1. A written position description relating to the program and showing types of learning experiences and responsibilities is required for each position prior to setting up a co-op/internship. To do this, complete the form below. It will be reviewed by a faculty mentor to determine if it qualifies as a Co-op/college credit.
2. All Co-op/internship positions must be paid; salary is determined by employer.
3. Cooperative Education at UW-Stout requires a minimum of 320 hours of experience per semester.
4. Please complete this form and submit it.

• Provide an overview and training for the Co-op student and assist the student in completing goals related to the Co-op experience.
• Pay salaries at the wage agreed upon and provide meaningful work assignments.
• Complete two student evaluations per semester; ensuring feedback on student performance is received by student and university. Evaluations will be provided by UW-Stout Co-op student upon arrival.
• Employ the student during the period agreed upon with the student (Minimum of 320 hours).
• Immediately inform the Cooperative Education Coordinator of any performance problems or work related injury concerning the student so possible adjustments can be made. Call (715) 232-1601
• Provide a work environment free of discrimination and harassment.
• Provide a safe work environment.
• NOTE:
  It is understood that a Co-op job offered to a student as a result of recruitment through Career Services MUST be done as a Co-op experience. Therefore, after a Co-op position is accepted Career Services needs to be notified.

Request for assignment of a co-op student in the described position is approved and will not result in the displacement of a regular employee or impair existing contracts for services. This form is not a contract. The company or agency is not obligated to accept any applicant.

Before submitting this form please print a copy for your records.

UW-Stout is an Equal Opportunity/Affirmative Action institution committed to diversity in its people and programs.