Laboratory Internship Consent Form

Name of Intern: Laboratory/Department: Internship Duration (From - To): Supervisor Name: Description of Internship Activities:

Consent

I, the undersigned, acknowledge that I have read and understood the laboratory safety guidelines and the terms and conditions of this internship. I agree to follow all instructions and procedures as required by the laboratory and accept responsibility for my conduct during the internship period.

Additional Notes:

Intern Signature:

Date:

Supervisor Signature:

Date: