MANCHESTER COMMUNITY-TECHNICAL COLLEGE



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Manchester Community College

Cooperative Education Office

Statement of Understanding

GENERAL INFORMATION

Please complete this form (print/type) and read each numbered item carefully prior to signing.

(CRN) Name:

Last First Middle Initial

Fall ( Street Address:

Spring ( 20 ____ City/State/Zip:

Summer ( Phone:

E-mail:

MCC ID#

Social Security #

AUTHORIZATION TO REGISTER

The student listed above has permission to register for the course indicated.

Program Coordinator Date

Director of Cooperative Education Date

It is understood by the College and the student that the following terms of registration are in force:

To the Student: Your professional demeanor is important to your employer whether you have a paid or an unpaid internship. You are expected to dress appropriately, honor your work schedule, notify your employer if you are unable to work, complete work to the best of your ability, and follow through on commitments. This is critical to your employer and to your success in the internship. Your internship employer will rely on you. Acting unprofessionally or not following through on your commitments may jeopardize this internship for future students.

1. I have been advised that a placement is not guaranteed and am prepared to substitute another course if necessary.

2. I agree that I must be placed in an approved work experience by , 20___or withdraw from the course. To receive a tuition refund I must have authorization to withdraw before the above date.

STATEMENT OF UNDERSTANDING Page 2

3. Due to the nature of an Internship arrangement, I may not withdraw from a placement except in severe and justifiable circumstances as determined by my course instructor and/or the Director of Cooperative Education consultation with the cooperating site sponsor.

4. I understand that the internship is based on self-directed learning; therefore open, honest communication with the site supervisor and faculty supervisor is imperative.

5. I am responsible to behave in a professional manner and to hold in professional confidence any information gained regarding the site sponsor.

6. I agree to familiarize myself with and adhere to relevant organizational arrangements, procedures and functions and uphold appropriate standards of ethical/professional conduct.

7. I will not engage in conducting personal business during work hours, which utilizes employers’ resources (e.g. telephone, internet access, photocopy and fax machines).

8. I will remain drug and alcohol-free and avoid the use of controlled substances.

9. I agree to complete all assignments and responsibilities in a reliable and efficient manner.

10. I will adopt a professional work ethic characterized by the use of sound theoretical principles and a personal value system congruent with the basic tenets of my field.

11. I will maintain and enhance my personal effectiveness by improving my skills and acquiring new knowledge.

12. I will seek feedback from my supervisor(s), accept suggestions for corrective changes in my behavior and attempt to improve performance.

13. I will contact my course instructor or the Director of Cooperative Education immediately if I feel victimized by a work-related incident (e.g. job misrepresentation, unethical activities, sexual harassment, discrimination, etc.).

14. I agree to immediately notify the Director of Cooperative Education if any change in employment status is anticipated or if a serious problem arises.

15. I understand that I will be responsible for the completion and return of required forms and that failure to do so will result in an incomplete or a lowered grade.

16. I agree that if I must receive a C or better as a final grade for the Cooperative Education/Work Experience in order to be eligible for future participation and placement through the CO-OP Office.

Student’s Signature Date

Cooperative Education Office

Manchester Community College, Manchester, CT 06045-1046

Fax: (860) 512-3371 Phone: (860) 512-3312

manchestercc.edu /students/career/coop

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