Engineering Students Cooperative Education Program
ESCEP
Registration Form

I - General Information

Last Name: First Name:
Address:

City: State: Zip:
Telephone Number: - Other: -
Email Address:

II - Personal Information

Gender: Male Female
Residential Status: Other (Please Specify):
Ethnicity: Other (Please Specify):
Country of Origin:

III - Academic Information

Major: Present Degree Objective:
Bachelor Master Doctorate		 Expected date of graduation:
Indicate when you will be available to undertake a co-op:
Indicate when you will be available to undertake an internship:
Where would you like to do a co-op? New York City        New York State
Tri-State Area (NY, NJ & CT)
Anywhere in the United States
Where would you like to do an internship? New York City        New York State
Tri-State Area (NY, NJ & CT)
Anywhere in the United States
Would you have to attend school if you are undertaking a co-op? Yes                           No
List the skills that you currently possess
Computer
Technical
Spoken Languages: Fluent in
Other
Please submit an update copy of your resume:

Please read the following information before submitting this form:

In order to fully benefit from the services that this office provides, you are expected to attend professional development workshops and events, read the Bulletin Boards outside of T - 2M16 and on the 1st Floor of Steinman Hall (opposite the elevator), submit and updated resume every academic yeat as well as maintain a good grade point average so that you remain competitive.

This is not a placement office; its services are geared to develop students so that they will be better prepared for the academic and corporate world. It is the mission of the office to preparestudents with the tools and skills needed to empower themselves, and consequently, to gain scholarship,research, and employment opportunities while excelling in their academic pursuits.

I hereby authorize this Cooperative Education Program of The City College of New York to release information such as my academic transcript when it is deemed necessary as well as to use my name in publications.

 

Accept                                        Do Not Accept