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Banner ID:
First Name:
Last Name:
Email:*
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Confirm:*	I hereby confirm that this is my current email
Phone:*
Street Address:*
City:*
State:*
ZIP Code:*
Semester to participate in the Work Experience Program:*	FallSpringSummer
Year to participate in the Work Experience Program:*
Area of Interest or Specific Job Number:*
You can find the current COS internship Job List here.
Your Days/Times of Availability:
Monday Beginning:
Monday Ending:

Tuesday Beginning:
Tuesday Ending:

Wednesday Beginning:
Wednesday Ending:

Thursday Beginning:
Thursday Ending:

Friday Beginning:
Friday Ending:

List 2 COS Instructors that you have had:
1) Instructor's Name:*
1) Class:*
1) Semester:*

2) Instructor's Name:*
2) Class:*
2) Semester:*

Any special Skills/language/Interests:
Attach Your Current Resume:*
Maximum file size is 2MB. Please submit as a PDF, Word, or JPEG file.
Certification:*	I certify that information submitted in this application is complete and accurate to the best of my knowledge