I, ______ (Name), a Student in a Co-Operative Education Program at Kwantlen Polytechnic

Centre for Co-operative Education and Career Services Co-operative Education Student Agreement

Last name:______First name:______Student Number:______Program:______

As a student in a Co-operative Education option of my program at Kwantlen Polytechnic University (KPU), I understand the role and duties of the Co-op Program, the Co-operative Education office, and myself, as explained in KPU Policies and Bylaws, the KPU Calendar, and the KPU Co-op Student Handbook, a copy of which I acknowledge has been provided to me, I agree to carry out my responsibilities to the best of my ability.

Participation in Co-op at KPU requires consent:

. I give my consent to offices of Kwantlen Polytechnic University to release information about me for the purpose of determining my eligibility for Co-operative Education and verifying any information provided by me on this form or elsewhere. The Co-op department follows KPU Policy C.4, Confidentiality of Student Records/Files www . k w a n t len . c a/ p o li c i e s / C - L e ar ne r S u pp o r t / c 04. pd f in accessing student information. Student Initials: . I give my consent to the Co-op department to release my resume, cover letters, transcripts, and other relevant information to prospective employers in order to secure employment for work terms. Student Initials: . I give my consent to Kwantlen Polytechnic University to share my work term report(s) as an example to other students in the Co-op program and to other Kwantlen faculty after completion of my work term. I will notify the KPU Co-op department in writing if the work term report is to be kept confidential. Student Initials: . I give my consent to the Co-op office to use any comments written by me about my Co-op experience for the purpose of promoting Co-op to potential students and employers. Student Initials: Participation in Co-op at KPU requires my understanding and agreeing to the following:

. I understand that I must register in the appropriate Co-op work term and pay tuition for each work term. I understand that if I accept a Co-op position and do not follow the normal registration procedure, the Co-op program will register me for the Co-op work term course. Student Initials: . I understand that if I accept an extension of a Co-op position or return to work for an additional work term with a previous Co-op employer, I must register in each subsequent semester’s Co-op work term course and pay the appropriate tuition and fees or as noted above, the Co-op Program will register me accordingly.

Student Initials: . I will represent the Kwantlen Co-op Program and the University in a professional manner at all times during my involvement with the Co-op Program, and understand that I will fail my Co-op work term course and be removed from the program if my conduct is inappropriate or unprofessional. Student conduct is guided by KPU Policy C.21, Student Conduct, www .k w a n t len . c a/ p o li c ies / C - L e a r ne r S u p p o r t / c 21. pd f Student Initials: . I must remain in good academic standing with the University, meet the academic requirements of the Co-op program, and I am expected to abide by the guidelines provided in the Kwantlen Co-op Student Handbook. http://www.kwantlen.ca/coop/students/current_student.html. Student Initials: . I agree to notify my Co-op Instructor of any change in plans or information that will affect my participation in the Co-operative Education program. Student Initials: International Students: I understand that it is my responsibility, before I accept a Co-op work term, to obtain and maintain a valid co-operative education work permit through Citizenship and Immigration Canada and have medical coverage (BC Medical Services Plan) as outlined in the KPU Co-op Student Handbook http://www.kwantlen.ca/coop/students/current_student.html

Student Initials ______

Student Signature: Date: Day/Month/Year

Information on this form is collected under the general authority of the University Act (R.S.B.C. 1979, c.419). It is collected and needed by the KPU Co-op office to facilitate Co-op services. Contact a Co-op Instructor for further explanation if needed.