Student CO-OP Registration Form

Student Information Section

Name

Middle Name

Surname

Student ID

E-mail

Confirm E-mail

Telephone Number

Your current Degree

Current Year Level

Concentration One

Concentration Two

CO-OP Semester?

This is my

About the Employer Section

Organization/Company

Address

City/Town

Country

Working Department

Supervisor Name

Supervisor Phone Number

Supervisor E-mail

Student Job Title

Job Description

Pay(Euro/Hour)

Number of Working Hours per Week?

Work Start Date

Work End Date

How did you hear about this CO-OP?

This Co-op is completed at a(n)?

Which Concentration out of the above declared Concentration does this CO-OP match?

I agree that the information provided.

Information Provided

I certify that all information provided in this application is complete, factually correct, and honestly prepared to the best of my knowledge. I understand that any misrepresentation may result in refusal or cancellation of admission, or suspension from classes at RIT Kosovo (A.U.K).

Your e-Signature

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