( ) Yes! I am a college faculty or staff member.  Please send me this
student's cooperative education file.

The file includes copies of

      - a preliminary objectives statement

      - a personal journal kept throughout the study

      - a final report with course description, school
        accreditation and signatures of authorization


School Mailing Address:  ___________________________
                         Name

                         ___________________________
                         Dept              Rm

                         ___________________________
                         Name of College

                         ___________________________
                         Address

                         ___________________________
                         City       State    Zip




Please Sign:             ___________________________
                         Signature              Date

By signing above, I affirm that I am employed by the academic
institution indicated above and agree to use the requested file for
the sole purpose of evaluating the student's academic achievement.
(subject to verification).


Mail This Form To:  Jim Ash
                    Cooperative Study Coordinator
                    Fort Lewis College
                    1000 Rim Drive
                    Durango, CO  81302-2965





Attention FLC: Request pertains to student
               522-33-6348 Bower, Trent.
               Term: Winter 1995.