Lone Star College System Co-op/Internship Application

	*Questions marked with an asterisk () are mandatory.**
	Prerequisites • Student must be enrolled in a workforce certificate or degree plan. • Students should be in the final semester of their certificate or degree. • Co-op: students must have a job in their major working at least 20 hrs/wk (26 hrs for summer). • Internship: students must have a job working at least 9 hrs/wk (12 hrs for summer).

1. Please fill in you information

Name *

Student ID# *

Email address *

Phone number *

2._____

Do you meet the prerequisites listed above? *

Yes

No

If no, please select the prerequisite you do not meet:

Student must be enrolled in a workforce certificate or degree plan.

Students should be in the final semester of their certificate or degree.

Co-op: students must have a job in their major working at least 20 hrs/wk (26 hrs for summer).

Internship: students must have a job working at least 9 hrs/wk (12 hrs for summer).

3.

*Please select
your major

Accounting (ACNT)

Administrative Assistant (POFT)

Business Administration (BMGT)

E-Business Web Developer (ITSE)

Graphic Design (ARTC)

Integrated Technology (ITSC)

Logistics Management (LMGT)

Management (BMGT)

Microsoft Office Specialist (ITSC)

Motion Graphics (RTVB)

Multimedia (IMED)

Networking-Cisco or Microsoft (ITSC)

PC Support (ITSC)

Programming (ITSE)

Video and Post-Production (RTVB)

Web Design (IMED)

3D Animation (IMED)

4.

Expected semester of graduation
*

5.

Are you an international student? *

Yes

No

6.

If yes, have you discussed the co-op
course with your international student advisor?

Yes

No

7.

Are you currently employed in your field of study? *

Yes

No

8.

If you answered yes to the last question

	Job Information
Company Name:	Job Information
Company Address:	Job Information
Company Phone:	Job Information
Job Title:	Job Information
Supervisor:	Job Information
Hours Per Week:	Job Information

9.

Would your supervisor be willing to meet with
your professor to discuss your Co-op/Internship
objectives and progress?

Yes

No