Agreement-Approval Form (Page 2 of 2) in pdf

Agreement-Approval Form Page 2

6.920 Practical Work Experience Approval

Form

Name:

Last: (print clearly)___________________________________First: _______________________ MI: _______

ID: __________ - __________ - __________ Email: ____________________________________________

Student’s Agreement:

1. I, _____________________________________, will begin work on ________________________,

(student name)

(date)

20 ___, or as soon thereafter as my curricular training permission is received, and will work until

________________________, 20 ____.

(date)

2. In accordance with Federal Regulations, I will register for one unit of 6.920 in the Fall Term (for work

done during the summer term); or for one unit of 6.920 during IAP if work is being performed during the

IAP period, and will complete the final report and submit the 6.920 Final Grade Sheet by the end of the

that term.

Student Signature: ________________________________________________ Date: __________________

Supervisor’s Agreement:

I agree to supervise the work as described on the attached pages, and be responsible for the technical

guidance required. I will evaluate and grade (pass/fail) the results upon completion.

Supervisor’s Name (print clearly): ____________________________________________________________

Supervisor’s Signature: _________________________________________________ Date: _____________

Attachment to this form must include the COMPANY OFFER

LETTER

(on

company

letterhead

with

company

address)

specifically describing the technical work.

Agreement-Approval Form Page 2