Registration Form for Companies Offering/Student Work Experience

REGISTRATION FORM FOR COMPANIES OFFERING/STUDENT WORK EXPERIENCE

Company name: ______Name and position of responsible director: ______Complete address: ______Contact telephone and e-mail:______Types of activity of company: ______Sector(s) in which it operates: ______

Does the company have partnership agreements? [ ] Yes [ ] No If yes, specify which:

Do you take part in a Quality Control Program? [ ] Yes [ ] No If yes, specify which: ______

Name of trainee supervisor: ______(a) Professional Register number: ______(b) Identity-card number: ______

Can you provide some type of assistance? [ ] Yes [ ] No

Please specify: ______[ ] Financial [ ] Life insurance [ ] Meals [ ] Others: please specify

Date: Company Stamp

Signature of responsible person