Career Services
Cooperative Education Program
Student Application
4567 St. Johns Bluff Road, South
Jacksonville, Florida 32224-2676
Phone: (904) 620-2955 Fax: (904) 620-2690
Maria Castro Co-op Coordinator
maria.castro@unf.edu
Web Site: www.unf.edu/dept/cdc
Form must be typed
APPLICANT NAME AND ACADEMIC STATUS
Last Name:
Date:
First Name:
Please Check One:
M.I:
Undergraduate
Major:
Graduate
Concentration/Track:
Credit Hours Earned Toward Degree:
Please Check One:
US Citizen
UNF Student I.D.#:
UNF GPA:
Anticipated Graduation Date:
Permanent Resident
International Student If yes: Visa Status:
Citizenship – If not a citizen or permanent resident, you must receive authorization to work from the UNF International Center,
prior to EACH co-op work term.
STUDENT CONTACT INFORMATION
Local Address:
City:
State:
Zip:
Local Phone:
Mobile Phone:
Zip
Permanent Phone:
Current E-mail address:
Permanent Address (if applicable):
City:
State:
Which semester/year would you like to Co-op?
How many hrs/wk would you like to Co-op?
Do you have a potential Co-op employer (subject to approval from the Co-op Coordinator)?
Yes
No
STUDENT AGREEMENT
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Register for Co-op course each semester you are employed at your co-op position.
Complete a minimum of 1 semester of on-site training with an approved Co-op employer, keeping in mind that some
employers and colleges require a multiple-semester commitment.
Maintain good academic standing with a 2.5 cumulative undergraduate GPA or 3.0 cumulative graduate GPA.
Progress toward degree completion while participating in Cooperative Education.
Submit all required paperwork by the designated deadline dates (failure to do so may impact you final grade).
Notify your Co-op Coordinator about any concerns that may impact the success of your Co-op experience.
Students may find their own co-op positions subject to approval from the Career Services Co-op coordinator.
It is the student’s ultimate responsibility to secure a co-op position.
Students must satisfy academic and professional standards set by the University, the Cooperative Education Program, the Employer and the
International Center (if applicable).
_____By initialing this line and signing this form, I agree to adhere to all Co-op program regulations and requirements and have read and
understand them. I agree to assume any risks involved with accepting any Co-op work assignments and working as a co-op student. I hereby
release Career Services, the University of North Florida and the State of Florida and its agents from any and all liability associated with my
participation in the co-op program at University of North Florida
You must print out and sign the Student Application/Agreement form and return it to the Co-op Coordinator.
Student Signature (required for participation): ________________________________ Date: _______________________