Applicant Information Form

Name: ID #:

Faculty/Program: Year/Term: Work Term #:

  1. List which other CS Instructional Support Assistant (ISA) jobs you have applied to (Please note that you should submit a separate co-op application for each ISA job):
  2. If you are an international student, do you have a valid co-op work permit for the duration of this ISA job you are applying for?

    Yes No Not International Student

  3. List the specific talents and experience that you think you would bring to the job of ISA. Highlight those points that you feel might distinguish you from other job candidates.

Recent Employment Reference



Daytime Telephone Number:

Dates employed:

Relationship (e.g. Supervisor):