FORMAT 01- STUDENT INTERNSHIP PROGRAM APPLICATION
Complete and submit to the TPO/ Internship Program Coordinator. Type or write clearly.
1. Student Name:
2. Campus Address: Phone:
3. Home Address: Phone:
3a. Student email address: Mobile:
3b. Student PAN- 3c. ADHAR number-
4. Academic Year: 5. Internship Semester: Year.
6. Overall GPA:
7. 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
FORMAT 02- STUDENT PERSONAL INFORMATION FORM
1. Student Name:
2. E mail ID Phone:
3. Student email address: Mobile:
4. Name of higher Education:
5. Branch:
6. CGPA:
7. Internship/ Other work Experience:
8. Project/ Mini Project ( brief information):
9. Other Achievements and Personal interest:
FORMAT 3: 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/Madam,
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
training in your esteemed organization. Kindly accord your permission and give at least one-week
time for students to join training after confirmation.
Sr 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,
Training & Placement Officer
FORMAT 4 - RELIEVING LETTER OF STUDENT
To
.......................................
.......................................
Subject: Relieving letter of student and Industry.
Dear Sir,
Kindly refer your letter/e-mail dated................ on the above cited subject. As permitted by your
good self the following students will undergo Industrial Internship in your esteemed organization
under your sole guidance & directions:
S.No. Name of Students Roll No. Branch
This training being an essential part of the curriculum, the following guidelines have been
prescribed in the curriculum for the training. You are therefore, requested to please issue following
guidelines to the concerned manager/Industrial Supervisor.
1. Internship schedule may be prepared and a copy of the same may be sent to us.
2. Each student is required to prepare Internship diary and report.
3. Kindly check the Internship diary of the student daily.
4. Issue instruction regarding working hours during training and maintenance of the attendance
record.
You are requested to evaluate the student’s performance on the basis of grading i.e. Excellent,
Very Good, Satisfactory and Non Satisfactory on the below mentioned factors. The
performance report may please be forwarded to the undersigned on completion of training in
sealed envelope.
S.No. Name of Students Evaluation Ranking
a. Attendance and general behaviour
b. Relation with workers and supervisors
c. Initiative and efforts in learning
d. Knowledge and skills improvement
e. Contribution to the organization
Your efforts in this regard will positively enhance knowledge and practical skills of the students,
your cooperation will be highly appreciated and we shall feel obliged.
The students will abide by the rules and regulation of the organization and will maintain a proper
discipline with keen interest during their Internship. The students will report to you on
dated.................... along with a copy of this letter.
Yours sincerely,
Nodal Officer/Training & Placement Officer
Name of Institute and date
FORMAT 5: STUDENT’S DAILY DIARY/ DAILY LOG
Week Assigned work Main Task Note if any
FORMAT 06 : ATTENDANCE SHEET
(On Company letterhead)
(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
Month
& 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.
FORMAT 07: SUPERVISOR EVALUATION OF INTERN (On Company letterhead)
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 Satisfactory Good Excellent
improvement
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
FORMAT 08: STUDENT FEEDBACK OF INTERNSHIP (TO BE FILLED BY
STUDENTS AFTER INTERNSHIP COMPLETION)
Student Name: Date:
Industrial Supervisor: Title:
Supervisor Email: 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 Opinion Disagree Strongly
Agree 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 Opinion Disagree Strongly
Agree 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?)
Student Sign
Name
Roll no-
Date
FORMAT 09 : 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
S.No. Name of Students Evaluation Ranking
a. Attendance and general behaviour
b. Relation with workers and supervisors
c. Initiative and efforts in learning
d. Knowledge and skills improvement
e. Contribution to the organization
Overall grade: (Satisfactory/ Good/ Excellent)
Signature of Faculty Mentor
