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CHME Co-op/Internship Survey
CHME Co-op/Internship Survey
Co-op/Internship Survey Form
To help CHME better serve students, the department is developing a database of information about co-op and internship experiences. If you had a co-op, internship, REU, or other paid position, please complete this survey. Your personal information will not be associated with your name when results are made available.
Name
First
Last
Which is the highest CH E(s) course you have completed (at the time of your co-op/internship)? Only select if you have completed both courses named on a row.
*
none
CHME 101
CHME 102
CHME 201
CHME 301 AND 305
CHME 302 AND 306
CHME 307 AND 441
CHME 412 AND 452
CHME 455
grad student
Employment Start Date
*
Date Format: MM slash DD slash YYYY
Employment End Date
Date Format: MM slash DD slash YYYY
Company
*
Rate of Pay ($/hr)
*
City
*
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Job Responsibiliies
Briefly describe your responsibilities during your work session. Also describe any project work you performed, if you are free to talk about it.
I completed this employment while enrolled in CH E 391
true
Other benefits
living accommodations provided
greatly reduced living accomodations
living allowance
cell phone allowance
relocation expenses paid in full
relocation expenses partially paid
tuition reimbursement
other
Comments
This field is for validation purposes and should be left unchanged.
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