JOB DESCRIPTION FORM
TO BE COMPLETED BY STUDENT:
Student Name_______________________________________________ M #_______________________
Current Address__________________________ City____________________State_____Zip__________
Current Phone____________________________Cell/Pager No.__________________________________
E-mail______________________________Work Period (Circle one) Fall Spring Summer
Address During Work Period (if different from above)___________________________________________
Student Signature__________________________________________Date__________________________
TO BE COMPLETED BY EMPLOYER:
Company/Organization Name_______________________________________________________________
Mailing Address______________________________City__________________State______Zip_________
Phone__________________________Fax_________________________Pager No.____________________
Supervisor Name_____________________________________Title________________________________
Supervisor Email_____________________________________Department__________________________
Website Address_______________________________Phone(if different from above)__________________
Students Title (postion on the job)____________________________________________________________
Average number of hours student will work per week_________Salary/Wage/Commission___________________
Starting Date____________________Finish Date______________________Total No. of Weeks___________
Employer Signature____________________________________________Date_______________________
In order for a student to receive a passing grade
for
a cooperative education experience, the student must remain on
the job for the entire period assigned and perform
to a satisfactory level all duties and work assignments given by the
employer and/or faculty advisor.
PLEASE ATTACH A DETAILED JOB DESCRIPTION
Murray
State University is an equal education and employment opportunity, M/F/D,AA
employer.