host registration form
(Please complete all fields to ensure we have your most updated information).
City: State: Zip Code:
Phone: Fax: Email:
Type of Business (product or service):
Will offer remuneration Will not offer remuneration
Briefly describe the types of activities that the cooperative student will participate in. This description will be used to advertise your cooperative education/internship position.
This information will be used to assist in matching a student to your site:
Computer Information Systems
Engineering Science and Industrial Technology
Graphic and Web Design
Human Services/Criminal Justice
Thank you! You will soon be hearing from Cheryl A. Noel in the Career Development Office regarding specific details about your participation in this exciting program. In you have any questions you can call Cheri at 724-925-4058, or email email@example.com
Please fax or mail form to:
Career Development Center
145 Pavilion Lane
Youngwood, PA 15697
Notice of Nondiscrimination
WestmorelandCountyCommunity College will not discriminate in its educational programs, activities or employment practices based on race, color, national origin, sex, sexual orientation, disability, age, religion, ancestry, union membership or any other legally protected classification. Announcement of this policy is in accordance with state law including the Pennsylvania Human Relations Act and with federal law, including Titles VI and VII of the Civil Rights Act of 1964, Title IX of the Educational Amendments of 1972, Section 503 and 504 of the Rehabilitation Act of 1973, the Age Discrimination Act of 1975, and the Americans with Disabilities Act of 1990. Inquiries should be directed to Dr. Mary Stubbs, Affirmative Action Office, Westmoreland County Community College, 501 Founders Hall, Youngwood, PA 15697, 724-925-4097.