COS Orientation Survey
Email *
Last Name:
First Name:
Cell Phone:
Internship Site
Internship Phone Number
Name of Supervisor
Supervisor Contact Phone Number
Supervisor Contact Email
Job Duties/Description at Internship
How many semesters have you already participated in COS?
COS Class Periods
What are your expectation for this class and the instructor?
What goals do you have for yourself for your internship site?
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