Self-Sourced Internship Application Form

Dear Student, please fill in this application form if you are self-sourcing your own internship company.

The system administrators will check the completed form and send a notification to the company contact person. Should the company contact person accept you to be their intern, he/she would need to fill in the online internship application form, on the allowance and job scope, within 10 working days. Once submitted, the contact person should send a copy of the submitted application to you. However, this does not constitute a confirmed placement as the School will still have the final decision of whether to assign you to the company.

The data provided to Singapore Polytechnic will be kept strictly confidential and be used only for the purpose of the Internship Programme application.

Upon submission of this application form, it will take 3 working days for verification. We will contact via phone or email in the event that further verification is required. For inquiries, please call Department of Industry & Partnerships at 6870-6020 or email us at

Closing date: 31 May 2019

This registration form is best viewed with Desktop web browser. Due to system setting, this form may not appear properly on mobile devices. 

All fields are required unless marked as 'Optional'.



Is there a project involved?  Is there a project involved? 
How did you come to know the company?
How long have you know the company? How long have you know the company?

Internship Request Form