| Social Security Number | Semester | |
| Student | Phone | Employer |
| Instructor/Coordinator | Phone | Address |
| Supervisor | Phone | City Zip |
Objectives
Process: It is necessary to identify new learning objectives each semester the student is enrolled in the Cooperative Work Experience Education Program. Objectives must be specific, measurable, and accomplished within the semester. Students and supervisors formulate objectives. They are reviewed and approved by the supervisor, student, and college instructor at the beginning of each semester. Evaluation at semesterís end will be initiated by the college instructor. Discussion will include progress on specific objectives and overall job performance.
Agreement: The undersigned supervisor, student, and college instructor agree with the validity of the objectives listed below. The supervisor and college agree to provide necessary supervision and counseling to insure maximum educational benefits of the student. The supervisor agrees to meet all the employment regulations without regard to race, color, national origin, sex, or handicap as required by law. The student agrees to abide by Work Experience guidelines.
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Supervisor
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Instructor/Coordinator
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