Massry School of Business - Co-op Employer Interest Form

1

Primary contact name* This field is required.

First Name

Last Name

2

Name of your organization* This field is required.

3

What is your current title/role at your organization?* This field is required.

4

Please provide the best phone number to reach you.* This field is required.

Area Code

Phone Number

5

What is your email address?* This field is required.

example@example.com

6

Employer/organization website* This field is required.Please provide a link to your organization’s website.

7

Would the organization be able to provide a dedicated supervisor for the co-op student?* This field is required.

YESNO

8

Which business area(s) would your co-op opportunity support?* This field is required.(i.e. accounting, business analytics, finance, marketing, human resources, other etc.)

9

Is there anything else you would like us to know about your organization or potential co-op opportunity?