Name of trainee
Date and place of birth:
Address:
Fiscal code No.:
University status (mark with an “X”):
Host Organization:
Address:
Zip code and country:
Tel and e-mail:
Place where the internship will take place (address, department, etc):
Expected hours of access to the premises:
Expected period of internship:
total number of months: from
to
(It is possible to extend the internship in accordance with the regulations in
force)
University supervisor:
Organization supervisor:
Insurance policies provided for by the University:
-
INAIL insurance coverage for on the job injuries
-
Civil responsability No. 219442106, Insurance company: Assicurazioni
Generali s.p.a.
Purpose and modalities of the internship:
Special conditions that have been agreed upon:
Trainee’s obligations.
The trainee must:
- Follow the supervisors’ suggestions and inform them of requirements
or needs that may come up during the internship;
-
Respect and maintain secrecy on confidential information, about
products, processes or on other classified information regarding the organization,
that he/she may come in touch with both during the internship and after it has
ended;
-
Respect the rules and regulations on hygiene and security.
By signing the present agreement, according to Art. 10 and the succeeding articles
of the law 675/96 (regarding the protection of individuals and other subjects
of law in matter of handling of personal information) the trainee allows the transmission
of his/her personal data to the host organization and consents to the use of this
data strictly for purposes directly connected with the present internship relation.
Date:
UNIVERSITÀ DEGLI STUDI DI ROMA "TOR VERGATA"
The Rector (Prof. Alessandro Finazzi Agrò)
……………………………………………………
……………………………………………………………………..
The legal representative (…………………………………)
……………………………………………………
The trainee
……………………………….……………………
