HOW TO FILL IN AN INTERNSHIP AGREEMENT - ICNContact

HOW TO FILL IN AN INTERNSHIP AGREEMENT
Abroad
These instructions are meant to help you fill in the internship agreement from ICN Business School. They do
not exclude the possible drafting of further instructions related to internships.
The document presents extracts of information from the internship agreement to which legal or practical
aspects have been added to help you fill in the agreement.
Careful reading is essential before signature by the student and company.
All fields indicated with a dotted line must be filled in as precisely as possible.
All items are to be specified. Please cross the dotted line in the absence of information.
ARTICLE 1 : Signatories of agreement –Theme and location of placement
The following agreement regulates the relationship between the Company (hereafter referred to as “the Company”):
COMPLETE NAME OF THE COMPANY + EXACT ADDRESS OF THE HEAD OFFICE
Represented by: NAME AND POSITION OF THE SIGNATORY OF THE AGREEMENT AT THE WORKPLACE
Phone: SIGNATORY’S DIRECT LINE
Concerning the work placement of: STUDENT’S NAME AND SURNAME
(hereunder referred to as “the Trainee”), and registered as a student of the School in : NAME OF THE DIPLOMA
AND YEAR OF STUDIES
Description of work placement as approved by the School: SYNTHESIS OF THE ASSIGNMENT THAT IS STATED
ON THE ASSIGNMENT FORM
Company Supervisor: SUPERVISOR AT THE WORKPLACE
Phone: SUPERVISOR’S DIRECT LINE
Location of placement: EXACT ADDRESS
ICN Academic tutor: ACADEMIC TUTOR OR HEAD OF THE PROGRAM ACCORDING TO THE DIPLOMA
ARTICLE 3: Conditions of placement
Internship period:
The internship will take place from ……….… to …........... : EXACT DATES
INDICATE THE DURATION ACCORDING TO THE APPLICABLE LAW.
IF NECESSARY, INDICATE WHETHER THE WORK PLACEMENT IS DIVIDED INTO SEVERAL PERIODS OR
NOT (ex: from 02/06/2012 to 29/06/2012 and from 02/07/2012 to 29/07/2012)
ICN Business School 1
Juillet 2012
Service Relations Entreprises Formation Initiale

DATE FORMAT DD/MM/YYYY
THE MAXIMUM LENGTH OF A WORK PLACEMENT ABROAD IS 12 MONTHS
Procedure of the internship:
The Trainee will be required to be present at the workplace for a maximum of ……………….… hours per week:
INDICATE THE WORKING TIME EXPECTED AT THE COMPANY ACCORDING TO THE APPLICABLE LAW.
Details of special circumstances where the Trainee is required to be present at the workplace at night, on Sundays or
on public holidays: CROSS THE DOTTED LINE IF THERE IS NO PARTICULAR CASE
ARTICLE 7: Compensation and benefits – Reimbursement of costs
The trainee does not have a salary. However, he/she may receive compensation.
The amount of this compensation is set at ………… euros (gross) per month: INDICATE THE PRECISE AMOUNT
OR CROSS THE FIELD IN THE ABSENCE OF COMPENSATION.
The terms of payment: INDICATE THE INFORMATION (cheque, bank transfer…) OR CROSS THE FIELD IF
THERE IS NO COMPENSATION.
Reminder of the legislation:
Regarding the trainee’s compensation, the host country law is to be applied.
List of fringe benefits or benefits in kind: INDICATE THE COMPLETE LIST OR CROSS THE FIELD IN THE
ABSENCE OF ANY BENEFIT.
ARTICLE 8: Social Welfare
8.1. Trainee’s health and sickness coverage for internships abroad:
2) Coverage provided by the company:
The Company should tick the appropriate box below to indicate whether it will provide health and sickness medical
cover for the Trainee, in accordance with local regulations: THE COMPANY TICKS THE APPROPRIATE BOX
8.2. Trainee’s protection for accidents at workplace abroad
1) In order to benefit from French legislation on accidents in the workplace, the Placement:
• Should not exceed 12 months including all extensions
• Should not include any form of remuneration entitling the Trainee to workplace accident insurance in the foreign
country (compensation or gratuities not exceeding 12.5% of the cap of the French Sécurité Sociale for a
statutory 35 hour working week under condition of obtaining the agreement of the CPAM)
• Should take place exclusively in the Company designated in this agreement
• Should take place exclusively in the foreign country mentioned in this agreement.
2) The cover concerns the accidents take place:
• On the site of workplace and during the working hours
• On the usual way to and from the trainee’s residence in the foreign country and the workplace
• On the usual way to and from the trainee’s home in France and the workplace.
• Within the framework of a mission assigned by the Company and necessarily on mission order.
3) The Company undertakes to cover the Trainee against risk of accident in the workplace, risk of accident on the way
to and from the place of work and risk of occupational illnesses or disease, and to make all necessary notifications and
declarations duly if any one of the conditions outlined in paragraph 8.2-1 is not fulfilled.
END OF THE AGREEMENT:
ICN Business School 2
Juillet 2012
Service Relations Entreprises Formation Initiale

Signed at EXACT PLACE, on EXACT DATE
THE 3 SIGNATORIES MUST SIGN « READ AND APPROVED» BEFORE SIGNING.
The Trainee
The Head of the Company
(or appointed representative)
The Director of the School
(or appointed representative)
SIGNATURE AND SEAL OF THE COMPANY ARE COMPULSORY
ICN Business School 3
Juillet 2012
Service Relations Entreprises Formation Initiale

STUDENT’S SOCIAL WELFARE
Health and Sickness cover for those registered with French Sécurité Sociale
EU/EEA/Switzerland/Quebec
Outside Europe
Health insurance maintained during the internship if
have obtained:
- European health insurance card (Carte Européenne
d’Assurance Maladie)
- Form SE401Q for Quebec (104 for internships in
companies, 106 for internships in Universities)
Reimbursement of medical expenses considered urgent
(unforeseen treatment necessary immediately) upon
presentation of receipts, a posteriori and limited to the
amount of corresponding French rates.
Very strongly recommended to contract Personal
insurance.
Accident in / on the way to and from the work place, occupational illness or disease
Allowance ≤ 12,5% of the cap fixed by French
Sécurité Sociale
Allowance> 12,5% of the cap
Work accident (& related) cover maintained if trainee
is registered with French system
ONLY IF necessary form /documents submitted to
CPAM and approval received back.
- Cover thanks to company contributions
- OR personal insurance cover taken out by the student
DOCUMENTS TO BE RETURNED
TO THE CORPORATE CONNECTIONS OFFICE BEFORE THE START OF THE INTERNSHIP
1. Health and Sickness Cover:
- Europe: Copy of European Health Insurance Card (EHIC)
- Outside Europe: Personal insurance certificate
2. Cover against Accidents at Work, Occupational Diseases…:
- CPAM Agreement following the request for the certification of financial responsibility in case of an accident
at work, an occupational disease…
OR
- Personal insurance certificate
3. Personal accident:
- Personal insurance certificate (one certificate may cover several types of risks)
4. Personal liability:
- Personal insurance certificate
5. Repatriation on health grounds:
- Personal insurance certificate
6. Legal defense and civil claim, legal assistance:
- Personal insurance certificate
ICN Business School 4
Juillet 2012
Service Relations Entreprises Formation Initiale