Internship Course Registration Form For Internships Held in English

英語科目登録用
１．Checklist
*Those who will apply for internships held in
*You may only register once you have checked all the following.☑ Japanese should submit the Japanese version of this
☑ I will participate in a contract internship. form.
nd
☑ I am in my 2 semester or higher. ※ 日本語で実習を行う企業に応募する場合は、
☑ I am not in my final semester. 日本語の登録願を提出してください。

☑ I will also be enrolled at APU next semester (and not be on Leave of Absence).
☑ I have carefully read the “Internship handbook” and fully understood the conditions.
☑ I will attend all the pre and post-internship classes including the Internship Business Manners Seminar. 【Business
Manners Seminar: 7/19 or 7/22（6ht Period）,
Pre-internship classes: both 7/13 and 7/20（5-6ht Period）,
Post-internship classes: both 10/12 and 10/19（5-6ht Period）】
☑ I understand that I am not allowed to register for the internship course if I did not end up participating in an
internship, or if the total internship period is less than 40 hours.

２．Internship Information
Name of
Host Institution
Gensler and Associates International

Duration Year Month Day Year Month Day

～
*tentative 2022 8 1 2022 9 30

Estimated Total Estimated No. of

220 hours 2　/ 4
Working Hours Credits

３．Internship Pledge
Please read and sign the following pledge.
Pledge

I hereby pledge that I understand the requirements for course registration mentioned in the Internship Handbook and I
will attend all of the pre and post-internship lectures held in the designated language. During these sessions I will follow
all directions from my teacher and staff of the Academic Office and will approach the work involved with a positive
attitude. I will not disrupt the class or engage in any activities which may cause a disturbance.
2022 / 5 / 19 Student ID 12419031
year month date Name Kabirjon Abdumajidov

Career Office
Seal
Submission: Must be submitted together with “APU Contract Internship Application
Form” to the Career Office. (submit to the link written on each host institution’s
application page)