MECOP Connect Application Form

Student Alumni Application Form

Please note: If you already have access to your student account, please click the following link to apply to the program: Apply using Existing Website Account. If your account qualifies, you can skip this application form.

Information Relating to your Participation

Please provide as much information as you can and keep the information dated to during the time you were participating in the program. The more information you can provide us, the more likely we will be able to locate a matching record.

First Name

Middle Name

Last Name (as of your participation)

Current Last Name (if changed)

University Information

University I participated with

Discipline I was listed as while participating in MECOP/CECOP

Email I used during my participation (if applicable)

First Internship

Company Name

On what dates did this internship occur?

Please provide your best guess.

Second Internship (if occurred)

Company Name

On what dates did this internship occur?

Please provide your best guess.

Current Contact Information

Please provide your current contact information so we can followup regarding your application request.

Current Email Address

Current Phone Number

Other Information

Additional comments / information that may assist us in verifying your participation.

Character Limit: 0 / 2000 characters

Final Steps

Click the button below to submit your application. One of our staff will review your request and follow up as soon as possible using the contact information you have specified. All requests will be reviewed in the order they are received.

Company Member / Mentor Application Form

Please note: If you already have access to your company account, please click the following link to apply to the program: Apply using Existing Website Account. If your account qualifies, you can skip this application form.

Information Relating to your Participation

Please provide as much information as you can and keep the information dated to during the time you were participating in the program. The more information you can provide us, the more likely we will be able to locate a matching record.

First Name

Middle Name

Last Name (as of your participation)

Current Last Name (if changed)

Current Contact Information

Please provide your current contact information so we can followup regarding your application request.

Current Email Address

Current Phone Number

Other Information

Additional comments / information that may assist us in verifying your participation.

Character Limit: 0 / 2000 characters

Final Steps

Click the button below to submit your application. One of our staff will review your request and follow up as soon as possible using the contact information you have specified. All requests will be reviewed in the order they are received.

University Advisor / Dean Application Form

Please note: If you already have access to your university account, please click the following link to apply to the program: Apply using Existing Website Account. If your account qualifies, you can skip this application form.

Information Relating to your Participation

Please provide as much information as you can and keep the information dated to during the time you were participating in the program. The more information you can provide us, the more likely we will be able to locate a matching record.

First Name

Middle Name

Last Name (as of your participation)

Current Last Name (if changed)

University Information

University I participated with

Please list one or more disciplines that you assisted the MECOP / CECOP program with

Years in which I participated

Email I used during my participation (if applicable)

What was / is your primary role with respect to the program?

I was or currently am a program Advisor / Representative for the previously listed university / discipline(s).

I was or currently am a Dean for the previously listed university / discipline(s).

Current Contact Information

Please provide your current contact information so we can followup regarding your application request.

Current Email Address

Current Phone Number

Other Information

Additional comments / information that may assist us in verifying your participation.

Character Limit: 0 / 2000 characters

Final Steps

Click the button below to submit your application. One of our staff will review your request and follow up as soon as possible using the contact information you have specified. All requests will be reviewed in the order they are received.

MECOP Connect Application Form

Student Alumni Application Form

Information Relating to your Participation

University Information

First Internship

Second Internship (if occurred)

Current Contact Information

Other Information

Final Steps

Company Member / Mentor Application Form

Information Relating to your Participation

Company Information

Current Contact Information

Other Information

Final Steps

University Advisor / Dean Application Form

Information Relating to your Participation

University Information

Current Contact Information

Other Information

Final Steps