CWEE | Contact Form

Student Contact Form

In order to participate in the CWEE Program, you must complete this contact form. Once a complete Student Contact Form is received by the CWEE office, allow 48 business hours for the CWEE staff to adjust student records to register for the CWEE course. If you have any questions, please contact us at 661-362-3309 or at cwee@canyons.edu.

Personal Information

First Name
Last Name
Student ID
Email Address
Re-Enter Email Address
Home Phone Number
Cell Phone Number
Home Address
City
Zip Code
Are you over the age of 18?
Are you a high school graduate?

Employment Information

Company Name
Type of Business
Company Address
City
Zip Code
Business Phone
Supervisor's Name
Supervisor's Email
Your Job Title
Is your position an internship?
Is your position paid or non-paid?
How did you find this position?
List your duties / responsibilities at this job
Average Weekly Hours

Educational Information

What is your major?
Is your job related to your major?
What is your career goal? (i.e. To become a teacher)

Enrollment Information

Semester you will take CWEE
CWEE Section Title
CWEE Section Title
Number of CWEE Units
Are you a returning CWEE student?

Agreement

If you are accepted as an intern you will need to do the following:

1. Attend an information meeting
2. Fill out the Student Contact Form with complete personal contact information and employer contact information. 
3. Attend a mandatory advisory meeting to get the required workplace project approved.
4. Complete assignments and turn in timesheets by the due dates.

Once your application has been forwarded to the employer(s), they will contact you if they are interested in scheduling an interview. Please let us know if the employer contacts you so we can provide you with further information to help you succeed in the interview.

IMPORTANT DISCLOSURE
In the event that a student is selected for an internship but does not enroll in Cooperative Work Experience Education (CWEE) to fulfill the internship program requirements, the student will be enrolled in CWEE by the college and a "Hold" will be placed on the student's records. The student will then be required to pay the enrollment fees and complete all CWEE Internship program requirements, including the required worksite hours. In order to clear the "Hold", all obligations to the College must be met before a student's record may be considered clear. Outstanding obligations may prevent registration in classes and the ability to obtain grades or an academic transcript.

To the student: 
Your enrollment in an internship through the Cooperative Work Experience program includes insurance for accidents that may occur at an unpaid internship worksite.  If you are disenrolled from the class for any reason, you are no longer insured by the District. We believe it is important to notify your worksite supervisor if this occurs. Therefore, we are seeking your permission to inform your worksite if you fail to complete the enrollment process, drop the course or are disenrolled for any other reason.

From the student:
As a Cooperative Work Experience Education student, I understand my Instructor will visit my place of employment and will set appointments and consult with my worksite supervisor regarding my Work Experience course and learning objectives. If I fail to complete the enrollment process, drop the course or am administratively dropped from this course, I authorize College of the Canyons to contact my worksite supervisor in order to notify them of changes in my enrollment status for my Cooperative Work Experience Education course.

Please contact the CWEE office if you have any questions: (661) 362-3309.

I Agree to the Agreement

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