Apply to Cooperative Education Program

   All fields are required.

Personal Information
Student ID (*do not use your social security number)
First Name Middle Initial Last Name
E-mail
Address
City State Postal Code
Country Military status
Daytime Phone * Do not use any separator. (Example: 0001112222)
Evening Phone * Do not use any separator. (Example: 0001112222)

Academic Information
Major Minor
Proposed academic discipline for Coop credits
Total credits earned at UMUC Total transfer credits GPA at UMUC
Where are you enrolled?
In which school are you enrolled?
If Undergraduate, Is this first bachelor's degree or second?
Anticipated graduation date
In which semester do you plan to register for Cooperative Education?


Type of Cooperative Education position requested

Have you previously participated in Cooperative Education or practicum course?
If Yes, When? Where?(institution)
All of the information provided here is true and correct. I understand that any misrepresentation may result in my dismissal from the program. If I accept a position arranged by the Cooperative Education office, I agree to submit a Learning Proposal within four weeks after beginning the position. Upon acceptance of the proposal, I understand I must register and pay for the co-op course.

Read student agreement form



Date (mm/dd/yyyy)

SCEP Students Only:
All of the information provided here is true and correct. I understand that any misrepresentation may result in my dismissal from the program.




Date (mm/dd/yyyy)


Cooperative Education
University of Maryland University College
3501 University Boulevard East
Adelphi, MD 20783-8063
Phone: 240-582-2880
Fax: 240-582-2994
E-mail: coop@umuc.edu

Send feedback on Cooperative Education to coop@umuc.edu