(Please copy or photocopy this page
onto your own headed paper)

Placement Offer Form

Company details

Company name :	

Address (street/town/postcode/country) :	

	

	

Tel:		Fax:	

e-mail:		Internet site:	

Type of enterprise (you may tick more than one box):

	r  Public or state-owned enterprise	
	r Multinational 	
	r Small and medium sized enterprise (less than 250 workers)
	r Large enterprise
	r Chamber of Commerce / Industry / Trade
	r Other (please specify)	

Sector of activity

	r Production	r Construction
	r Commerce / service	r Agri-food
	r Banking / insurance	r Other (please specify)

Legal code: 						

Has the company hosted student-trainees under the LEONARDO DA VINCI programme of the European Union in previous years?
	  Yes 	  No 

Placement details

Leonardo da Vinci placement offer to:	

From (day/month/year) ……/……/…………   to ……/……/………..   Length in months : 	

Location of placement

Department where placement will take place:	

Town and country: 	

Contribution of company to grantee (tick as appropriate):

		a monthly payment of ______________ 
		subsidised meals
		lodging (please specify)
		travel costs to/from the workplace 
		other (please specify)
		no contribution

Description of placement activities

(1)  Project(s) in which the grantee will be included

	

(2)  Role of grantee in these projects (level of autonomy / responsibilty)

	

	
(3)	Objectives of the exchange (skills the grantee might bring to the workplace and how the company may enrich these)

	
	
( use a further sheet if necessary )

PLACEMENT SUPERVISOR/signatory of the traineeship contract

First name :		Family name :	

Position :	 	Extension number :	

Signature:	  Date:	

Please return to:
SINTESI University Enterprise Training Partenrship		Tel +39 091 6572222
c/o Dip. Di Ingegneria Chimica dei Processi e dei Materiali	Tel +39 091 6571654
Università degli studi di Palermo		Fax +39 091 6571655
90128 Palermo, Italy	http://sintesi.dicpm.unipa.it	e-mail:  sintesi@www.unipa.it