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Office of Career Services Box 5021 Cookeville, TN 38505 Phone (931) 372-3296 Fax (931) 372-6154 http://www.tntech.edu/career Career tntech.edu Term Report Receipt Complete and return this form ONLY if your Term Report will NOT be submitted by the deadline date. A grade of UNSATISFACTORY will be given when a Term Report or properly authenticated Term Report Receipt is not received by deadline date. Name: Email: Employer Address: City/State/Zip Code Work Phone Fax: Co-op Plan:.

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