Protocole d`entente - Maîtrise en sciences de l`environnement

AGREEMENT PROTOCOL - PROFESSIONAL INTERNSHIP
CP 8888, succursale Centre-Ville
Montréal, Québec, H3C 3P8
(514) 987-8589
Fax : (514) 987-6622 or (514) 987-4718
Université du Québec à Montréal
Institut des sciences de l’environnement
Maîtrise en sciences de l'environnement
IDENTIFICATION
Student
Name:
Employer
Name of
Organization:
Department:
Address:
Tel.:
Email:
Address:
Tel.:
Work tel.:
Email:
Work email:
Internship advisor
at UQAM:
Supervisor:
Name:
Tel.:
Position:
Email:
INTERNSHIP CONDITIONS
Internship dates
YYYY-MM-DD
to
YYYY-MM-DD
No. hours / week
These dates must be identical to those reported in the Confirmation of Internship Placement.
Number of work hours per week:
Type of schedule (flexible, evenings, weekends, etc) :
Salary:
Expenses covered:
Resources and equipment available to the intern:
Frequency of meetings with supervisor:
Authorization to write the university internship report during the internship (for example, several
hours per week).
Date report is to be handed in to the university:
Yes
No
Deadline for submitting masters internship report: 18 weeks after starting date.
MAJ :2011-05-10
Form_internship_agreement_protocol
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AGREEMENT PROTOCOL - PROFESSIONAL INTERNSHIP
INTERNSHIP MANDATE
Description of the project (in the context of a larger issue, if necessary):
Principal tasks to be accomplished, summary of timeline and methodology:
Expected results or final products:
MAJ :2011-05-10
Form_internship_agreement_protocol
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AGREEMENT PROTOCOL - PROFESSIONAL INTERNSHIP
STUDENT’S PROFESSIONAL LEARNING OBJECTIVES
SECTION TO BE COMPLETED BY THE STUDENT
(KNOWLEDGE, SKILLS, AND PERSONAL DEVELOPMENT)
Knowledge (academic and “cultural” i.e., related to the work environment):
Skills (practical skills, methods, etc.):
Personal development:
ACCEPTANCE
1-Student
Date
2–Supervisor at sponsoring organization
Date
MAJ :2011-05-10
3–Professor responsible for internships
Form_internship_agreement_protocol
Date
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