SE/Choctaw Co-Op Registration Form
Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
SE Student Email
*
example@example.com
Personal Email
example@example.com
Major/Degree
*
Classification (FR, SO, JR, SR)
*
Expected Graduation Year
Fall 2025
Spring 2026
Summer 2026
Fall 2026
Spring 2027
Summer 2027
Fall 2027
Spring 2028
Summer 2028
Fall 2028
Spring 2029
Summer 2029
Fall 2029
GPA
*
Student Organizations / Leadership Positions
*
Community Involvement
*
Comments
How did you hear about this program?
Friend
SE Faculty
SE Staff
SE Advisor
Email
Social MEdia
Other
Comments/Feedback
Resume (if available)
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