docs_fm05 by niusheng11

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									FM05. Instructions: Open with MS word, fill in data, save to a file on your computer with
name “FM05-your-last-name”. email ecscoop@csun.edu with “FM05-your-last-name” on the
subject line and attach the file “FM05-your-last-name” to the email




                       Honors Co-op Student Information return

Last name:                                    First name:

Major:                  Date (mm/dd/yy):                     Semester:

Home street address:                                               Apt #

Home City:                                                         Zip #:

Home Phone:                                    Cell:

Work Phone:

Email:

Company name:

Supervisor’s name:

Supervisor’s Phone:

Supervisor’s email:

Hourly Pay Rate:

Health Insurance        Paid vacation       Paid holidays   Tuition reimbursement
Best days and times for faculty to visit you at work:




Any other comments (Optional)
FM05. Instructions: Open with MS word, fill in data, save to a file on your computer with
name “FM05-your-last-name”. email ecscoop@csun.edu with “FM05-your-last-name” on the
subject line and attach the file “FM05-your-last-name” to the email
   Can you see and read the data in all fields? You earn points towards the grade in
ENGR494HCx by submitting correct form first time. (see syllabus)

								
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