Format No: GU/M-30/ Form-1

F-1: Student Application for 4-6 weeks Internship

Complete and submit to the Dean through School Internship Program Coordinator. (Type or
write clearly)
Student Name:
Home Address Phone

Email address
Program Internship Semester
Overall GPA
Internship Preferences
Location Core Area Company/
institution
F-1 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)

Dean Dean IIIC Dean Academic

 Format No: GU/M-30/ Form-3

F-2: 4-6 weeks Internship Request Letter from University to the Internship provider

To
The General Manager (HR)
....................................... .......................................

Subject: REQUEST FOR 04/06 Weeks internship training of MBA/2 years Degree
Programme,

Greetings from Galgotias Educational Institutions !!

We feel privileged to introduce  Galgotias Educational Institutions (GEI) as one of the

leading and quality-driven educational groups in the Delhi-NCR Region.  
Galgotias Educational Institutions consist of three institutions: 
Galgotias College of Engineering & Technology (GCET)
Galgotias Institute of Management & Technology (GIMT)
Galgotias University (GU).
 
Galgotias Educational Institutions combine a supremely empowering educational process,
industry stalwarts in their faculty, global educational associations, and relentless placement
efforts, to offer the best of career opportunities to its students. Galgotias Educational
Institutions are known for a combination of state-of-the-art campus, strategic teaching-
learning process, together with the most advanced facilities, creating an environment in
which wholesome corporate personalities are created.
 
Further, we’d like to furnish that as a part of the course curriculum, our students are required
to undergo a Summer Internship Program of 45 Days. The Internship Duration will be from
June 1 till July 15, 2021.
 
In this regard, we request you to kindly allow -Student name------------------------------
(Admission No.- ) student of 2 years full-time program of Business Administration (Batch-
2021-23) to complete Summer Internship in your esteemed organization by assigning project
work pertinent to the stream pursued.
 
Feedback on the student’s progress and evaluation on the assigned ‘Project’ will be highly
appreciated.
Yours sincerely,
Dean Industry Internship Interaction Cell
 Format No: GU/M-30/ Form-4

F-3: Student Internship Undertaking

Date:-

In my own interest, I am willing to complete internship at

_______________________________
__________________________________________________________________________(
Organisation/ Address) from / / 2021 to 2019. I hereby give an undertaking as under.

 I will strictly abide by all rules and regulations of the industry/Institute and Galgotias
University, Uttar Pradesh.
 I shall be responsible for my conduct and own safety at the industry/Institute and
Galgotias University, Uttar Pradesh shall not be responsible for this in any manner.
 I shall take care of my personal belongings. I shall not make any claim and no type of
any claim shall be made in my respect and on my behalf by anyone in respect of any
loss or injury to me (including fatal injury or death) or to the property of mine which
may suffer or occur during the above mentioned programme.
 I will not act in any manner that defames the industry/Institute and Galgotias
University, Uttar Pradesh, in any manner whatsoever.
 I will not claim the expenses over & above for stay & mess to the Industry/Institute or
to the University.
 I will regardless of age, may not use or be in possession or under the influence of
alcohol or unauthorized
drugs on either the industry premises or place of stay (Hostel/ rental accommodation)
Violation of this regulation may result in suspension or expulsion from the university.
 I will maintain confidentiality of work-related projects and personnel.
 I will familiarize myself with, and adhere to, relevant organizational arrangements,
procedures, and functions.
 I will understand what constitutes a permissible work absence and who to notify if
absent, be prompt with being on time to work and with assignments; give it my best
effort.
 I will report changes in work schedule, supervision, or problems at the site to the
internship coordinator and industry supervisor.
 If I feel victimized by a work-related incident, I will contact the internship coordinator
immediately.
 I will dress appropriately for the work setting.
 I will follow through on commitments.
 I will not conduct personal business during work hours (i.e. e-mails, cell phones, and
internet).
 I will keep a positive attitude, open mind; avoid jumping to conclusions; try to make
informed judgments.
 I will communicate – keep people informed in a useful and succinct way, listen and
ask questions.
 I will be fair, considerate, honest, trustworthy, and cooperative when dealing with co-
workers.
 I will assert ideas in an appropriate and tactful manner, seek feedback from
supervisors, accept suggestions for corrective changes in behavior and attempt to
improve performance.
  I will accept constructive criticism and continuously strive to improve performance,
seek to enhance professional effectiveness by improving skills and acquiring new
knowledge.
 I am fully aware that no faculty coordinator is accompanying me and no coordinator
is appointed on behalf of the university at the place of internship.

Date Signature:
Place Name of Student:
Department Phone Number:
Semester Section-Roll No
I have allowed my ward (name as indicated above) for the above-mentioned
Internship and instructed him/her to take due precaution for safety and discipline as listed
above. I also undertake that the Industry/Institute or the university shall in no way be
responsible for any loss or injury to my ward during the programme.

Date: Signature
Place: Name of Parent:
Address: Mobile No:
 
Format No: GU/M-30/ Form-5

F-4: Internship Synopsis/Executive Summary

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:__________________________________________ Enrollment
No:___________ Programme:__________________________ Semester:_______ Academic
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
Type: Paid/Unpaid
Part II: Internship Objectives/Learning Activities:
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.

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 you can
contribute to organization/ at 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 receive from whom,
etc.

Evaluation: How will your work performance will be evaluated? By whom? When?

Part IV: Agreement

This contract may be terminated or amended by faculty mentor or Industry mentor at any
time upon written notice, which is received and agreed by the other two parties.
Student Signature: Date:
Faculty Mentor signature: Date:
Industry Mentor Signature: Date:
 Format No: GU/M-30/ Form-6

F-5: One Page Report for Industry Training with Topic identification

Branch :
Name of student: Section-Roll No.:
Contact Number: Project Batch:
GU mail id-
Name of Company:
Company Address
Industry Person Name & Contact No Email ID
Designation
HR
supervisor:
Details of Industry:

Duration of Internship: From To Total Days

Actual working days in a

week
Timing ( from – to)
Work Assigned:

Topic Identification

Is this your first experience of

industrial
training/internship?
On a scale of 1to 5 provide
utility of this training on your
profession.
1 (no use), 5(extremely useful)

Signature of student Name & Signature of Faculty

 Format No: GU/M-30/ Form-7

F-6: Student’s Daily Diary/ Daily Log

Index – Logbook

Training records to be written every day in Training Diary at Training.

After completing training in a department, meet the Departmental Head to clarify your
queries, etc. and get his signature as indicated hereunder.

GU faculty visiting the training site may ask the students to show their work and put their
remarks on this page.

Date: Time of Arrival: Time of Departure:

Dept/Division: Project title:
Main Points of the day (including figures, if any)

Signature of Industry mentor with Seal

 Format No: GU/M-30/ Form-9

F-9: Industry Internship Supervisor Feedback

Student Feedback form by Industry mentor

Student Name: Enrolment No:

SIP Title:
Industry Supervisor Name: Organization Name:

Internship From (Start Date) Internship From (End Date)

Parameters Performance
Behaviours Excellent Satisfacto Poor
ry
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
Analyze problems effectively
Is self-reliant
Communicates well
Writes effectively
Has a professional attitude
Gives a professional appearance
Is punctual
Uses time effectively
Industry Supervisor Name:

Signature of Industry mentor:

 Format No: GU/M-30/ Form-10

F-10: Student Feedback of Internship

STUDENT’s FEEDBACK OF INTERNSHIP (TO BE FILLED BY STUDENT AFTER

INTERNSHIP COMPLETION)

STUDENT FEEDBACK FORM

Student Name Roll No.
Institute Name
Faculty Mentor Name Faculty’s Designation
Internship Project Title
Industry Supervisor Name Supervisor’s Designation
Organisation Name
Internship From (Start Date) Internship To (End Date)
Give a brief description of Internship Work
Was your internship Yes, to a large Yes, to a slight degree Not related at
experience related to degree all
your major area of study
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
Did the curriculum
found to be in
consistent with the
industry
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)
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? (Tick One)
Satisfactory Good Excellent

Give suggestions as to how your internship experience could have been improved.

Signature Date