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Application form for an internship agreement
First name
(Required)
Last name
(Required)
Email
(Required)
Type of internship
(Required)
Undergraduate internship
Master’s internship
Gap year internship
Optional internship
Undergraduate internship
(Required)
Worker / construction site internship
First professional practice internship
Are you enrolled in a dual AI or IA program?
(Required)
Yes
No
If yes :
If yes, and the internship agreement is issued by the engineering school, please send an information sheet. If the agreement is issued by ENSAPLV, please continue this process by submitting your information via this form and do not send an information sheet.
Max. file size: 16 MB.
Name of host organization / company:
(Required)
Address of host organization / company:
(Required)
Country:
(Required)
Is the internship taking place abroad?
Yes
No
File
If the internship is abroad: please provide a certificate of civil liability insurance stating that you are covered for internships abroad.
Max. file size: 16 MB.
Internship start date:
DD
MM
YYYY
Internship end date:
DD
MM
YYYY
Number of working hours per week (e.g., 35H):
Please enter a number greater than or equal to
1
.
Days and working hours in the company (in case of part-time):
If your internship is part-time during a study period (including the PFE period in S10), please specify the days and hours you will be present in the company.
Who is your academic supervisor at ENSAPLV?
(Required)
A permanent or contractual faculty member at ENSAPLV who will oversee the academic aspects of the internship and validate the internship report.
First name
Last name
Supervisor's email address:
(Required)
Additional message
I acknowledge that by submitting this form, I agree that my information may be stored and that I may be contacted regarding my request. I can unsubscribe at any time.
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