Shri Venkateshwara Shikshan Sanstha’s
NANASAHEB MAHADIK COLLEGE OF ENGINEERING
NH – 4, Peth Naka, Tal: Walwa,Dist: Sangli. 415 407
www.nmcoe.org.in
Accredited by NAAC , Bangalore
STUDENT INTERNSHIP PROGRAM APPLICATION
Complete and submit to the TPO/ Internship Program Coordinator.
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 .
(HOD)
Signature confirms that the student has attended the internship orientation and has metal paper work 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
Shri Venkateshwara Shikshan Sanstha’s
NANASAHEB MAHADIK COLLEGE OF ENGINEERING
NH – 4, Peth Naka, Tal: Walwa,Dist: Sangli. 415 407
www.nmcoe.org.in
Accredited by NAAC , Bangalore
OBJECTIVES/ GUIDELINES/ AGREEMENT: INTERNSHIP SYNOPSIS (THIS WILL BE
PREPARED IN CONSULTATION WITH FACULTY MENTOR)
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
Shri Venkateshwara Shikshan Sanstha’s
NANASAHEB MAHADIK COLLEGE OF ENGINEERING
NH – 4, Peth Naka, Tal: Walwa,Dist: Sangli. 415 407
www.nmcoe.org.in
Accredited by NAAC , Bangalore
Part II: Internship Objectives/Learning Activities
Internship Objectives: What do you intend to learn, acquire and clarify through this internship? Try to use
concrete, measurable terms in listing your learning objectives under each of the following categories:
• Knowledge and Understanding
• Skills
Learning Activities: How will your internship activities enable you to acquire the knowledge/understanding,
and skills you listed above?
On the job: Describe how your internship activities will enable you to meet your learning objectives. Include projects,
research, report writing, conversations, etc., which you will do while working, relating them to what you intend
to learn.
Teaching/Mentoring Activities: How your technical knowledge can be applied at the site of the internship. How
you can create value through mentoring/help people learn new things.
Off the job: List reading, writing, contact with faculty supervisor, peer group discussion, field trips, observations,
etc., you will make and carry out which will help you meet your learning objectives.
Evaluation: Your Internship supervisor will provide a written evaluation of your internship. Describe in detail
what other evidence you will provide to your faculty Mentor to document what you have learned (e.g. journal,
analytic paper, project, descriptive paper, oral presentation, etc.) Include deadline dates.
Shri Venkateshwara Shikshan Sanstha’s
NANASAHEB MAHADIK COLLEGE OF ENGINEERING
NH – 4, Peth Naka, Tal: Walwa,Dist: Sangli. 415 407
www.nmcoe.org.in
Accredited by NAAC , Bangalore
Part III: The Internship
Job Description: Describe in as much detail as possible your role and responsibilities while on your internship.
List duties, project to be completed, deadlines, etc. How can you contribute to the organization/site of internship.
Supervision: Describe in as much detail as possible the supervision to be provided/needed at the work site.
List what kind of instruction, assistance, consultation you will receive from whom, etc.
Evaluation: How will your work performance be evaluated? By whom? When?
Part IV: Agreement
This contract may be terminated or amended by student, faculty coordinator or work supervisor at any time upon
written notice, which is received and agreed to by the other two parties.
Student Date
Faculty Mentor Date
Industry Supervisor Date
Shri Venkateshwara Shikshan Sanstha’s
NANASAHEB MAHADIK COLLEGE OF ENGINEERING
NH – 4, Peth Naka, Tal: Walwa,Dist: Sangli. 415 407
www.nmcoe.org.in
Accredited by NAAC , Bangalore
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 behavior
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,
Training & Placement Officer
Shri Venkateshwara Shikshan Sanstha’s
NANASAHEB MAHADIK COLLEGE OF ENGINEERING
NH – 4, Peth Naka, Tal: Walwa,Dist: Sangli. 415 407
www.nmcoe.org.in
Accredited by NAAC , Bangalore
STUDENT’S DAILY DIARY/ DAILY LOG
DAY-1 DATE
Time of arrival Time of Departure Remarks
Dept./Division Name of Finished
Product
Name of HOD/
With e-mail id
Main points of theday
Signature of Industry Supervisor
Shri Venkateshwara Shikshan Sanstha’s
NANASAHEB MAHADIK COLLEGE OF ENGINEERING
NH – 4, Peth Naka, Tal: Walwa,Dist: Sangli. 415 407
www.nmcoe.org.in
Accredited by NAAC , New Delhi
SUPERVISOR EVALUATION OF INTERN
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
Shri Venkateshwara Shikshan Sanstha’s
NANASAHEB MAHADIK COLLEGE OF ENGINEERING
NH – 4, Peth Naka, Tal: Walwa,Dist: Sangli. 415 407
www.nmcoe.org.in
Accredited by NAAC , New Delhi
STUDENT FEEDBACK OF INTERNSHIP (TO BE FILLED BY STUDENTS AFTERINTERNSHIP
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
Shri Venkateshwara Shikshan Sanstha’s
NANASAHEB MAHADIK COLLEGE OF ENGINEERING
NH – 4, Peth Naka, Tal: Walwa,Dist: Sangli. 415 407
www.nmcoe.org.in
Accredited by NAAC , New Delhi
Madeitpossiblefor me to bemoreconfidentinnew
Situations
Given me achancetoimprove my interpersonal
Skills
Helped me learn to handle responsibility and use my
time wisely
Helped me discovernewaspectsofmyselfthat I
didn’t know existed before
Helped me develop new interests and abilities
Helped me clarify my career goals
Providedmewithcontactswhich mayleadtofuture
Employment
Allowed meto acquire information and/ oruse equipment
not available at my Institute
In the Institute internship program, faculty members are expected to be mentors for students. Do you feelthat your
faculty coordinator served such a function?
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 ableto take anew 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? (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?)
Shri Venkateshwara Shikshan Sanstha’s
NANASAHEB MAHADIK COLLEGE OF ENGINEERING
NH – 4, Peth Naka, Tal: Walwa,Dist: Sangli. 415 407
www.nmcoe.org.in
Accredited by NAAC , New Delhi
ROFORMA FOR EVALUTION OF INTERNSHIP BY INSTITUTE
DEPARTMENT OF TRAINING AND PLACEMENT
Evaluation (I)
1. NameofStudent Mob. No.
2. College Roll No. University Roll. No.
3. Branch/Semester Period of Training
4. Home Address with contact No.
5. Address of Internship:
6. Address of Training ProvidingInstitute
7. Name/Designation of Training In-charge
8. 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
Withdateandstamp
Shri Venkateshwara Shikshan Sanstha’s
NANASAHEB MAHADIK COLLEGE OF ENGINEERING
NH – 4, Peth Naka, Tal: Walwa,Dist: Sangli. 415 407
www.nmcoe.org.in
Accredited by NAAC , New Delhi
INTERNSHIP EVALUATION REPORT
Name & Address of Organization
Sr. Name of Roll Marks to be awarded by OVER ALL
No. Student No. GRADE
Punctuality Maintenance of Skill Test
Grade Daily Diary Grade Grade
(Satisfactory/ (Satisfactory/ (Satisfactory/
Good/ Good/ Excellent) Good/
Excellent) Excellent)
Shri Venkateshwara Shikshan Sanstha’s
NANASAHEB MAHADIK COLLEGE OF ENGINEERING
NH – 4, Peth Naka, Tal: Walwa,Dist: Sangli. 415 407
www.nmcoe.org.in
Accredited by NAAC , New Delhi
ATTENDANCE SHEET
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.
