Kepler Space Institute Graduate Studies

GRADUATE STUDENT CO-OP APPLICATION AND AGREEMENT

Use this form to:

Apply to the Kepler Co-op Program

Instructions:

Complete Sections 1 and 2
Submit the completed form to your academic department for approval or acknowledgement
Your academic department will forward the form to the Faculty Associate Dean’s office and Graduate Studies and Student Affairs for approval or acknowledgment.
Once your change is processed, your term fees may be updated. If you have opted out of any incidental fees for the term, you may need to do so again. You will not be able to opt out of any new fees charged as a result of an enrolment status change processed after the opt-out deadline.

For more information about this form, please review the KSI enrolment and withdrawal policies.

Section 1: Student Information

Name(Required)

First Last

Email(Required)

Phone Number

Program Enrolment(Required)

Study Option(Required)

Current Graduate Program(Required)

Area of Study(Required)

Effective Year(Required)

Effective Term(Required)

Section 2: Student Agreement

Note: the co-operative program in graduate studies is available only to full time graduate students who have completed their first term.

STUDENT’S AGREEMENT(Required)

I understand that co-op involves a competitive recruitment process which requires that I must: >complete the preparatory work, KCP 500, required for the Graduate Co-Op Program; >register for KCP 510, KCP 520, or KCP 530 during the upcoming term; >apply to jobs in a variety of locations; >attend all interviews; >work for the full 16 weeks between the official work term start and end dates for each coop placement; >submit work term reports by the deadline set by the department and follow the Co-Op guidelines.

I will abide by KSI Code of Ethical Conduct, policies, regulations and procedures and I agree that I will pay the non-refundable graduate co-op fee.

I understand that, if accepted, the department will put forward my program change request from MS regular to MS co-op to take effect in the next term.

I understand that I will not be permitted to withdraw from the co-op system of study to enter the regular (i.e. non co-op) system of study for the program (unless approved by KSI and the department in a case of valid, extenuating circumstances).

Signature Section

Signature(Required)

Student Signature

Date

Hidden

For Office Use

Hidden

Signature

Supervisor (MS Thesis applicants only)

Hidden

Date

Hidden

Signature

Current Department Dean, Faculty

Hidden

Date

Hidden

Signature

Kepler Co-op Program Coordinator

Hidden

Date

Hidden

Result

Approved

Denied

Hidden

Date

This field is for validation purposes and should be left unchanged.

GRADUATE STUDENT CO-OP APPLICATION AND AGREEMENT

Kepler Space Institute Graduate Studies

GRADUATE STUDENT CO-OP APPLICATION AND AGREEMENT

Section 1: Student Information

Section 2: Student Agreement

Signature Section

For Office Use

941-417-0917

info@ksiedu.org

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