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Coop Application

Choose the semester you are applying for ✱

Choose between Summer, Spring or Fall

Please input the semester and year you are applying for:

For semester, use Spring, Summer, or Fall.

Semester	An answer is requiredSemester
Semester Year	An answer is required Semester Year

Contact Information: ✱

First name	An answer is required First name
Last name	An answer is required Last name
Middle initial	An answer is requiredMiddle initial
Email	An answer is requiredEmail
Home Phone	An answer is requiredHome Phone
Cell Phone	An answer is requiredCell Phone
G Number	An answer is requiredG Number

Employment Information: ✱

Company Name	An answer is required Company Name
Type of Work	An answer is requiredType of Work
Street Address	An answer is requiredStreet Address
City, State, Zip Code	An answer is requiredCity, State, Zip Code
Name of Immediate Supervisor	An answer is requiredName of Immediate Supervisor
Company Phone	An answer is requiredCompany Phone

Tell us about you

First name ✱
Last name ✱
Email ✱	Email is already used by another user

Are you in an internship? ✱

Yes

If you are in an internship, do you get paid for your work? ✱

Yes

I am not in an internship position

Are you a veteran? ✱

Yes

List Number of Units You Have Completed: ✱

Coop Units	An answer is requiredCoop Units
College Units (do not include Coop Ed units	An answer is requiredCollege Units (do not include Coop Ed units
Total Units Currently Enrolled In	An answer is requiredTotal Units Currently Enrolled In

10.

What are your Current Major and Career Goal? ✱

What are your Current Major and Career Goal?