Confirmation of Co-op Work Term – Outside of Canada

Full Legal Name:*

First Last

Student Number:*

Algonquin Email Address:*

Where are you studying?*

Program of Study:*

Co-op Work Term:*

Today's Date:*

Did you secure this job through HireAC or are you returning to a previous co-op employer?*

Work Location:*

GAC Travel Rating:*

Find the GAC Travel Rating here.

Next Steps: After you submit this form, the Co-op Department will update HireAC with your work term details, within 3 business days. You may monitor HireAC accordingly.

Please provide the HireAC Job ID Number:*

Company Name:*

Company's Address:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Supervisor's Name*

First Last

Supervisor's Email:*

Supervisor's Phone:*

Supervisor's Job Title:

My supervisor can communicate in English:*

Yes
No

Name of English speaking delegate:*

First Last

Email Address for English speaking delegate:*

Phone Number for English speaking delegate:*

Co-op Job Title:*

Working Environment:*

Job Start Date:*

Job End Date:*

Hours Per Week during Co-op Work Term:*

Co-op students are required to work full-time hours during their work term, a minimum of 30 hours per week.

How much will you make per hour?*

Where students are completing their work terms outside of Canada, different employment standards may apply. Please enter the salary or hourly rate you will be paid by your employer. All co-op positions must be paid.

Co-op Job Description:*

You must provide a detailed job description including essential job requirements, job duties, job responsibilities, and skills required to perform your co-op role. Your job description should be a minimum of 250 words. If this section is incomplete, your position will be declined.

Provide further details on how you will be working during for your co-op work term.*

File Upload*

Drop files here or

Max. file size: 63 MB.

Please upload the following three forms: Approval Risk Assessment for International Travel Involving Students , Informed Student Consent and Waiver and Working Abroad Checklist documents. The Co-op Office will review and forward to the appropriate approval authority for consideration.

By submitting this form, I confirm that all information I have provided is accurate and complete.*

Yes
No

Co-op Agreement: By submitting this form, I confirm that I have reviewed, understand, and agree to the Co-op Terms and Conditions.

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Co-op & Career Centre

Confirmation of Co-op Work Term – Outside of Canada

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