Computer Engineering
Rochester Institute of Technology

Co-op Registration Form

You are required to complete the Student Evaluation Form at the end of each block worked.
You are also required to report your co-op on Job Zone.

PART I: Student Information
Name:Date:
UID:Program Code:
Email:*Co-op Number(s):
*Accepted Job For:*Quarter(s):
Origin of Offer: Job Zone     Career Fair     CE Department     **Other
PART II: Job Information
Company:Location:
Supervisor:Supervisor's Title:
Work Dates: From: To:
Wage Info: Hours per week: Rate: $ per hour
Job Title:
Duties:

* - Double blocks must be approved by your advisor.

** - If this is a job you found on your own, please complete and submit this form and also have your company supervisor or Human Resource personnel send an email to the CE office to the attention of Pamela Steinkirchner at pkseec@rit.edu consisting of the information in "PART II: Job Information" requested above as well as a description of your job duties. It will be forwarded to your advisor for approval.

Please enter the correct characters shown in the generated image and click submit: