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Education Co-op Placement Form

Highschool and post secondary students

Class or Program

Faculty email

Teacher phone number

First name of teacher

Last name of teacher

School name

Requested start date of placement

Requested end date of placement

Please describe your placement duration including how many hours total, which days a week and which hours per day you are able to work as a part of your placement?

Are their any other considerations with your education program request?

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Education Co-op Placement Form

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