<p> Corso di Laurea e Laurea Magistrale in FISICA </p><p>EDUCATIONAL PROJECT 1</p><p>(rif. Convenzione n. stipulata in data )</p><p>Name and Surname: ……………..……………..……………..</p><p> born in: …………. on: …………….. resident in: ………………………………. living in: ………………………………. fiscal code: ……………………………… phone: …………….. cell.: …………….. e-mail: …………….…………….. . □ enrolled to …… year of Laurea in Fisica</p><p>- Mondo Lavoro (form 1 to 4 CFU): n. credits asked ____ - Prova finale (from 1 to 4 CFU): n. credits asked ____</p><p>□ enrolled to …… year of Laurea Magistrale in Fisica, curr. ……………..</p><p>- Attività propedeutica alla prova finale (from 1 to 3 CFU): n. credits asked ____ - Prova finale (form 1 to 30 CFU): n. credits asked ____ </p><p>Hosting Company/Institute/University: </p><p>Place: </p><p>Time of access: </p><p>Period: n. months ….. from ……. To ……….</p><p>Name of Academic Tutor (university professor/researcher): Name of Tutor of Hosting Company/Institute/University: </p><p>Insurance Policies: - Accident insurance - INAIL "Gestione per Conto". - Civil liability policy n. 767407.26 issued by Fondiaria SAI – expiry date 31/10/2015</p><p>1 Data di approvazione in CCdL: ______Learning outcomes: ______</p><p>Subsidies: ______</p><p>Student’s duties: - to comply with the instructions issued by the tutors and refer to them for all organisational and other requirements; - to comply with the obligations of confidentiality over production processes, products or other company information of which they may become aware, both during and after the internship; - to comply with the company regulations and the health and safety standards.</p><p>Bologna, ……………..</p><p>1) Signature for acknowledgement and acceptance by the student</p><p>……………………………………………………….</p><p>2) Signature of the Academic Tutor</p><p>……………………………………………………….</p><p>3) Signature of the Tutor of the Hosting Company/Institute/University</p><p>……………………………………………….</p><p>4) Signature for Alma Mater Studiorum - Università di Bologna, Coordinator of Corso di Laurea e Laurea Magistrale in Fisica 2</p><p>………………………………………………..</p><p>2 The Coordinator’s signature is directly acquired by Segreteria Didattica of DIFA, where this form has to be handed in.</p>