Confirmation of Co-op Work Term

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?*

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

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?*

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.

Are you required to leave Canada for this co-op work term?*

File Upload*

Drop files here or

Max. file size: 63 MB.

Please upload both the Risk Assessment for International Travel and Informed Consent and Waiver documents. The Co-op Office will review and forward to the appropriate approval authority for consideration.

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

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