Computer Science, Information technology , Business IT & Management
Duivendrechtsekade 36-38 phone: 020-525 1642 / 1643 / 1610
1096 AH Amsterdam Fax: 020-525 1620
Postbus 1025 Careers centre - Mieke Bierbooms, Tamar Freeve
1000 BA Amsterdam , DDK E1.04
Graduate Project Application Form
(Please send this form for approval to:
Student dataName:
Address:
Postal code & town:
BU: student number:
Phone:
HvA email:
LA / coach:
Preferred University supervisor (lecturer)[1]:
Company data
Company Name:
Postal address:
Postal code & town: Country:
Visiting Address:
Postal code & town:
Phone: Fax no:
Website: Email:
Company supervisor data
Name: M / F Position:
Department:
Phone:
Email:
Placement Pre-requisites
- Have you met all pre-requisites? yes Signature LA / coach:
- If not, explain no
Graduate Project: starting date – finishing date
How did you find the project?Company data
(to be filled in by student and company supervisor)
1. Company size (turnover, number of employees etc.) of the company and department.
Add an organogram including the student position if possible.
2. Does the company operate internationally?
3. Which services or products are provided?
Project / Research Description(to be filled in by student and company supervisor)
4. Project / Research title.
5. Brief description of Project / Research.
6. Project / Research background / rationale
7. Which question does the company want to be answered?
8. Plan of Approach.
9. Which skills are needed to carry out this Project / Research?
10. What field is the project/research in?
SE SNE BIM ITSM BE FIS IC ES HCD GD GTYour graduate project summarised in one sentence
Non-disclosure Agreement
Do you need to sign a Non-disclosure Agreement? yes / noIf so, which one?:
Signature student and company supervisor
Date: Place:
Signature student: Signature company supervisor:
Approval of placement
date: Place:
On behalf of the Project Board:
(signed by the careers centre)
Name:
Name:
signature:
[1] You may state a preference but the Project Board will decide.