DOSSIER
CONVENTION DE STAGE ETUDIANT en ANGLAIS
•
Instructions relatives aux conventions de stage
•
Convention de stage en 3 exemplaires
SERVICE DE LA SCOLARITE CELLULE STAGES
45, Rue d’Ulm
75230 PARIS Cedex 05
INSTRUCTIONS RELATIVES AUX
CONVENTIONS DE STAGE ÉTUDIANTS
(en scolarité)
I/ AVANT LE DEPART EN STAGE
•
la convention de stage doit être complétée en 3 exemplaires.
•
L’ordre des signatures est le suivant :
1°) Votre signature.
2°) Signature et cachet du représentant de l’organisme d’accueil.
3°) La signature du responsable des études de votre département
ou de votre tuteur.
4°) Décision et signature de la Direction de l’École.
•
Vous devez nous retourner les documents au minimum
15 jours avant le départ pour la 4
eet
dernière signature.
•
La Cellule Stages vous retournera deux exemplaires originaux (un pour vous, un pour l’organisme
d’accueil) avant votre départ.
•
Si l’organisme d’accueil exige que la convention soit signée préalablement par la Directrice de
l’École normale supérieure, elle devra délivrer à l’intéressé (e)
un accord de principe qui sera
joint à la convention.
•
Pour un stage au sein d’un département de l’ENS : renseigner uniquement la
« Fiche de
stage »
(seul le stagiaire, le laboratoire d’accueil, et le tuteur signent, mais pas la direction de
l’École).
•
Pour tout départ :
-
remplir un
certificat de prise en charge
en 3 exemplaires, uniquement dans le cas d’un
remboursement, en partie ou en totalité, des frais de transport et/ou d’hébergement, par votre
département de rattachement
-
vérifier votre couverture
assurance maladie
-
l’ENS a contracté une
assurance responsabilité civile – rapatriement
vous couvrant en cas
d’accident. N’hésitez pas à demander une attestation et une carte d’assistance intermutuelle à la
Cellule Stages (cf. article 4-4 de la convention).
…/…
•
Pour un stage à l’étranger, n’oubliez pas de :
-
vérifier s’il est nécessaire de prendre une
assurance complémentaire
sur place, comme par
exemple pour les Etats-Unis ; sachez que les taux de remboursement des frais médicaux en cas
de maladie ne sont pas les mêmes que sur le territoire français.
-
effectuer les démarches nécessaires pour le visa le cas échéant
-
faire établir par notre service, le cas échéant, un
certificat de scolarité en anglais
.
II/ PENDANT LE STAGE
Si vous rencontrez des difficultés relationnelles ou pédagogiques lors de votre stage, n’hésitez pas à
contacter la Cellule Stages, si possible dès les premiers jours. Nous vous aiderons dans la résolution
de vos conflits.
III/ A LA FIN DU STAGE -
Cf. Article 5.3.
A – Rapport pédagogique
Vous devez remettre un rapport pédagogique au responsable encadrant de l’ENS. Ce rapport aura
été préalablement visé par le responsable de l’organisme d’accueil pour s’assurer du respect de
l’article 4.6.
B – Rapport administratif
Vous devez témoigner de votre expérience dans un rapport administratif à l’attention de la Cellule
Stages ; celui-ci pourra être communiqué aux différents partenaires ainsi qu’aux autres élèves et
étudiants de l’ENS.
Après une brève introduction présentant l’organisme d’accueil et les contacts qui vous ont aidés dans vos recherches, vous aborderez les points suivants :
l’accueil dans l’organisme d’accueil l’accueil par le responsable de stage la présentation de vos activités la conformité du stage à vos attentes l’intérêt professionnel du stage
l’intérêt pédagogique et universitaire du stage le bilan du stage
POUR INFORMATION
* Stage en entreprise : la nouvelle loi (art. 9 de la loi sur l’égalité des chances du 31 mars 2006) impose une durée maximum de un an pour les stages obligatoires et de 6 mois pour les stages non obligatoires. Par ailleurs, les stages en entreprise d’au moins trois mois devraient être rémunérés dès le 1er mois.
* La « charte des stages étudiants en entreprise » est consultable sur Intranet.
* Afin de vous aidez à remplir l’article 3.2 de la convention, sachez que si vous ne connaissez pas le temps moyen de travail effectif, vous pouvez noter 38,5 h pour un temps plein.
Pour tout autre renseignement
SERVICE DE LA SCOLARITECELLULE STAGES
Part 1: the undersigned
The present agreement determines the relationship between:
The École normale supérieure,hereafter designated as the ENS,
French “Établissement public à caractère scientifique, culturel et professionnel” (Scientific, cultural and professional public organization)
Whose official address is: 45, rue d’Ulm – 75005 Paris – France Represented here by Mister Marc MEZARD, its director, AND
The host organization: ... Whose official address is: ... ... Represented by: ... Regarding the internship of the student,
First name – Last name: ... Group/ class of : ... Department: ... Current cursus: L3 M1 M2 ENS Diploma Other: ... Personal address: ... ... : ... @: ... hereafter called the “intern”.
Part 2: The internship
Article 2.1 - Internship dates
from to ...Therefore for a length of: ...
Article 2.2 – Subject of the internship
...
The host organization will give the intern tasks and responsibilities in relation to his/her qualification level so that his/her activities are a complement to those performed at the ENS.
Article 2.3 – Internship program
The internship will be supervised by one or several tutors, under conditions agreed upon by the intern’s tutor in the host organization and the ENS studies supervisor as defined in article 3.4.
École normale supérieure Service de la scolarité
Cellule des stages
+33.1.44.32.31.10 Fax +33.1.44.32.38.37 Mail : cellulestages@ens.fr
N°---/---
Agreement with allowance Agreement without allowance
(see art. 3.5 hereafter)
Internship agreement
for students
Part 3: Internship modalities
Article 3.1 - Nature of the internship
Mandatory internship Recommended internship Internship requested by the intern
Article 3.2 – Time frame
Weekly duration of the internship: ... Weekly schedule: ...
NB: If necessary, specify if the intern will have to stay on site of internship at night, on Sundays and/or during the holidays.
Article 3.3 - Internship location
(if different from the site of the organization)Institution: ... Department / service / laboratory: ... Address: ... City: ... Zip code: ... Country: ... The intern needs to inform the Internship Office of the ENS of any travel during the internship.
Article 3.4 – Internship supervision
A) ENS studies supervisor (representing the intern’s department of affiliation)
Name: ... Function: ... : ... Fax: ... @: ...
B) Tutor in the host organization
Name: ... Function: ... : ... Fax: ... @: ...
Article 3.5 – Compensation and allowance
The intern maintains his/her status at the ENS. He/she can receive:
• Compensation for room and board, transportation, and/or reimbursement of costs induced by the internship. • A further allowance, the amount of which of must be specified in the present agreement.
It is up to the intern to comply with the French regulation concerning social security contribution and income tax.
Total payment amount*: ... euros
Part 4: Statutory rules
Article 4.1 – Student status during the internship
The intern keeps his/her status as a student and remains under the responsibility of the ENS throughout the duration of the internship.
Article 4.2 – Rights and obligations of the intern
During his/her stay in the host organization, the intern shall conform to all internal regulations of the host organization in matters of organization of work, working hours, hygiene and security and medical examinations.
The intern may be allowed to leave his/her internship location to attend classes at the ENS. He/she will
beforehand
inform the host organization of the dates of these classes.The intern has to abide by the internship dates as defined by the present agreement.
Article 4.3 – Rights and obligations of the host organization
The host organization commits itself to provide the intern with the necessary means to carry out his/her missions. Through an adequate supervision, it contributes to the intern’s professional training.
In case of serious misconduct or breach of discipline, the head of the host organization may terminate the internship, after he/she has informed the director of the ENS.
Article 4.4 – Responsibility and insurance
The intern is covered during the internship for civil liability, physical injury and repatriation by the ENS insurance (N° sociétaire MAIF n°2930209 R).
In case of any accident affecting the intern either during working time, or on the way between the home and the work-place, the representative of the host organization commits himself/herself to send all relevant information to the Director of the ENS in a timely manner, using the accident form(s) that should be requested from the ENS.
The host organization shall maintain commercial general liability insurance to cover the intern's activities, within the scope of the internship, or as authorized by the host organization's representative, for property damage or injury occurring to the intern due to the host organization.
Article 4.5 – Medical coverage
During the internship, the intern remains affiliated to the students’ medical coverage and is therefore covered for medical expenses. If applicable, benefits for children are also maintained.
If required, the intern must subscribe to additional coverage in the host country.
The organization and the ENS will informed each other, as soon as possible, of any absence of the intern for medical reasons.
Article 4.6 – Confidentiality and software
The intern is bound to professional secrecy. He/she may not disclose or communicate to anyone, under any form, the scientific or technical information of which he/she might have knowledge during his/her internship as long as this information is not in the public domain or as long as he/she has not received the written authorization of the host organization to do so.
The intern commits himself/herself not to make any illicit copy of software and not to install any software of external sources into the host organization’s internal system.
Article 4.7 – Intellectual property
The results obtained by the intern during the internship, whether or not patentable, and including software, will be the full property of the host organization. In order to protect possible inventions the host organization can apply for patent in its name, during or after the work performed during the internship.
The host organization commits itself, if the intern is the inventor, to mention his/her name in the patent application.
Part 5: Evaluation
The evaluation concerns both the intern’s work and the educational quality of the internship.
Article 5.1 – Internship certificate
The head of the host organization will give the intern an “Internship certificate” indicating the nature, the program and the duration of the internship.
Article 5.2 – Internship evaluation
The intern’s activity will be evaluated according to criteria defined by the supervisors. The information will be collected in an “evaluation sheet”.
Moreover, the tutor in the host organization will return the “observation sheet” provided by the Internship Office of the ENS.
A) Scientific report
The intern gives a scientific report to the studies supervisor at the ENS. This report will have been submitted to the head of the host organization, who
will verify the compliance with article 4.6.
B) Administrative report
The intern gives an account of his/her experience in an administrative report addressed to the Internship Office of the ENS. This report may be communicated to the different partners as well as to the students of the ENS.
After a brief introduction about the host organization and the contacts which helped him/her in his/her research, the intern will deal with the following topics:
Reception in the organization Internship’s professional interest
Reception by the internship tutor Internship’s scientific and academic interest Presentation of activities Internship’s overall assessment
Level of satisfaction of the intern’s expectations
Established in 3 copies, on
“No internship agreement can be signed to replace an employee who is absent, whose contract is suspended or who is dismissed, to perform a task corresponding to a regular position, to supply for a temporary increase in the company activity or to fill a seasonal employment” (art. 6 of decree n°
2006-1093 of August,8th -2006). »
The intern
“Read and acknowledged” For the host organization - Name and function (signature and stamp) “Read and acknowledged”
For the ENS Department
The studies supervisor For the Director of the ENS and through delegation, The École Normale Supérieure The direction of studies
Part 1: the undersigned
The present agreement determines the relationship between:
The École normale supérieure,hereafter designated as the ENS,
French “Établissement public à caractère scientifique, culturel et professionnel” (Scientific, cultural and professional public organization)
Whose official address is: 45, rue d’Ulm – 75005 Paris – France Represented here by Mister Marc MEZARD, its director, AND
The host organization: ... Whose official address is: ... ... Represented by: ... Regarding the internship of the student,
First name – Last name: ... Group/ class of : ... Department: ... Current cursus: L3 M1 M2 ENS Diploma Other: ... Personal address: ... ... : ... @: ... hereafter called the “intern”.
Part 2: The internship
Article 2.1 - Internship dates
from to ...Therefore for a length of: ...
Article 2.2 – Subject of the internship
...
The host organization will give the intern tasks and responsibilities in relation to his/her qualification level so that his/her activities are a complement to those performed at the ENS.
Article 2.3 – Internship program
The internship will be supervised by one or several tutors, under conditions agreed upon by the intern’s tutor in the host organization and the ENS studies supervisor as defined in article 3.4.
École normale supérieure Service de la scolarité
Cellule des stages
+33.1.44.32.31.10 Fax +33.1.44.32.38.37 Mail : cellulestages@ens.fr
N°---/---
Agreement with allowance Agreement without allowance
(see art. 3.5 hereafter)
Internship agreement
Part 3: Internship modalities
Article 3.1 - Nature of the internship
Mandatory internship Recommended internship Internship requested by the intern
Article 3.2 – Time frame
Weekly duration of the internship: ... Weekly schedule: ...
NB: If necessary, specify if the intern will have to stay on site of internship at night, on Sundays and/or during the holidays.
Article 3.3 - Internship location
(if different from the site of the organization)Institution: ... Department / service / laboratory: ... Address: ... City: ... Zip code: ... Country: ... The intern needs to inform the Internship Office of the ENS of any travel during the internship.
Article 3.4 – Internship supervision
A) ENS studies supervisor (representing the intern’s department of affiliation)
Name: ... Function: ... : ... Fax: ... @: ...
B) Tutor in the host organization
Name: ... Function: ... : ... Fax: ... @: ...
Article 3.5 – Compensation and allowance
The intern maintains his/her status at the ENS. He/she can receive:
• Compensation for room and board, transportation, and/or reimbursement of costs induced by the internship. • A further allowance, the amount of which of must be specified in the present agreement.
It is up to the intern to comply with the French regulation concerning social security contribution and income tax.
Total payment amount*: ... euros
Part 4: Statutory rules
Article 4.1 – Student status during the internship
The intern keeps his/her status as a student and remains under the responsibility of the ENS throughout the duration of the internship.
Article 4.2 – Rights and obligations of the intern
During his/her stay in the host organization, the intern shall conform to all internal regulations of the host organization in matters of organization of work, working hours, hygiene and security and medical examinations.
The intern may be allowed to leave his/her internship location to attend classes at the ENS. He/she will
beforehand
inform the host organization of the dates of these classes.The intern has to abide by the internship dates as defined by the present agreement.
Article 4.3 – Rights and obligations of the host organization
The host organization commits itself to provide the intern with the necessary means to carry out his/her missions. Through an adequate supervision, it contributes to the intern’s professional training.
In case of serious misconduct or breach of discipline, the head of the host organization may terminate the internship, after he/she has informed the director of the ENS.
Article 4.4 – Responsibility and insurance
The intern is covered during the internship for civil liability, physical injury and repatriation by the ENS insurance (N° sociétaire MAIF n°2930209 R).
In case of any accident affecting the intern either during working time, or on the way between the home and the work-place, the representative of the host organization commits himself/herself to send all relevant information to the Director of the ENS in a timely manner, using the accident form(s) that should be requested from the ENS.
The host organization shall maintain commercial general liability insurance to cover the intern's activities, within the scope of the internship, or as authorized by the host organization's representative, for property damage or injury occurring to the intern due to the host organization.
Article 4.5 – Medical coverage
During the internship, the intern remains affiliated to the students’ medical coverage and is therefore covered for medical expenses. If applicable, benefits for children are also maintained.
If required, the intern must subscribe to additional coverage in the host country.
The organization and the ENS will informed each other, as soon as possible, of any absence of the intern for medical reasons.
Article 4.6 – Confidentiality and software
The intern is bound to professional secrecy. He/she may not disclose or communicate to anyone, under any form, the scientific or technical information of which he/she might have knowledge during his/her internship as long as this information is not in the public domain or as long as he/she has not received the written authorization of the host organization to do so.
The intern commits himself/herself not to make any illicit copy of software and not to install any software of external sources into the host organization’s internal system.
Article 4.7 – Intellectual property
The results obtained by the intern during the internship, whether or not patentable, and including software, will be the full property of the host organization. In order to protect possible inventions the host organization can apply for patent in its name, during or after the work performed during the internship.
The host organization commits itself, if the intern is the inventor, to mention his/her name in the patent application.
Part 5: Evaluation
The evaluation concerns both the intern’s work and the educational quality of the internship.
Article 5.1 – Internship certificate
The head of the host organization will give the intern an “Internship certificate” indicating the nature, the program and the duration of the internship.
Article 5.2 – Internship evaluation
The intern’s activity will be evaluated according to criteria defined by the supervisors. The information will be collected in an “evaluation sheet”.
Moreover, the tutor in the host organization will return the “observation sheet” provided by the Internship Office of the ENS.
A) Scientific report
The intern gives a scientific report to the studies supervisor at the ENS. This report will have been submitted to the head of the host organization, who
will verify the compliance with article 4.6.
B) Administrative report
The intern gives an account of his/her experience in an administrative report addressed to the Internship Office of the ENS. This report may be communicated to the different partners as well as to the students of the ENS.
After a brief introduction about the host organization and the contacts which helped him/her in his/her research, the intern will deal with the following topics:
Reception in the organization Internship’s professional interest
Reception by the internship tutor Internship’s scientific and academic interest Presentation of activities Internship’s overall assessment
Level of satisfaction of the intern’s expectations
Established in 3 copies, on
“No internship agreement can be signed to replace an employee who is absent, whose contract is suspended or who is dismissed, to perform a task corresponding to a regular position, to supply for a temporary increase in the company activity or to fill a seasonal employment” (art. 6 of decree n°
2006-1093 of August,8th -2006). »
The intern
“Read and acknowledged” For the host organization - Name and function (signature and stamp) “Read and acknowledged”
For the ENS Department
The studies supervisor For the Director of the ENS and through delegation, The École Normale Supérieure The direction of studies
Part 1: the undersigned
The present agreement determines the relationship between:
The École normale supérieure,hereafter designated as the ENS,
French “Établissement public à caractère scientifique, culturel et professionnel” (Scientific, cultural and professional public organization)
Whose official address is: 45, rue d’Ulm – 75005 Paris – France Represented here by Mister Marc MEZARD, its director, AND
The host organization: ... Whose official address is: ... ... Represented by: ... Regarding the internship of the student,
First name – Last name: ... Group/ class of : ... Department: ... Current cursus: L3 M1 M2 ENS Diploma Other: ... Personal address: ... ... : ... @: ... hereafter called the “intern”.
Part 2: The internship
Article 2.1 - Internship dates
from to ...Therefore for a length of: ...
Article 2.2 – Subject of the internship
...
The host organization will give the intern tasks and responsibilities in relation to his/her qualification level so that his/her activities are a complement to those performed at the ENS.
Article 2.3 – Internship program
The internship will be supervised by one or several tutors, under conditions agreed upon by the intern’s tutor in the host organization and the ENS studies supervisor as defined in article 3.4.
Internship agreement
for students
École normale supérieure Service de la scolarité
Cellule des stages
+33.1.44.32.31.10 Fax +33.1.44.32.38.37 Mail : cellulestages@ens.fr
Part 3: Internship modalities
Article 3.1 - Nature of the internship
Mandatory internship Recommended internship Internship requested by the intern
Article 3.2 – Time frame
Weekly duration of the internship: ... Weekly schedule: ...
NB: If necessary, specify if the intern will have to stay on site of internship at night, on Sundays and/or during the holidays.
Article 3.3 - Internship location
(if different from the site of the organization)Institution: ... Department / service / laboratory: ... Address: ... City: ... Zip code: ... Country: ... The intern needs to inform the Internship Office of the ENS of any travel during the internship.
Article 3.4 – Internship supervision
A) ENS studies supervisor (representing the intern’s department of affiliation)
Name: ... Function: ... : ... Fax: ... @: ...
B) Tutor in the host organization
Name: ... Function: ... : ... Fax: ... @: ...
Article 3.5 – Compensation and allowance
The intern maintains his/her status at the ENS. He/she can receive:
• Compensation for room and board, transportation, and/or reimbursement of costs induced by the internship. • A further allowance, the amount of which of must be specified in the present agreement.
It is up to the intern to comply with the French regulation concerning social security contribution and income tax.
Total payment amount*: ... euros
Part 4: Statutory rules
Article 4.1 – Student status during the internship
The intern keeps his/her status as a student and remains under the responsibility of the ENS throughout the duration of the internship.
Article 4.2 – Rights and obligations of the intern
During his/her stay in the host organization, the intern shall conform to all internal regulations of the host organization in matters of organization of work, working hours, hygiene and security and medical examinations.
The intern may be allowed to leave his/her internship location to attend classes at the ENS. He/she will
beforehand
inform the host organization of the dates of these classes.The intern has to abide by the internship dates as defined by the present agreement.
Article 4.3 – Rights and obligations of the host organization
The host organization commits itself to provide the intern with the necessary means to carry out his/her missions. Through an adequate supervision, it contributes to the intern’s professional training.
In case of serious misconduct or breach of discipline, the head of the host organization may terminate the internship, after he/she has informed the director of the ENS.
Article 4.4 – Responsibility and insurance
The intern is covered during the internship for civil liability, physical injury and repatriation by the ENS insurance (N° sociétaire MAIF n°2930209 R).
In case of any accident affecting the intern either during working time, or on the way between the home and the work-place, the representative of the host organization commits himself/herself to send all relevant information to the Director of the ENS in a timely manner, using the accident form(s) that should be requested from the ENS.
The host organization shall maintain commercial general liability insurance to cover the intern's activities, within the scope of the internship, or as authorized by the host organization's representative, for property damage or injury occurring to the intern due to the host organization.
Article 4.5 – Medical coverage
During the internship, the intern remains affiliated to the students’ medical coverage and is therefore covered for medical expenses. If applicable, benefits for children are also maintained.
If required, the intern must subscribe to additional coverage in the host country.
The organization and the ENS will informed each other, as soon as possible, of any absence of the intern for medical reasons.
Article 4.6 – Confidentiality and software
The intern is bound to professional secrecy. He/she may not disclose or communicate to anyone, under any form, the scientific or technical information of which he/she might have knowledge during his/her internship as long as this information is not in the public domain or as long as he/she has not received the written authorization of the host organization to do so.
The intern commits himself/herself not to make any illicit copy of software and not to install any software of external sources into the host organization’s internal system.
Article 4.7 – Intellectual property
The results obtained by the intern during the internship, whether or not patentable, and including software, will be the full property of the host organization. In order to protect possible inventions the host organization can apply for patent in its name, during or after the work performed during the internship.
The host organization commits itself, if the intern is the inventor, to mention his/her name in the patent application.
Part 5: Evaluation
The evaluation concerns both the intern’s work and the educational quality of the internship.
Article 5.1 – Internship certificate
The head of the host organization will give the intern an “Internship certificate” indicating the nature, the program and the duration of the internship.
Article 5.2 – Internship evaluation
The intern’s activity will be evaluated according to criteria defined by the supervisors. The information will be collected in an “evaluation sheet”.
Moreover, the tutor in the host organization will return the “observation sheet” provided by the Internship Office of the ENS.
A) Scientific report
The intern gives a scientific report to the studies supervisor at the ENS. This report will have been submitted to the head of the host organization, who
will verify the compliance with article 4.6.
B) Administrative report
The intern gives an account of his/her experience in an administrative report addressed to the Internship Office of the ENS. This report may be communicated to the different partners as well as to the students of the ENS.
After a brief introduction about the host organization and the contacts which helped him/her in his/her research, the intern will deal with the following topics:
Reception in the organization Internship’s professional interest
Reception by the internship tutor Internship’s scientific and academic interest Presentation of activities Internship’s overall assessment
Level of satisfaction of the intern’s expectations
Established in 3 copies, on
“No internship agreement can be signed to replace an employee who is absent, whose contract is suspended or who is dismissed, to perform a task corresponding to a regular position, to supply for a temporary increase in the company activity or to fill a seasonal employment” (art. 6 of decree n°
2006-1093 of August,8th -2006). »
The intern
“Read and acknowledged” For the host organization - Name and function (signature and stamp) “Read and acknowledged”
For the ENS Department
The studies supervisor For the Director of the ENS and through delegation, The École Normale Supérieure The direction of studies
É
cole normale supérieure
45 rue d’Ulm
75005 Paris
Affaire suivie par : Valérie GËOLIER- VAISMAN
Tel : 01 44 32 31 10 Fax : 01 44 32 38 37 Mail : cellulestages@ens.fr
Vous avez accueilli un élève de notre établissement
et nous vous en remercions.
Afin d’apprécier la qualité des actions qui ont été menées et de mieux répondre à vos
demandes, nous souhaitons avoir votre appréciation sur le déroulement du stage de façon
générale et sur le stagiaire en particulier.
Vous trouverez ci-après différentes rubriques que nous vous demandons de bien vouloir
renseigner.
La cellule stage
ELEVE :
Nom ______________________________Prénom _________________________
Date du stage : _____________________________________________ ______
Mission confiée :____________________________________________________
ORGANISME D’ACCUEIL :
Nom_____________________________________________________________
Adresse__________________________________________________________
________________________________________________________________
MAITRE DE STAGE :
Nom______________________________Prénom_________________________
Fonction :____________________________Téléphone :____________________
ÉVALUATION de STAGE
1.
Appréciations sur le déroulement du stage :
………
………
………..………
………
2.
Appréciations sur le stagiaire :
………
………
………..………
………
3.
Autres observations :
………
………
………..………
………
Envisagez-vous de recevoir d’autres stagiaires issus de notre établissement :
Oui Non
Date :…./…../……
Signature du maître de stage :
Nous vous remercions pour votre collaboration et restons à votre disposition pour tout autre renseignement .
Ce questionnaire est à retourner à :
SERVICE DE LA SCOLARITE
CELLULE STAGES
45, Rue d’Ulm
75230 Paris cedex 05.
