Work-Study Co-op Placement Form

Work-Study Co-op Placement Form

All Work-Study funded Co-op hires MUST have placement details submitted to the Office of Student Employment no later than 3 weeks prior to the start date.

This form is for Work-Study funded Co-op placements ONLY. If you are submitting a placement request for a University or Grant-Funded Co-op, please use this link.

What's your role?*

Co-op Advisor

Student

Other

By selecting the role 'Other' you do not have access to submit the Co-op Placement Form.

Co-op Advisors submit all On-Campus / Work-Study placement details. Automated emails will deliver to the Co-op Supervisor and Student to review and acknowledge the information then electonically sign the form to complete the placement process.

Please contact your Co-op Advisor with any concerns about your submission.

Academic Level*

Undergraduate

Graduate

Law

By selecting the role 'Student' you do not have access to submit the Co-op Placement Form.

Co-op Advisors submit all On-Campus / Work-Study placement details. Automated emails will deliver to the Co-op Supervisor and Student to review and acknowledge the information then electronically sign the form to complete the placement process.

For all student employees, Form I-9 (Employment Eligibility Form) must be on file with the university on or before the first day of work, please click on the link and follow these steps if you haven't previously completed

Direct Deposit must be on file for all payment processing, you can setup or update in the Student Hub, please refer to this instruction.

Please contact your Co-op Advisor with any concerns about your placement form submission.

How is this Co-op Funded? (Select One)*

Select or enter value

This form is for Work-Study funded Co-op placements only

If you are submitting a placement request for a University or Grant-funded Co-op, please use this link.

Has the student received Co-op Work-Study clearance from the Office of Student Employment?*

Students can only participate in the Work-Study Co-op for the period during which they were cleared.

Select or enter value

This placement cannot be processed.

Students must be eligible for co-op work-study funding in order to receive the work-study funding fpr their co-op hire.

If the student receives co-op work-study clearance, you can submit the Co-op Placement Form accordingly. The student CANNOT start working and does not have funding for their position, until the clearance review is complete.

SECTION 1: STUDENT INFORMATION

Student Name*

Student's First and Last Name

NUID #*

Email Address*

Student's Northeastern University Email

Year of Graduation*

Student's Co-op Advisor*

Co-op Advisor's Email*

SECTION 2: POSITION INFORMATION

Position Title*

Is this Work-Study Co-op position on-campus or off-campus?*

Select or enter value

Where is the campus location of this Co-op?*

Select or enter value

Department*

What is the C-Rate for the On-campus Co-op?*

Select or enter value

Other, please justify*

Agency Name*

Agency ID Number

Agency Location*

Please indicate the city and state (ex. Boston, MA)

Pay Rate*

If the Co-op is on-campus, the exact hourly wage will be dependent on the student's expected year of graduation. Please refer to the link to view the FY25 C-Rate chart.

Maximum Hours Per Week*

Students employed with a Co-op may not exceed 40 hours work per week

Start Date*

End Date*

Primary Timesheet Supervisor*

Primary Supervisor Email*

Secondary Timesheet Supervisor

Secondary Supervisor Email

SIGNATURE

Please read the following information carefully and type your name to sign below noting consent and understanding of Co-op Policies

I hereby acknowledge that the above information is correct. I have completed the entirety of this form to the best of my ability. Any changes to this information will be submitted in writing through an inquiry request to the Office of Student Employment, Graduate Assistantships & Fellowships.

Students are only compensated for actual hours worked, no vacation time.

Type your name to sign

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