ECE 125S: INTERNSHIP IN ELECTRICAL AND COMPUTER ENGINEERING

REPORT COVER SHEET

Please provide this form and your report to your supervisor for approval. The information in the
student’s technical report is for academic purposes only. This form and the typed report must be
uploaded to the ECE 125S Canvas course page as an assignment. It is the student’s responsibility to
upload this document along with the technical report to the Canvas Course page.

If you have any questions, please contact Nikki Rodelas Morris. (nikkirodelas@austin.utexas.edu)

The ECE Department will not accept reports that are not signed by the Supervisor

Student Name (PRINT): __________________________________ EID: ________________

Company Name: ______________________________________________

Company Location (CITY & STATE): __________________________________

Dates of Internship: ______________________________________

Bottom of form to be completed by Supervisor

My signature below certifies that I have read the attached internship work report.

 The contents are suitable to share with the Engineering Career Assistance Center as a means of
advertising what interns do at our company.
 The information contained in this report should not be released due to confidential and
proprietary content.

Supervisor Signature: ________________________________________ Date: __________

Supervisor Contact Information (Business card accepted):

ECE Undergraduate Office

10/3/2022 | NRM