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Pledge sheet for Master 1 and Master 2 Internships - Master Life Sciences & Health - University Paris-Saclay

INSTRUCTIONS

This form will be used as a reference for creating your internship agreement with the PStage tool.

Before creating your internship agreement:

This form should be completed together with your internship supervisor.

After completing the form, the pledge sheet has to be approved by your referent teacher.

When your receive the approval from your referent teacher, you can create the internship agreement with the PStage tool.

All the fields on this form must be completed digitally and with the greatest care.

FRAME RESERVED FOR THE STUDENT

Program: *	First Name: *
Last name: *	Student_number: *

INTERNSHIP DESCRIPTION

Internship title: *

Competences:

1500 character(s) / 1500

Objectives:

1500 character(s) / 1500

Gratification: * Yes No
Net amount:
Payment per: Month Hour

Total duration of the internship: *
Number working days / week: *
Number of days off: *

Comments on working time:

1000 character(s) / 1000

REFERENT TEACHER

Usually the responsible of your M1 platform

HOST ORGANIZATION

Institute name: *
SIRET:(14-digit number) *	Host type: *	Workforce:
APE code:(4 chiffres + 1 lettre Ex. : 01.10Z) can be found here	Legal status (if private campany):

Address: *
Zip code:	City: *	Country: *

Legal representant of the host organization:
Civility: * Mrs Mr
First Name: *	Last name: *
Phone: *	Email: *