CO-OP/INTERN EMPLOYMENT PACKET
FALL 2007
CONGRATULATIONS on securing your first co-op/intern assignment or continuing
on to a current assignment.
The attached packet will accompany you to your work assignment and will help
determine your final grade.
NOTE:
Please mail your final report and evaluation to the designated person listed
below in your college:
Julie Wessinger
julie_wessinger@subr.edu
Office of Career Services
Clark Annex, 2nd Floor, Netterville Drive
Baton Rouge, LA 70813
Math
Chairperson
T.T. Allain, 3rd Fl.
Baton Rouge, LA 70813
Civil Engineering
Dr. Patrick Carrriere
Electrical Engineering
Dr. P. Bhattacharya
Mechanical Engineering
Dr. S. Ibekwe
carriere@engr.subr.edu
bhattacharya@engr.subr.edu
ibekwe@engr.subr.edu
P.O. Box 9969
Baton Rouge, LA
P.O. Box 9969
Baton Rouge, LA 70813
P.O. Box 9969
Baton Rouge, LA
Elec. Engr. Tech.
M. Randhawa
randhawa@engr.subr.edu
P.O. Box 9969
Baton Rouge, LA 70813
FEES:
Please mail a money order, made out to Southern University (please include your name
and student ID#) to the Office of Career Services in the amount of $ 855.00 by
August 10, 2007. Fees paid after August 13, 2007, will be assessed a $50.00
late fee. If you did not pre-register, a $30.00 late fee will be assessed.
WORK ASSIGNMENT INSTRUCTIONS
FALL 2007
1.
HOUSING REPORT, due one week after securing housing.
2.
JOB DESCRIPTION, due one week after you report to your
assignment.
3.
EMPLOYMENT SURVEY, due after receipt of your first pay check.
4.
MID-TERM REPORT, MID-SEMESTER APPRAISAL should be
received by October 5, 2007.
5.
MONTHLY REPORTS due at the end of each month during your
work tour. It is a good idea to maintain a planner. Utilize the
information to complete monthly and final reports.
6.
FINAL REPORTS and EVALUATIONS, due by November 14, 2007
(for Graduating Seniors), all others due on November 19, 2007
report is received, you will receive an I grade.
7.
Be sure to visit the Career Services Office upon your returning
semester. Please contact us if you encounter any difficulties or
need additional assistance during your work tour.
8.
Students will not be allowed to continue employment if you
withdraw from school. Co-op participation is contingent upon
being enrolled in a full-time academic program. No student can
work more that one (1) semester and a summer before returning
to school.
REMEMBER, WE’RE HERE TO HELP!
CONTACT US AS OFTEN AS NECESSARY 225-771-2200.
HOUSING REPORT
Name __________________________________ SS# ______________________________
Work Email Address __________________________________________________________
Classification __________________________ Major________________________________
Address____________________________________________________________________
(Apt. #, City, State, Zip)
___________________________________________________________________________
Phone#
(include area code)
__________________ (Home/Apt.) _____________________(Work)
Employer __________________________________________________________________
Type of Housing: Apartment ______ Dormitory ______ Un/Furnished _______
Rent per Month $ ________
Utilities Included: Yes_____ No _____
Down payment required: ______ Lease required: _____
Roommate: ______
Area of Housing: Downtown _____ Suburbs _____ Close to Work ______
Will you use personal vehicle ______ or Public transportation ________ Carpool _______
Social Activity Available (Theatre, Bowling, etc.) YES ______ NO _______
Did your employer assist with housing?
YES ______ NO _______
Would you recommend that other CO-OP/INTERNS live in this area? ___________
If No, Why not ____________________________________________________________
_________________________________________________________________________
Is there an alumni chapter in this area? If not, where is the nearest __________________
EMPLOYMENT SURVEY
Name ___________________________________________________________________
Employer _________________________________________________________________
Employer Address __________________________________________________________
__________________________________________________________________________
Job Title _________________________ Work Phone/Fax Nos._______________________
SALARY:
Weekly ________________ Monthly _________________
Hours worked per week __________ Union Member _______________
Did your employer pay your travel expenses to/from your work assignment?
TO – YES ______ NO _______, FROM – YES ______ NO ______
Did you receive hotel or living expenses until you secured housing? _________
What other benefits does your employer offer? (Insurance, etc.)
______________________________________________________________________
This is my 1ST ______, 2ND _______ 3RD ________ work assignment.
Are other co-ops employed at your location? ______
Do you have contact with them? ______
Do Alumni work at this location? If so, have you made contact. _______________
JOB DESCRIPTION
(Completed by Immediate Supervisor)
STUDENT’S NAME ___________________________________________________
EMPLOYER NAME ___________________________________________________
DEPARTMENT/DIVISION ASSIGNED TO __________________________________
SUPERVISOR’S NAME ________________________________________________
Indicate work elements for which the student is responsible. State objectives and
projects that the student should complete during his/her work tour.
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
________________________________ _________________________________
Supervisor’s Signature
Student’s Signature
__________________________________
DATE
CO-OP/INTERN
MONTHLY REPORT
(Completed by Student)
NAME _____________________________ SS# __________________________
EMPLOYER _________________________________________________________
WORK PHONE # __________________ REPORTING MONTH: ________________
GOALS/OBJECTIVES _________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
ACCOMPLISHMENTS/HONORS _________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
CONCERNS _________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
use an additional sheet of paper if necessary
MID-SEMESTER APPRAISAL
(Completed by Supervisor)
STUDENT NAME ______________________________SS#________________________
MAJOR __________________________ CLASSIFICATION _______________________
EMPLOYER ______________________________SEMESTER ______________________
Indicate the student’s progress by stating the areas in which improvement may be needed.
Evaluate the student’s performance regarding objectives and work assignments.
Rate each element as excellent, very good, adequate or poor.
OBJECTIVES ____________________________________________________________
_______________________________________________________________________
______________________________________ RATING _________________________
WORK ASSIGNMENTS _____________________________________________________
_______________________________________________________________________
_______________________________________________________________________
______________________________________ RATING _________________________
OTHER CONCERNS_______________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Supervisor’s Signature/Title
Date
_______________________________________________________________________
Student’s Signature
Date
MID-TERM REPORT
(Completed by Student)
NAME ________________________________ STUDENT ID# _____________________
MAJOR __________________________ CLASSIFICATION _______________________
EMPLOYER ______________________________SEMESTER ______________________
Do you feel your assignment has helped you better understand your academic field of
study? Yes ______ No ______
Are you having any problems adjusting to the work load? ________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Are you communicating well with your Supervisor and Co-workers? ________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Any additional comments concerning other working conditions, etc. ________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Use an additional sheet of paper if necessary.
COOPERATIVE EDUCATION/INTERN AGREEMENT
FALL 2007
Name ___________________________________ Soc. Sec. No. __________________________________
School (Current) Address __________________________________________________________________
(P.O. Box, Dorm Name & Room #)
Permanent (Parents’s) Address ______________________________________________________________
Telephone ________________________ _________________________ _________________________
(Current)
(Cell)
(Permanent)
Major/Classification ______________________________________________________________________
Email Address ___________________________________________________________________________
I HAVE AGREED TO ENGAGE IN A CO-OP/INTERN WITH:
Employer _______________________________________________________________________________
Employer’s Address _______________________________________________________________________
Contact Person/Supervisor __________________________________________________________________
Contact Email Address _____________________________________________________________________
Report to Work Date __________________________________ End Date ___________________________
CO-OP/INTERN – WORK/SCHOOL PLAN WILL BE AS FOLLOWS:
SEMESTER/YEAR
CO-OP/INTERN STATUS
Spring 2008
Work_____
School_____
Summer 2008
Work_____
School_____
Fall 2007
Work_____
School_____
Expected date of Graduation_________________
I agree to abide by the above schedule and it is understood that when I am not employed, I will return
to school. I understand that any changes in my work/school rotation schedule must receive prior
approval from the Career Services Office.
I will not terminate nor arrange with my employer to be relieved of this assignment without prior consultation
with the Career Services Office. I will conduct my personal and on the job affairs in a professional manner and
will not in any way denigrate the school or participating employer. If this situation presents itself, I understand that
I will no longer be able to participate in the Career Services program. I agree to promptly notify the Career Services Office
of any difficulties (personal, financial, or academic related.)
I fully understand and agree to register and pay fees for the appropriate Co-op course during the
first and second semester in which I am employed. I give permission to the Career Service Office
to make any adjustments as necessary so that I am properly registered.
Employment packet issued
__________YES
__________NO
____________________________________
Student Signature
____________________________________
Career Services Staff
_________________________________
Course to be Enrolled In
_________________________________
Date
I have already registered and paid for two semester of Cooperative Education ____________
student initials