Cooperative Education Employer Request for Intern

Please complete the form below. If you have any questions, please contact Marci Reiter:

Cleveland Campus: (423) 614-8718 or 1-800-604-2722, Ext. 718
Athens Campus: (423) 745-8486
E-mail: coopeducation@clevelandstatecc.edu

Contact / Company Information





Internship Information

Please specify specifics below.
(Marketing, Accounting, Office, Banking, etc.)
(Drafting, Adv. Manufacturing, Electro-Mechanical, etc.)
(English, Art, etc.)
(Forestry, Chemistry, Engineering, etc.)
(Early Childhood, Teaching, etc.)
(Nursing, Medical Assisting, Office, etc.)


Intern’s supervisor name, phone, and email



Please only click 'Submit' once. The form submission process takes a moment to complete.

You will be taken to a confirmation page when the process has completed.