Fillable WORK-BASED LEARNING (CO-OP) APPLICATION (Sandhills Community College)

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WORK-BASED LEARNING (CO-OP) APPLICATION (Sandhills Community College)

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The WORK-BASED LEARNING (CO-OP) APPLICATION (Sandhills Community College) form is 1 page long and contains:

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  • 5 check-boxes
  • 14 other fields

Country of origin: US
File type: PDF

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Sandhills Community College WBL FORM 1
WORK-BASED LEARNING (CO-OP) APPLICATION
SECTION 1 – TO BE COMPLETED BY THE STUDENT
Student Name: Student ID#:
Address:
E-mail: Phone#:
Are you 18 years of age or older? YES □ NO □
Program: Degree □ Diploma □ Certificate □
Student Signature:
SECTION 2 – TO BE COMPLETED BY THE ADVISOR / WBL FACULTY COORDINATOR
Semester: Course:
Section:
Credit Hours:
I verify that the student meets the eligibility requirements and has my recommendation to participate in co-op.
Faculty Coordinator: Date:
Forms 1-4 must be submitted for verification
within 2 days of the semester census date
ADMINISTRATIVE
VERIFICATION
□ Correct Program
□ Registered in Datatel
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WORK-BASED LEARNING (CO-OP) APPLICATION (Sandhills Community College)

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Completed 3 February 2021

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