master internship datasheet - UFR Physique et Ingénierie
Transcription
master internship datasheet - UFR Physique et Ingénierie
MASTER INTERNSHIP DATASHEET Recto I. Contact details of the trainee during the internship : Student number : Lastname & first name : Mention of the Master's degree : Speciality degree : Address : Phone number & email : Part reserved for the HOST ORGANIZATION II. Host organization : Name / Address / Stamp : III. Internship period : Part-time / Full-time (Cross off the useless mention) Beginning and end : From to Company closed : From Hours per week : Presence at night and/or on Weekends : hours yes or no to Effective hours : Travel during the intern : hours yes or no IV. Stipend - Benefits - Mandotory information for the edition of the internship contact / agreement € net / hour Amount : Bank transfer, check or species (Cross off the useless mention) 3,60 € minimum for any exceeding internship 44 actual days in France Lodging Benefits : Food Reimbursement of expenses Other …………………………………………………………………………………………………………… V. Signatory of the internship agreement : Lastname & first name : Capacity : VI. Host organization administrative contact : Lastname : First name : Phone number : email : VII. Coordinates of the internship supervisor : Lastname : First name : Phone number : Position : email : Part reserved for the UNIVERSITY DEPARTMENT VIII. Validation du sujet par l'UFR : Signature : IX. Enseignant référent : Nom : Prénom : Tél. : E-mail : Date : Le : Signature : Annexe B MASTER INTERNSHIP DATASHEET Verso X. Subjects of the internship period : Place of the internship : Title of the internship : Skills to be acquired/developed : http://www.physique-ingenierie.unistra.fr/spip.php?article247 Objective of the internship : Activities assigned : Expected output : Tools / methods to be used for carrying out the task : Miscellaneous : XI. Personal commitment of the internship supervisor : Signature of the internship supervisor : Date : The : Isabelle HUBER Tél : 03 68 85 49 70 Fax : 03 68 85 06 96 [email protected] Please complete this paper and return it to : UFR Physique et Ingénierie 3-5 rue de l'Université F - 67084 Strasbourg cedex Annexe B