Career Placement & Cooperative Education, Contact Information & Placement Status

Volunteer State Community College | Division of Academic Affairs

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Please fill in and click the Submit button.

Name:
Student ID:
Address:
City:
State:
Zip Code:
Phone Number:
Cell Phone:
EMail:
Program Major:
Degree:
Employer:
Employer's Address:
City:
State:
Zip:
Phone Number:
E-Mail Address:
Job Title:
Job Duties:
Supervisor:
Salary Range (check one):
$6.00-$8.00 per hour $12.00-$15.00 per hour $8.00-$10.00 per hour Other $10.00-$12.00 per hour
If you selected Other, please state your salary here:
Work Hours:	Please Select Full Time Part Time
Hours Per Week:
Other
Currently enrolled for further education at:
Currently unemployed or not in the labor market:
Currently in Military Service: