Temasek Polytechnic School of Informatics & IT

STRUCTURED STUDENT INTERNSHIP PROGRAMME (SIP) – REQUEST FORM

(Please submit this form at least 2 months before SIP starts. Please send the form via email to [email protected]. The result of local SIP allocation will be made known via email 2 weeks before SIP starts.) This form aims to capture information on organisations’ requests for interns and should take you about 5 minutes to complete. All information provided by you will be treated with utmost confidentiality and will be used exclusively by us to keep in touch with you. You will need the following information to fill in the form: a) Proposed SIP Tasks b) Number of interns required.

1. Organisation a ) Name of Organisation : b ) Address : Postal Code: c ) Contact Information : Tel : Fax : d ) No. of Employees : e ) Company Website : f ) Organisation Type : (Please tick one below) Govt/ Statutory Board Multi-National Corporation Non-profit Organisation Private Company g ) Type of Business:

2. Company Contact Person:

a) Name (Dr/ Mr/ Ms/ Mrs) : Tel # : b) Designation : Email :

3. Internship Start Date Apr Jul Sep Oct Others (please tick one): (please indicate month: ______)

4. Duration > 6 months (Preferred) 4- 6 months No. of months: ______(please tick one): No. of months: ______No. of months: ______

4- 6 months

No. of months: ______

5. Number of interns required:

6. Other information:

a) No. of working days per week : 5 5.5 6 b) Working hours : Mon to Fri from to and/ or * Sat from to c) Shift Work : Yes No If yes, please specify time d) Overseas assignment : (Yes/ No *) Period (s) : From to e) Country to be attached : f) Special Requirements : g) Please indicate Monthly Allowance to be paid to each student : h) Project Title :

i) Outline of proposed SIP tasks :

* Please delete where not applicable.