Internship Proposal Form

Thank you for your interest in the University of Adelaide and our internship programs. Please submit this form below and we will be in contact with you soon.

Current Organisation details
Internship details
Student details
Additional details
Health and safety workplace risk
Complete

Host organisation's name

Host organisation’s ABN/ACN

Host Organisation Number of Employees

Host organisation’s primary address

Will the internship be located in a different location to the above?

Internship address

Will you provide a desk during the internship?

Will students need to bring their own laptop?

Will any aspect of the internship be completed off- site/remotely from the listed locations above?

Host organisation’s Website address

Please tell us briefly about your organisation

Certificate of Currency

Does your organisation hold a minimum $10m in public liability insurance?

You need to attach a copy of your Certificate of Currency.

Please attach a copy of your Certificate of Currency

One file only.
20 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, mp4, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.

Organisation contact

Your name

Your position title

Your phone number

Your work email address

Are you also the Internship Supervisor?

Internship supervisor name

Internship supervisor position title

Internship supervisor phone number

Internship supervisor work email address