Formularz CO-OP

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Wniosek o przyjęcie na staż w ramach programu CO-OP

Application for internship under CO-OP program

I. Staż, na który aplikuje student

The internship applied for
Company name:

II. Informacje o kandydatce/kandydacie

Information about the candidate
Name(s) and surname:
Address of residence:
Building number:
Flat number:
Personal Identity Number:
Student ID number:
E-mail address:
Phone number:

III. Oświadczenia i zobowiązania kandydatki/kandydata

Candidate’s declarations and obligations
I hereby declare that I meet the requirements specified in the Rules and Regulations of the competition for student internships within the CO-OP program at Nicolaus Copernicus University in Toruń.
I am aware that the CO-OP program is implemented within the framework of the "Excellence Initiative - Research University" program hereinafter referred to as "IDUB".
I declare that I have read and understand the Rules and Regulations of the competition for student internships under the CO-OP program at Nicolaus Copernicus University in Toruń and I undertake to abide by its rules.
I am aware that attendance at the internship is mandatory.
I furthermore acknowledge that the intern may be expelled by the employer for the following reasons:
(a) appearing at the internship in an intoxicated state or after taking other drugs,
(b) obstructing the work of the employer's employees through improper behavior during the internship,
(c) repeated lateness to the internship,
(d) others covered by the law.
I undertake to provide all documentation required in the competition for student internships under the CO-OP program at Nicolaus Copernicus University in Torun.
I declare that the information provided in this application is complete and factually correct.
Caution: providing false data is subject to criminal liability under Article 233 of the Criminal Code and disciplinary liability under Article 307 of the Law of July 20, 2018. Law on Higher Education and Science (Journal of Laws of 2022, item 574, as amended).

IV. Załączniki

A certificate from the dean's office on the grade point average for the last semester or year (in the case of the student's annual settlement) in the field of study from which the application is submitted (PDF file only):

Curriculum vitae of the student including information on: previous work experience, additional academic and organizational activities during the course of study, and their professional motivation (PDF file only):

Justification for applying for the internship with an indication of the benefits to the student's course of study (PDF file only):

A recommendation, e.g. from the dean, supervisor, scientific circle supervisor, year supervisor, class instructor, etc., including, for example, an assessment of the impact of the internship on the realization of the learning outcomes assumed for the subjects indicated by the dean (PDF file only):

For people with disabilities - a copy of the disability certificate (PDF file only):

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