Cooperative Education Preliminary Report 2024

Please complete this form, in its entirety, within the first two (2) weeks of your Co-op course open date and submit to the Center for Career Development Co-op Office.

REMEMBER: You must upload the PDF file from the Receipt Email for proof of your completion in the designated Assignment Folder within iLearn.

Name Name First Last
TN Tech T# (i.e T00001234)
TN Tech Email (Do NOT list personal email address)
Phone Phone - ### - ### ####
Major
Class Status

Class Status Sophomore Junior Senior Masters PhD
Current Address (while on assignment) Current Address (while on assignment)
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Employer Related Questions
Employer Name
Co-op Job Title/Position
Start Date of Assignment (MM/DD/YYYY)
End Date of Assignment (MM/DD/YYYY)
Supervisor Name Supervisor Name First Last
Supervisor Title
Supervisor Email
Supervisor Phone Supervisor Phone - ### - ### ####
Hours per week you will be working
Hourly Salary Amount (i.e. $18/hr)
Summary of Semester Job Duties / Provide a brief description of what you will be doing this semester
Your final step is to look in your email for the copy of your answers. Open the email and save it as a PDF. You should have this option when you open the email. If it is not present, select File > Print > Print as PDF in the printer options. Then upload the document in your assignment folder. This will ensure you receive credit.

Submission of this form alone does not count as credit.

Cooperative Education Preliminary Report 2024

Cooperative Education Preliminary Report 2024

Employer Related Questions