福建师范大学索莱达学院实习申请表

Application Form for Internship of Soledad College, Fujian

Normal University
Aaron Dustin 性别 学号
姓名 Name Male WSZS2019003
Chua Gender Student ID
Master’s in
实习起止时间
Business
专业 Major Internship June – Present
Administratio
Duration
n
联系电话
联系地址
57 Balete Drive New Manila Student’s
Student’s 09178950696
Quezon City Contact
Address
Number
单位联系电话
实习单位全称
Fullblaze Plastic Packaging Contact
Name of the
Corporation/The Coach Potato Number of the 8241 2255
Internship
Ph Internship
Company
Company
Head
of 实习单位指导
实习单位指导
Finan 教师联系电话
教师姓名 Menzie Liao 职称
ce and Contact 09175718896/091
Name of the Yubontoy/Wes Job
sales/ Number of the 78627253
Immediate ley Tan Title
Co- Immediate
Supervisor
Found Supervisor
er
校内指导教师
校内指导教师
联系电话
姓名 职称
WEI　 Contact
Name of the Job
Guojiang Number of the
(Dissertation) Title
(Dissertation)
Advisor
Advisor
 承诺 Undertake
本人自愿参加实习，在实习期间，本人严格遵守国家法律法规和学院及实习单位的
各项规章制度，按计划完成实习任务；本人及本人家长承诺对本人在实习期间的人
身财产安全和一切行为及其产生的后果负完全责任；实习结束后，按时返校。
I am willing to participate in this internship. During the internship, I will strictly abide by
the national laws and regulations and the rules of the college and the internship company
and complete the internship tasks. I and my parents undertake to take full responsibility for
my personal and property safety and all actions and the consequences arising during the
internship. After the internship, I promise to return to school on time.

学生签名 Signature of the Student： Aaron Dustin Chua

学生家长签名 Signature of Parents/Spouse：Diana Chua
年 月 日
Date: 10/28/2020

实习单位意见 学院意见
Opinion of the Company Opinion of the College
校外指导教师签名：
Signature of Immediate Supervisor: Menzie
Liao/VP of Finance and Sales (Fullblaze
Plastic Packaging Corporation)

Wesley Tan/Co – Founder of the Coach 校内指导教师签名：

Potato Ph Signature of (Dissertation) Advisor:

2020 年 11 月 2 日
年 月 日 Date:
Date: 11/02/2020
分管领导签名：
单位领导签名： Signature of the College Leader:
Signature of the Company Leader: Henry
Liao/President (Fullblaze Plastic Packaging
Corporation)

Wesley Tan/Co – Founder of the Coach

Potato Ph （单位盖章）

年 月 日
Date:

（单位盖章）

年 月 日
Date:11/02/2020
注：本表原件由学院归档保管，学生本人、实习单位各执复印件一份。
Note: the original of this form shall be filed and kept by the college, one copy shall be held by the
student and another one by the internship company.