INTERNSHIP PROJECT

Internship agreement signed on _____________________ by the University of Pisa/Department of
_________________________________________________________________________ and
(Company name) ______________________________________________________________

:
TRAINEE INFORMATION
First name _____________________________ Surname _ ______________________________
Social Security  n. _______________________________________________________________
Place and date of birth: __________________________________________________________
Address: ______________________________________________________________________
Tel. ______________________________________ e-mail: ______________________________
Enrolled in _________________________________________________________(for students)
Graduated in ______________________________________________________ (for graduates)

COMPANY INFORMATION
Name: ________________________________________________________________________
Address: ______________________________________________________________________
Tel.: + __________________________ Fax + _________________________________________
e-mail: _________________________ website: _______________________________________

UNIVERSITY TUTOR
Prof. _________________________________________________________________________
Faculty/Department: ____________________________________________________________
Tel. __________________________________ e-mail: __________________________________

COMPANY TUTOR
Name: ________________________________________Role/Position: ____________________
Tel. __________________________________e-mail: __________________________________

INTERNSHIP INFORMATION
Place of the internship: __________________________________________________________
Field: ________________________________________________________________________
Period: from ____________________________ to ____________________________________
Total amount of hours : _________________________________________________________

Tasks and objectives of the training programme:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

INSURANCE POLICIES
Accident insurance provided by the University of Pisa: UnipolSai Assicurazioni S.p.A. n. 131693299 signed on February 29, 2016 and Generali Italia S.p.A. n. 360177609 signed on February 29, 2016

TRAINEE DUTIES 
the intern commits him/her to:
-	carry out the duties described in the Training Project;
-	attend the hours indicated in the Training project; 
-	respect all the rules and regulations in use by the Company, including  the hygiene, health and safety regulations in the working environment;
-	be bound by professional secrecy both during and after his/her internship with regard to data and information about products or processes of the host company that he/she may become aware of during the internship;
-	draw up a final report on the activity and take part in all the monitoring activities organized by the University of Pisa

 

Company Tutor Signature
		University Tutor Signature	

Date _________________________________

      Trainee Signature

____________________________________