{"id":27,"date":"2019-01-23T22:31:42","date_gmt":"2019-01-23T22:31:42","guid":{"rendered":"https:\/\/courses.lumenlearning.com\/atd-mecc-internship\/?post_type=chapter&p=27"},"modified":"2019-01-24T02:00:26","modified_gmt":"2019-01-24T02:00:26","slug":"cooperative-education-agreement","status":"publish","type":"chapter","link":"https:\/\/courses.lumenlearning.com\/atd-mecc-internship\/chapter\/cooperative-education-agreement\/","title":{"raw":"Cooperative Education Agreement","rendered":"Cooperative Education Agreement"},"content":{"raw":"Download a Word Document file of this form here.<\/a>\r\n

COOPERATIVE EDUCATION AGREEMENT<\/h1>\r\nStudent\/Employee_____________________________________________________________ Date ___________________\r\n\r\nStudent I.D # ____________________ Semester ________________ Curriculum __________________________________\r\n\r\nCourse number ___________________ Section _______\r\n\r\n \r\n\r\nAm Using My Current Employer: ______ Yes ______ No\r\n\r\nEmployer_____________________________________________________________________________________________\r\n\r\nIs This A Family Operated Business: _____ Yes _____ No\r\n\r\nSupervisor ____________________________________________________Phone ______________________________\r\n\r\n(Supervisor Evaluating Student\u2019s Co-op Work Experience Cannot Be Related to Student)\r\n\r\nEmployer Address _____________________________________________________________________________________\r\n\r\nFaculty Coordinator ________________________________ Phone _______________\r\n

TERMS AND CONDITIONS<\/h2>\r\nIn consideration of the mutual benefits of the Coordinated Internship Program, the college, the employer and the student agree as follows:\r\n

STUDENT:<\/h3>\r\nAgrees to develop well-planned measurable learning objectives in conjunction with the Faculty Coordinator and the employer in relation to the goals of his\/her instructional program. Student also agrees to abide by the college's Coordinated Internship education rules and regulations and the employer and to immediately report to the Faculty Coordinator any problems occurring on the job or changes in job duties and responsibilities. Further, the student grants permission for the employer to discuss the student's progress with the Faculty Coordinator. Student also agrees to inform the college's Financial Aid Office of their Coordinated Internship employment and to report the wages earned during the coordinated internship work experience.\r\n

EMPLOYER:<\/h3>\r\nAgrees to provide the student with a supervised progressive work experience, assist the student in developing measurable learning objectives, provide orientation regarding company rules and regulations as well as inform student of company expectations. The employer further agrees to assure a safe and healthful working environment. Prior to the end of the semester employer will evaluate the student's progress and that the time report reflects accurate hours worked. Employer further agrees to provide the student with a supervisor that is not related to the student.\r\n

Civil Rights and Non Discrimination Statement<\/h3>\r\nIt is the policy of the Virginia Community College System and Mountain Empire Community College to provide equal employment and educational opportunities for all persons without regard to race, color, religion, national origin, political affiliation, veteran status, gender, age, or sexual orientation and for all otherwise qualified persons with disabilities. This policy permits appropriate employment preference for veterans. This institution promotes and maintains educational opportunities without regard to race, color, sex, ethnicity, religion, gender, age (except when age is a bona fide occupational qualification), disability, national origin, or other non-merit factors. \u00a0This institution prohibits sexual harassment including sexual violence.\r\n\r\nThe following person has been designated to handle inquiries regarding non-discrimination policies: Ron Vicars, Vice President of Financial and Administrative Services. The following person has been designated to handle inquiries regarding student misconduct or equity issues based on gender: Lelia Bradshaw, Dean of Student Services. The following person has been designated to handle inquiries regarding employee misconduct or equity issues: Pam Giles, Human Resource Manager. For more information, contact 276.523.2400, 3441 Mountain Empire Rd., Big Stone Gap, VA, 24219. Virginia relay users dial 711.\r\n

COLLEGE:<\/h3>\r\nAgrees to assign a Faculty Coordinator to assist the student in developing measurable learning objectives and make periodic contact with the employer. Faculty Coordinator will also determine a grade for the completed coordinated internship work experience and award college credit based on the student's job performance and completion of required reports.\r\n\r\nNOTE: Current Job Description must be attached.<\/em>\r\n\r\n_________________________________________________________ \u00a0\u00a0\u00a0\u00a0 ______________\r\n\r\nStudent Signature \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Date\r\n\r\n_________________________________________________________ \u00a0\u00a0\u00a0 ______________\r\n\r\nFaculty Coordinator Signature \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Date\r\n\r\n________________________________________________________ \u00a0\u00a0\u00a0\u00a0\u00a0 ______________\r\n\r\nEmployer Signature \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Date\r\n\r\n ","rendered":"

Download a Word Document file of this form here.<\/a><\/p>\n

COOPERATIVE EDUCATION AGREEMENT<\/h1>\n

Student\/Employee_____________________________________________________________ Date ___________________<\/p>\n

Student I.D # ____________________ Semester ________________ Curriculum __________________________________<\/p>\n

Course number ___________________ Section _______<\/p>\n

 <\/p>\n

Am Using My Current Employer: ______ Yes ______ No<\/p>\n

Employer_____________________________________________________________________________________________<\/p>\n

Is This A Family Operated Business: _____ Yes _____ No<\/p>\n

Supervisor ____________________________________________________Phone ______________________________<\/p>\n

(Supervisor Evaluating Student\u2019s Co-op Work Experience Cannot Be Related to Student)<\/p>\n

Employer Address _____________________________________________________________________________________<\/p>\n

Faculty Coordinator ________________________________ Phone _______________<\/p>\n

TERMS AND CONDITIONS<\/h2>\n

In consideration of the mutual benefits of the Coordinated Internship Program, the college, the employer and the student agree as follows:<\/p>\n

STUDENT:<\/h3>\n

Agrees to develop well-planned measurable learning objectives in conjunction with the Faculty Coordinator and the employer in relation to the goals of his\/her instructional program. Student also agrees to abide by the college’s Coordinated Internship education rules and regulations and the employer and to immediately report to the Faculty Coordinator any problems occurring on the job or changes in job duties and responsibilities. Further, the student grants permission for the employer to discuss the student’s progress with the Faculty Coordinator. Student also agrees to inform the college’s Financial Aid Office of their Coordinated Internship employment and to report the wages earned during the coordinated internship work experience.<\/p>\n

EMPLOYER:<\/h3>\n

Agrees to provide the student with a supervised progressive work experience, assist the student in developing measurable learning objectives, provide orientation regarding company rules and regulations as well as inform student of company expectations. The employer further agrees to assure a safe and healthful working environment. Prior to the end of the semester employer will evaluate the student’s progress and that the time report reflects accurate hours worked. Employer further agrees to provide the student with a supervisor that is not related to the student.<\/p>\n

Civil Rights and Non Discrimination Statement<\/h3>\n

It is the policy of the Virginia Community College System and Mountain Empire Community College to provide equal employment and educational opportunities for all persons without regard to race, color, religion, national origin, political affiliation, veteran status, gender, age, or sexual orientation and for all otherwise qualified persons with disabilities. This policy permits appropriate employment preference for veterans. This institution promotes and maintains educational opportunities without regard to race, color, sex, ethnicity, religion, gender, age (except when age is a bona fide occupational qualification), disability, national origin, or other non-merit factors. \u00a0This institution prohibits sexual harassment including sexual violence.<\/p>\n

The following person has been designated to handle inquiries regarding non-discrimination policies: Ron Vicars, Vice President of Financial and Administrative Services. The following person has been designated to handle inquiries regarding student misconduct or equity issues based on gender: Lelia Bradshaw, Dean of Student Services. The following person has been designated to handle inquiries regarding employee misconduct or equity issues: Pam Giles, Human Resource Manager. For more information, contact 276.523.2400, 3441 Mountain Empire Rd., Big Stone Gap, VA, 24219. Virginia relay users dial 711.<\/p>\n

COLLEGE:<\/h3>\n

Agrees to assign a Faculty Coordinator to assist the student in developing measurable learning objectives and make periodic contact with the employer. Faculty Coordinator will also determine a grade for the completed coordinated internship work experience and award college credit based on the student’s job performance and completion of required reports.<\/p>\n

NOTE: Current Job Description must be attached.<\/em><\/p>\n

_________________________________________________________ \u00a0\u00a0\u00a0\u00a0 ______________<\/p>\n

Student Signature \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Date<\/p>\n

_________________________________________________________ \u00a0\u00a0\u00a0 ______________<\/p>\n

Faculty Coordinator Signature \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Date<\/p>\n

________________________________________________________ \u00a0\u00a0\u00a0\u00a0\u00a0 ______________<\/p>\n

Employer Signature \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Date<\/p>\n

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Candela Citations<\/h3>\n\t\t\t\t\t
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CC licensed content, Original<\/div>