Job Data Report

							         TEXAS TECH EDWARD E. WHITACRE COLLEGE OF ENGINEERING
                        CO-OP JOB DATA REPORT




Name:                                                        Semester:

Major:                                                       Start date:                    End date:

Personal Phone:

Personal e-mail:


Employer:

Department:

Business Phone:

Business e-mail:


Supervisor’s Name:

Supervisor’s Title:

Supervisor's E-mail:

Supervisor’s Phone:


Number of hours you are working weekly:

Hourly Wage Rate (for statistical purposes only):


     Thanks for your cooperation in filling out this form. This will allow us to stay in touch with you and your
   supervisor. Congratulations on your co-op assignment, and we wish you an enriching cooperative education
                                                     experience.