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If you are interested
in pursuing a cooperative education experience, please do the
following:
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Print this page.
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Complete the requested information.
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Bring this completed form with you when you meet with a SPC
Cooperative Education representative.
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Date: |
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Name: |
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SPC Student
ID: |
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Address: |
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City: |
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State: |
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Zip: |
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Email: |
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Home phone: |
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Work phone: |
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Cell phone: |
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Course number: |
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Credits: |
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Session:
[circle one) |
I (Fall)
II (Spring) III(Summer) |
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