Registration for Co-op/Internship Program

Today's Date / /
Semester Requesting: /
Anticipated Graduation Date /
First Name Last Name
Student ID Number
Date of Birth / /
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Undergraduate Graduate
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I understand that a $15 administrative fee will be charged to my U-bill for each semester if I elect to take the internship for cooperative education credit (XXX:179). Note: Some employers may require students to register for cooperative education credit. I Agree