2024-2025 Cooperative Education Application

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Please complete this application if you are interested in Cooperative Education for the 2024-2025 school year. Note, students must provide their own transportation to and from their Cooperative Education work placement. Students must work at least 15 hours a week in their Cooperative Education work placement (all 15 hours cannot be on the weekend). Cooperative Education requires students to take a Cooperative Education class in addition to the work requirements. Application must be completed by Friday, February 23rd.

Last Name *

First Name *

Birthdate *

YYYY

Social Security Number

Address *

Phone Number *

Parent/Guardian #1 Name *

Parent/Guardian #1 Occupation *

Parent/Guardian #1 Employer *

Parent/Guardian #2 Name

Parent/Guardian #2 Occupation

Parent/Guardian #2 Employer

What is your career objective? What do you hope to do after you graduate from high school? *

What do you expect to gain from the Cooperative Education program? *

Do you currently have a job? *

Yes

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