Greater Akron Chamber 2009-2010 STEM Cooperative Education/Internship Application CURRICULUMS CHECK DISCIPLINES OF INTEREST & NUMBER OF STUDENTS REQUESTED* BIOMEDICAL ENGINEERING CHEMICAL ENGINEERING CIVIL ENGINEERING COMPUTER ENGINEERING ELECTRICAL ENGINEERING MECHANICAL ENGINEERING MECHANICAL POLYMER ENGINEERING AEROSPACE SYSTEMS CORROSION ENGINEERING COMPUTER SCIENCE/Information Technology APPLIED MATH CHEMISTRY PHYSICS STATISTICS ENGINEERING TECHNOLOGY Automated Manufacturing Computer Information Systems Construction Electronic Mechanical Surveying and Mapping Please briefly describe the co-op/internship project and/or job responsibilities and skills required or attach job description: Have you utilized co-op/internship students in the past Yes No Have you recently laid-off interns Yes No Please send me resumes of perspective candidates Yes No Would you like to request an on-campus interviewing date: Yes No Would you prefer to interview at company site: Yes No Company Size (# of employees) __less than 25 __26-50 __51-100 __101-500 __501-1000 __1001+ Industry sector: ____________________________________________________________ Name of Employer: Website: Address: County: Phone: Fax: E-mail: Name/Title of Internship Contact: Fax to: (330) 379-3164 or e-mail to euchenhofer@greaterakronchamber.org by November 16, 2009. For more information, call Diane Euchenhofer at (330) 237-1244. You will be contacted within the next several days regarding your application. *Number of students per company may be limited.