Summer 2018 Co-op Application Form
First Name *
Your answer
Last Name *
Your answer
Date of Birth *
Gender *
Home address *
Your answer
Do you have a Co-op Placement? *
Cell Number
Your answer
What grade are you going into? *
are you an SHSM Student?
If you have a Summer Job please fill in below
Name of Campany
Your answer
Name of Supervisor
Your answer
Supervisor Cell#
Your answer
How many hours do you work a week
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