Information Dutch educational institution

Dutch Student – Trainee Agreement PART I · A copy of the passport of the student-trainee must be attached to this form · This form must be present at the address where the internship is fulfilled Personal information international student

Family name
First name
Date of birth	day/month/year
Place of birth
Citizen of
Is a residence permit required?	Yes/No
Dutch residence permit number
Is a copy of the passport attached?	Yes/No
Telephone
E-mail
Home address during the internship
Telephone

Information Dutch educational institution

Name of educational institution
Address
Telephone
E-mail
Unit of educational programme (e. g. faculty)
Name of Educational Supervisor
Telephone
Fax
E-mail

Information host organisation

Name of host organisation
Internship address for student-trainee during the training period
Telephone
Fax
E-mail
Name of on-site Supervisor
Telephone
Fax
E-mail

Internship agreement

Article 1: Objectives and tasks of the internship

The purpose of this internship is to provide the student with experience of the practical application of theoretical knowledge he or she has already acquired and to acquire new skills and knowledge. The host organisation and the educational institution will ensure that the student-trainee is given tasks and responsibilities according to the level of competence of the student and the educational objectives for the training period. This agreement therefore is not an employment contract.
Educational objectives: skills and knowledge to be acquired, defined by the Educational Supervisor.
Tasks of student-trainee: responsibilities in order to meet these objectives, defined by the on-site Supervisor in consultation with the Educational Supervisor.

Article 2: Supervision and evaluation

The educational institution (or unit of educational programme like a faculty) will assign an Educational Supervisor responsible for the student's internship and the host organisation will name an on-site Supervisor. If any problems arise, the on-site Supervisor will contact the Educational Supervisor.
At the end of the internship the educational institution requires a report from the student-trainee, the detailed requirements for this report will be available to the student before the internship begins. The host organisation will be presented a copy of this report.
The host organisation will provide the student-trainee with an evaluation of his or her internship as well as a written confirmation that the scheduled work programme has been undertaken and completed.

Article 3: Internship arrangements

The number of envisaged ECTS points for the internship:
The training period will take place excluding the (parts of) days that the staff of host organisation is not working:
from to
The daily schedule of working hours of the host organisation applies to the student. The minimal hours per week of internship will be:
Student-trainee will not be present at the host organisation on:
The student-trainee must comply with all the regulations of the host organisation.
The compensation for expenses per month will be:
The compensation for travel expenses will be:
The host organisation offers the necessary facilities for the student-trainee to execute his tasks and achieve his/her objectives.
The student-trainee is obliged to apply secrecy to his or her activities during the internship at the host organisation if requested by the host organisation.
The author’s rights on the achieved results lie with the student-trainee if not explicitly regulated otherwise. Both the student-trainee and the Dutch educational institution may use the results for internal purposes without consultation of the host organisation..
The written internship report must be presented to the on-site supervisor before it is handed in to the educational supervisor.

Article 4: Social protection / Insurance

The host organisation will protect the student-trainee against any form of intimidation or discrimination at the workplace. The principle of equal rights will prevail.
According to Dutch law (art. 7: 658 lid 4 Burgerlijk Wetboek) the host organisation is liable for injuries and damage that the student-trainee may suffer from during his/her internship.
The student-trainee will make sure that an insurance is concluded for accidents and liability in the workplace by either the host organisation or the student-trainee itself according to Dutch law.

Accidents insurance number

Liability insurance number

Article 5: Dispute

The student-trainee addresses the on-site supervisor of the host organisation in the first place in case of a dispute. If the dispute cannot be settled amicably between the student-trainee and the on-site supervisor it will be presented to the educational supervisor in order to try to reach a solution suitable to all parties.

Article 6: End and ending of the internship

1. The internship ends

a After the period agreed in article 3.

b If the student-trainee ends his study at the Dutch educational institution.

c If all parties agree to end the internship.

d If the student-trainee dies.

e If the host organisation is bankrupt or will be dissolved.

2. The host organisation can end this agreement, having heard the student-trainee and educational supervisor:

a If the on-site supervisor concludes that the student-trainee is not following the rules of the host organisation or the directions of the on-site supervisor.

b If the student-trainee does not comply with the regulations with regard to secrecy as agreed upon in article 3.

c If the student-trainee acts in a way that a host organisation cannot be requested to accept according good reason.

The on-site supervisor informs the educational supervisor about any ending of the internship.

3. The educational institution can end this agreement, having heard the educational supervisor, the student-trainee and the on-site supervisor if the educational institution concludes that the internship is not complying with the educational objectives and/or the tasks laid out in this agreement or the student-trainee cannot be requested to deal with issues according to good reason. The educational supervisor informs the on-site supervisor about any ending of the internship.

Article 7: General provisions

1. Deviations from the articles in this agreement must be agreed upon in writing by the educational supervisor, the student-trainee and the on-site supervisor.

2. This agreement will be governed by Dutch law.

Signatures

The signatories confirm the accuracy of all statements made on this form and agree to all principles and articles expressed therein.

Name of educational institution

Signature, stamp and date
Name of host organisation

Signature, stamp and date
Name of international student

Signature and date

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