Cpt Handout And Co-Op Agreement (Page 4 of 4) in pdf

C O-OP AGREEMENT FORM

PAG E 2

Please deliver a copy of your unofficial transcipt along with this agreement form to the Office of Career Services.

STUDENT

I understand that I will receive a “credit” or “no-credit” for the Co-op course and no semester hour. To get Co-op credit I will need to submit both the

student and employer final evaluations.

I understand that receiving a no credit can automatically prohibit me from participating in Co-op the following semester.

I agree to inform UNM Career Services in a prompt manner of any changes to my Co-op status, job duties, work hours, or anything that would alter this

Agreement or would impede me in successfully completing the UNM Co-op Program. I understand that failure to do so will result in a “no credit” for

the course and/or being prohibited to participate in Co-op the following semester.

I agree to inform UNM Career Services of any personnel problems during my Co-op that would impede me from completing my Co-op and/or cause.

I agree to follow my employer’s job conduct rules, policies, procedures and agree to perform work assignments in a professional manner.

Name (Printed)

Signature

Month

Date

Year

FOR INTERNATIONAL STUDENTS ONLY

I understand that I am NOT permitted to begin this work until I have completed both of the following:

1. I have enrolled for the Co-op course

2. I have received authorization on my I-20 from an international advisor in the Office of International Programs and Studies for each employer for the

exact time period that I will work before I begin work (or in a letter from the J1 program sponsor if I am a J1 student.)

I further understand that failure to complete this process for each employer and all dates of employment will result in termination of my legal student

status.

Global Education Office (GEO) Advisor Signature

Student Signature

Date

OIPS Advisor Signature

Date

ACADEMIC ADVISOR

I understand the requirements of the UNM Co-op Program as outlined above and verify that ______________________ is in good academic standings.

Student Name

Name (Printed)

Signature

Month

Date

Year

ASSOCIATE DEAN / DIRECTOR

(ENGINEERING, ARCHITECTURE & PLANNING STUDENTS ONLY)

I met with ______________________ and verify that he/she understands and meets the additional program requirements set forth by the school.

Student Name

Name (Printed)

Signature

Month

Date

Year

EMPLOYER / SUPERVISOR

I understand that the procedures and requirements of the UNM Co-op Program and agree to complete an Evaluation Form a week prior to the end of the

semester.

I agree to comply with Federal and State employment laws and regulations laws regarding workers compensation and liability insurance for student

employment, ADA requirements, and equal opportunity employment.

I agree to inform UNM Career Services in a prompt manner of any changes to the student’s Co-op status, job duties, work hours, or anything that would

alter the Co-op Agreement or would impede in having the Co-op student successfully complete the Program.

Name (Printed)

Signature

Month

Date

Year

UNM CO-OP COORDINATOR

I agree to provide the student with the ‘Student Evaluation Form’ and ‘Employer Evaluation Form’ towards the end of the semester and agree to docu-

ment the student’s Co-op experience and maintain information and records on the student and his/her Co-op responsibilities for future references.

Name (Printed)

Signature

Month

Date

Year

The University of New Mexico • MSC06 3710 • 1 University of New Mexico • Albuquerque, NM 87131-0001 • Phone 505.277.2531 • Fax 505.277.9285

Student Services Center, Rm. 220 •

Cpt Handout And Co-Op Agreement Page 4

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