Please provide the following information so we can determine whether the Co-op Connector position is right for you.
	First Name:
	Last Name:
	Email:
	Co-op Term: (spring/summer/fall and year)
	Co-op City:
	Co-op Employer:
	Anticipated Year of Graduation:
	Why are you interested in becoming a Co-op Connector? (Use this space to explain your involvement on campus, leadership experience, what you think co-op students need from NU, why you think it's important for students to stay connected while on co-op, or any other information you think is relevant.)
	Additional Questions/Comments: