Internship Agreement
Internship as part of a course unit
Important notice
Make sure the data you enter is correct and complete. The internship agreement is generated using these data and is automatically sent for approval to E-mail address of the training entity supervisor of the placement organization. Carefully check before submission! VUB students and Non-EU students registered at VUB should use this VUB Internship agreement independently of the type of internship.
Name student
*
First Name
Last Name
Address student
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
E-mail address student
*
Student number
*
Phone number student
*
-
Area Code
Phone Number
Master programme
*
Please Select
Bruface - MSc in architectural engineering
Bruface - MSc in chemical and materials engineering
Bruface - MSc in civil engineering
Bruface - MSc in electromechanical engineering
Bruface - MSc in electrical engineering
MSc in biomedical engineering
MSc in applied computer science
MSc in photonics engineering
Number of working days
*
Please Select
40 working days
60 working days
Course type
*
Please Select
Short Internship in photonics (5 credits): SEM 1/3 - course code 4023550ENR
Short Internship in photonics (5 credits): SEM 2/4 - course code 4023551ENR
Long Internship in Photonics (10 credits): SEM1/3 - course code 4023546ENR
Long Internship in Photonics (10 credits): SEM2/4 - course code 4023547ENR
MSc in biomedical engineering course unit nr.
*
Please Select
4019819FNR sem1
4023541FNR sem2
Bruface course unit nr.
*
Please Select
4017271ENR (6 CR)
4017270ENR (10 CR)
MSc in applied computer science course unit nr.
*
Please Select
4018929ENR
Name of the placement organization
*
Name legally responsible person in the placement organization
*
First Name
Last Name
E-mail address legally responsible person in the placement organization
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Phone number placement organization
*
-
Area Code
Phone Number
Supervisor of the training entity
*
First Name
Last Name
E-mail address training entity supervisor
*
Phone number training entity supervisor
*
-
Area Code
Phone Number
The internship is (only select a single option)
*
research-oriented
industry-oriented
Description of the internship placement duties
*
Identification number step 1 - application
*
Approval academic coordinator
*
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of
Approval academic supervisor
*
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of
Approval academic coordinator 60 working days internship
*
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of
Start date
*
-
Day
-
Month
Year
Date Picker Icon
End date
*
-
Day
-
Month
Year
Date Picker Icon
Day/hour regime
*
Academic coordinator
*
Please Select
prof. Ann Verdonck - Bruface - MSc in architectural engineering - 40 working days internship
prof. Sebastiaan Eeltink - Bruface - MSc in chemical and materials engineering - Profile: Process Technology - 40 working days internship
prof. Tom Hauffman - Bruface - MSc in chemical and materials engineering - Profile: Materials - 40 working days internship
prof. Lincy Pyl - Bruface - MSc in civil engineering - structures - general - 40 working days internship
prof. Marijke Huysmans - Bruface - MSc in civil engineering - hydrology - 40 working days internship
prof. Dieter De Baere - Bruface - MSc in electromechanical engineering - 40 working days internship
prof. John Lataire - Bruface - MSc in electrical engineering
prof. Johan Stiens - MSc in biomedical engineering
prof. Adrian Munteanu - MSc in applied computer science
prof. Heidi Ottevaere - MSc in photonics engineering (50 and 25 working days internship)
Cédric Boey (academic in charge Frédéric Robert) - Bruface 60 working days internship
E-mail address academic coordinator
*
Please Select
Ann.Verdonck@vub.ac.be
Sebastiaan.Eeltink@vub.be
Tom.Hauffman@vub.be
Lincy.Pyl@vub.be
Marijke.Huysmans@vub.be
Dieter.De.Baere@vub.be
John.Lataire@vub.be
Johan.stiens@vub.be
macs@etrovub.be
Heidi.Ottevaere@vub.be
cboey@ulb.ac.be
Academic supervisor
First Name
Last Name
E-mail address academic supervisor
E-mail address for Bruface 60 working days internship
The academic in charge of the general coordination of the internships VUB - Faculty of Engineering Sciences
Lincy.Pyl@vub.be
The general coordination of the internships VUB - Faculty of Engineering Sciences
ir-internships@vub.be
Please verify that you are human
*
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