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 Address: Phone:

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:
Industr Internship is: Paid Unpaid
ial Supervisor:

Supervisor Email:

Company/Organization:

Internship Address:

Faculty Coordinator: Department:

To
Dates of Internship: From

***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
improveme y
nt
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 1 1 1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 2 2 3 3
M 0 1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8 9 0 1
ont
h
&
Ye
ar

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.

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.
S.No. Name of Students Evaluation Ranking
a
You are requested Attendance
to evaluate and general
the student’s performance behaviour
on the basis of grading i.e. Excellent, Very Good, Satisfactory and Non Satisfactory on the
below mentioned
b factors. The performance report may please
Relation with workers and supervisors be forwarded to the undersigned on completion of training in sealed
envelope.
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,