COE Co-op Student Job Update - Cooperative Education and Internship Program (CEIP)College of Engineering

Student Job Update Form

Please complete this form if you have accepted an offer of employment. Thank you!

Fill out the information requested below and, when done, click the "Submit Form" button. Use the tab key to move between fields. Note that the Enter Key will submit the form before it is completed.

Items marked * are required fields!

Personal Information
Last Name	*
First/Middle Name	* (First Middle)
Student Identification Number	* (NOT your SSN)
School Email	@umassd.edu *
Major
Expected Degree	Bachelors Masters Doctoral
Graduation Date	(MM/YYYY)
Citizenship
Citizenship	U.S. Citizen Permanent Resident Visa Holder
Visa status (If Visa Holder)
Job Information
I found the following type of position	Co-op Job Summer Internship Part-Time Internship Post Graduation
Employer (Company Name)
Street Address
City
State
Zip Code
Start Date	(MM/YYYY)
End Date	(MM/YYYY)
Hours per Week
Salary

Job Seeking Status
Are you currently seeking a co-op, summer or part-time position?	Yes No
If you are looking for a full-time permanent job, you should use the Career Resource Center or AfterCollege.
Comments
Signature	(Please Initial Here) *
Security Image:	*

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Student Job Update Form

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