Intern Document

REQUEST LETTER FROM INSTITUTE TO INTERNSHIP PROVIDER
To
The General Manager (HR)
.......................................
.......................................
Subject: REQUEST FOR 04/06 WEEKS INDUSTRIAL TRAINING of M.Tech/4 years Degree
Programme,
Dear Sir,
Our Students have undergone internship training in your esteemed Organization in
the previous years. I acknowledge the help and the support extended to our students
during training in previous years.
/ (For first time industry) You must be aware that AICTE has made internship mandatory
for all technical education
students.
In view of the above, I request your good self to allow our following_
students for
practical raining in your esteemed organization. Kindly accord your permission and
give at least one-week time for students to join training after confirmation.
S. No. Name Roll No. Year Discipline
If vacancies exist, kindly do plan for Campus/Off Campus Interview for batch
passing out students in above branches. CHECK THIS
A line of confirmation will be highly appreciated.
With warm regards,

Yours sincerely,
STUDENT INTERNSHIP PROGRAM APPLICATION
Complete and submit to the TPO/ Internship Program Coordinator. Type or write clearly.
1. Student Name:
2. Campus Phone:
Address:
3. Home Address: Phone:
3a. Student email address:
4. Academic Concentration 5. Internship Semester: Year.
6. Overall GPA:
9. Internship Preferences
Location Core Area Company/ institution
Preferance-1
Preferance-2
Preferance-3
Faculty mentor Signature: Date .

Signature confirms that the student has attended the internship orientation and has met
all paperwork and process requirements to participate in the internship program,and has
received approval from his/her Advisor.
Student Signature: Date .
Signature confirms that the student agrees to the terms, conditions, and requirements of
the Internship Program
OBJECTIVES/ GUIDELINES/ AGREEMENT: INTERNSHIP SYNOPSIS (THIS WILL BE
PREPARED IN CONSULTATION WITH FACULTY MENTOR)
An internship is a unique learning experience that integrates studies with practical work.
This agreement is written by the student in consultation with the faculty Mentor and
Industrial supervisor. It shall serve to clarify the educational purpose of the internship and
to ensure an understanding of the total learning experience among the principal parties
involved.
Part I: Contact Information

Student
Name:
Student ID
Class Year:
Campus Address:
City, State:
Phone:
Email:
Industrial Supervisor
Name:
Title:
Company/Organization:
Internship Address:
City, State, Pin:
Phone:
Email:
Faculty Mentor
Name:
Phone:
Campus Address:
Academic Credit Information

Internship Title:
Department:
Course:
Credits:
Grading Option: Credit/Non-credit
Beginning Date:
Ending Date:
Hours per Week:
Internship is:
Paid Unpaid
STUDENT FEEDBACK OF INTERNSHIP
(TO BE FILLED BY STUDENTS AFTER INTERNSHIP COMPLETION)
Student Name: Date:
Title:
Internship is: Paid Unpaid

Company/Organization:
Internship Address:
Faculty Coordinator: Department:

Dates of Internship: From To
***Please fill out the above in full detail***
Give a brief description of your internship work (title and tasks for which you
were responsible): Was your internship experience related to your major
area of study?
Yes, to a large degree Yes, to a slight degree No, not
related at all Indicate the degree to which you agree or disagree with the following
statements.
This experience has: Strongly Agree No Disagree Strongly
Agree Opinion Disagree
Given me the opportunity to
explore a career field
Allowed me to apply classroom
theory to practice
Helped me develop my
decision-making and problem-
solving skills
Expanded my knowledge about
the work world prior to
permanent employment
Helped me develop my
written and oral
communication skills
Provided a chance to use
leadership skills (influence
others, develop ideas with
others, stimulate decision-
making and action)
This experience has: Strongly Agree No Disagree Strongly
Agree Opinion Disagree
Expanded my sensitivity to
the ethical implications of
the work involved
Made it possible for me to be
more confident in new situations
Given me a chance to improve
my interpersonal skills
Helped me learn to handle
responsibility and use my time
wisely
Helped me discover new
aspects of myself that I didn’t
know existed before
Helped me develop new
interests and abilities
Helped me clarify my career
goals
Provided me with contacts
which may lead to future
employment
Allowed me to acquire
information and/ or use
equipment not available at my
Institute
In the Institute internship program, faculty members are expected to be mentors for
students. Do you feel that your faculty coordinator served such a function? Why or why
not?
How well were you able to accomplish the initial goals, tasks and new skills that were set
down in your learning contract? In what ways were you able to take a new direction or
expand beyond your contract? Why were some goals not accomplished adequately?
In what areas did you most develop and improve?
What has been the most significant accomplishment or satisfying
moment of your internship? What did you dislike about the internship?
Considering your overall experience, how would you rate this
internship? (Circle one). (Satisfactory/ Good/ Excellent)
Give suggestions as to how your internship experience could have been improved.
(Could you have handled added responsibility? Would you have liked more discussions
with your professor concerning your internship? Was closer supervision needed? Was
more of an orientation required?)
PROFORMA FOR EVALUTION OF INTERNSHIP BY INSTITUTE
DEPARTMENT OF TRAINING AND PLACEMENT
Ph. Fax Email
Evaluation (I)____________________________________________________________________________
1. Name of Student_________________________________ Mob. No_____________________

2. College Roll No. __________________________________University Roll No.______________
3. Branch/Semester_________________________________ Period of Training______________
4. Home Address with contact No.__________________________________________________
5. Address of Training Site: __________________________________________________________
6. Address of Training Providing Agency: ____________________________________________
7. Name/Designation of Training In- charge _________________________________________
8. Type of Work ____________________________________________________________________
9. Date of Evaluation ______________________________________________________________
a) Attendance: (Satisfactory/ Good/ Excellent)

b)Practical Work: (Satisfactory/ Good/ Excellent
c)Faculty’s Evaluation: _ (Satisfactory/ Good/ Excellent)
d) Evaluation of Industry: (Satisfactory/ Good/ Excellent)
Overall grade: (Satisfactory/ Good/ Excellent)
Signature of Faculty Mentor Signature of Internship Supervisor

(Industry)
With date & Stamp
*Photocopy of the attendance record duly attested by the training in-charge should be attached with
the evaluation Proforma.
SUPERVISOR EVALUATION OF INTERN (To be collected from Industry Supervisor)
Student Name: Date:___________

Work Supervisor:__________________ Title: _________
Company/Organization: _________________
Internship Address: _______________________________________________________________
Dates of Internship: From____________ To__________
Please evaluate your intern by indicating the frequency with which you observed the
following behaviors:
Parameters Needs Satisfactor Good Excellent
improvem y
ent
Behaviors
Performs in a dependable manner
Cooperates with co-workers and
supervisors
Shows interest in work
Learns quickly
Shows initiative
Produces high quality work
Accepts responsibility
Accepts criticism
Demonstrates organizational skills
Uses technical knowledge and
expertise
Shows good judgment
Demonstrates creativity/originality
Analyzes problems effectively
Is self-reliant
Communicates well
Writes effectively
Has a professional attitude
Gives a professional appearance
Is punctual
Uses time effectively
Overall performance of student intern (circle one):
(Needs improvement/ Satisfactory/ Good/ Excellent)
Additional comments, if any:
Signature of Industry supervisor HR Manager ______________________

ATTENDANCE SHEET
(For 4 years Degree Programme. / M.Tech. & MBA )

Name & Address of Organization
Name of Student
Roll. No
Name of Course
Date of Commencement of Trg.:
Date of Completion of Training:
Initials of the student
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Mon
th &
Year
Note :
1. Attendance Sheet should remain affixed in Daily Training Diary. Do not remove or
tear it off.
2. Student should sign/initial in the attendance column. Do not mark ‘P’
3. Holidays should be marked in Red Ink in attendance column. Absent should be
marked as ‘A’ in Red Ink.
Signature of Company internship
supervisor with company stamp/
seal
(Name_________________________________________) Contact No.

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REQUEST LETTER FROM INSTITUTE TO INTERNSHIP PROVIDER

A line of confirmation will be highly appreciated.

With warm regards,

3a. Student email address:

4. Academic Concentration 5. Internship Semester: Year.

Location Core Area Company/ institution

Faculty mentor Signature: Date .

Part I: Contact Information

City, State, Pin:

Academic Credit Information

Grading Option: Credit/Non-credit

Hours per Week:

Student Name: Date:

Internship is: Paid Unpaid

Faculty Coordinator: Department:

In what areas did you most develop and improve?

What has been the most significant accomplishment or satisfying

Considering your overall experience, how would you rate this

internship? (Circle one). (Satisfactory/ Good/ Excellent)

DEPARTMENT OF TRAINING AND PLACEMENT

Ph. Fax Email

1. Name of Student_________________________________ Mob. No_____________________

a) Attendance: (Satisfactory/ Good/ Excellent)

Signature of Faculty Mentor Signature of Internship Supervisor

With date & Stamp

Student Name: Date:___________

Signature of Industry supervisor HR Manager ______________________

(For 4 years Degree Programme. / M.Tech. & MBA )

(Name_________________________________________) Contact No.

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