ENVIRONMENT PROTECTION DEPARTMENT
INTERNSHIP APPLICATION FORM
(For Internship Duration: Slot: ____ to ______)
(Fill all fields in BLOCK letters)
Photo
1. Personal Information
a. Internee Name: _________________________________
b. Father’s Name: __________________________________
c. Date of Birth: __________________________________
d. Postal Address: __________________________________
e. Contact No: __________________________________
f. Email: __________________________________
2. Emergency Contact
a. Name: _________________________________________
b. Relationship with Internee: _________________________
c. Contact No (Cell, Home and Work Phone No.s): __________________________________
3. Educational Qualification ( ◻completed / ◻ in progress Tick one)
a. Level (O/ A)/Degree: _________________________________
b. Educational
Institution:_____________________________________________________________
c. Grade/ CGPA:
____________________________________________________________________
d. Subjects studied (Sciences
only):_____________________________________________________
4. Select area/s of interest among following offered areas:
Environmental Monitoring (Hands on experience of laboratory equipments and Air Quality
Monitoring Stations, Air Quality Index determination, field visits, sampling and analysis for checking
compliance with PEQs for Air, Water, Noise, Vehicular and Industrial Emissions, Waste Water and
Effluents, and report writing as per rules, etc.)
Environmental Law (Legislations, Multilateral Environmental Agreements, proceedings in Tribunal,
Green Courts, etc.)
Environmental Approvals for development projects (processing of IEEs and EIAs, site visit, public
hearing, meetings, etc.)
Handling of Environmental Complaints (Site inspections, monitoring, hearings, legal actions, etc.)
Information & Services (Right to Information, Citizen Portal, etc.)
Hospital Waste Management (Enforcement of Rules, field visits, legal actions, etc.)
Dengue surveillance (Field visits, monitoring, legal actions, etc.)
Project Conceptualization and Management
Official correspondences, reports, briefs, power point presentations, etc.
5. Please respond to the questions below:
a. Why do you want to intern at EPD?
_____________________________________________________________________________
______________
b. What are your strengths which can be utilized during internship?
O MS office o Editing/writing o Social Media o Research
_______________(Any other)
Student’s Signature__________
INTERNSHIP APPLICATION FORM
(For Internship Duration: Slot: ____ to ______)
(Fill all fields in BLOCK letters)
Photo
1. Personal Information
a. Internee Name: _________________________________
b. Father’s Name: __________________________________
c. Date of Birth: __________________________________
d. Postal Address: __________________________________
e. Contact No: __________________________________
f. Email: __________________________________
2. Emergency Contact
a. Name: _________________________________________
b. Relationship with Internee: _________________________
c. Contact No (Cell, Home and Work Phone No.s): __________________________________
3. Educational Qualification ( ◻completed / ◻ in progress Tick one)
a. Level (O/ A)/Degree: _________________________________
b. Educational
Institution:_____________________________________________________________
c. Grade/ CGPA:
____________________________________________________________________
d. Subjects studied (Sciences
only):_____________________________________________________
4. Select area/s of interest among following offered areas:
Environmental Monitoring (Hands on experience of laboratory equipments and Air Quality
Monitoring Stations, Air Quality Index determination, field visits, sampling and analysis for checking
compliance with PEQs for Air, Water, Noise, Vehicular and Industrial Emissions, Waste Water and
Effluents, and report writing as per rules, etc.)
Environmental Law (Legislations, Multilateral Environmental Agreements, proceedings in Tribunal,
Green Courts, etc.)
Environmental Approvals for development projects (processing of IEEs and EIAs, site visit, public
hearing, meetings, etc.)
Handling of Environmental Complaints (Site inspections, monitoring, hearings, legal actions, etc.)
Information & Services (Right to Information, Citizen Portal, etc.)
Hospital Waste Management (Enforcement of Rules, field visits, legal actions, etc.)
Dengue surveillance (Field visits, monitoring, legal actions, etc.)
Project Conceptualization and Management
Official correspondences, reports, briefs, power point presentations, etc.
5. Please respond to the questions below:
a. Why do you want to intern at EPD?
_____________________________________________________________________________
______________
b. What are your strengths which can be utilized during internship?
O MS office o Editing/writing o Social Media o Research
_______________(Any other)
Student’s Signature__________
