school? *
What do you expect to gain from the Cooperative Education program? *
Do you currently have a job? *
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