Higher Education

Learning Agreement form

Student/trainees name


LEARNING AGREEMENT FOR
ST!IES
The Student
Last name (s) First name (s)
Date of birth Nationality
1
Nor"egian
Sex [M/F] Academic year 201!201"
St#dy cycle
2
S#b$ect area%
&ode
'
(hone )*mail
The Sending Institution
Name Fac#lty
)rasm#s code
(if a++licable)
De+artment
Address &o#ntry%
&o#ntry code

&ontact +erson
"

name
&ontact +erson
e*mail ! +hone
The Recei#ing Institution
Name $o%da ni#ersit&
'o%%ege
Fac#lty
)rasm#s code
(if a++licable)
N $o%da () De+artment
1
&o#ntry to ,hich the +erson belon-s administrati.ely and that iss#es the /D card and!or +ass+ort0
2
Short cycle ()1F le.el ") ! bachelor or e2#i.alent first cycle ()1F le.el 3) ! master or e2#i.alent
second cycle ()1F le.el 4) ! doctorate or e2#i.alent third cycle ()1F le.el 5)0
3
(lease refer to the /S&)D 201' s#b$ect field that is closest to the s#b$ect of the de-ree to be
a,arded to the st#dent by the sendin- instit#tion0 For the list of detailled s#b$ect fields% see6
htt+6!!,,,0#is0#nesco0or-!)d#cation!(a-es!international*standard*classification*of*ed#cation0as+x0
4
(lease #se /S7 '133*2 co#ntry codes a.ailable at6 htt+s6!!,,,0iso0or-!ob+!#i!8search0
5
A +erson ,ho +ro.ides a lin9 for administrati.e information and ,ho% de+endin- on the str#ct#re of
the hi-her ed#cation instit#tion% may be the de+artmental coordinator or ,ill ,or9 at the international
relations office or e2#i.alent body ,ithin the instit#tion0
1
Higher Education
Learning Agreement form
Student/trainees name


Address (b "00% 3101 :olda &o#ntry% Nor"a&*
&o#ntry code NO
&ontact +erson

name
;#lia <ele#ta &ontact +erson bele#ta=hi.olda0no!
e*mail ! +hone 4004"2'2
Section to +e com,%eted -EFORE THE
MO-ILIT.
I/ 0RO0OSE! MO-ILIT. 0ROGRAMME
(lanned +eriod of the mobility6 from [10!201] till [02!201"]
[Indicative start and end months]
>his Learnin- A-reement incl#des all the ed#cational com+onents
6
to be carried o#t
by the st#dent at the recei.in- instit#tion0
[The student is recommended to take educational components totalling a minimum
of 30 ET!
"
credits per semester or #$ ET! credits per trimester%]
[If applica&le' additional educational components that the student follo(s a&ove the
re)uired num&er of ET! credits needed for his/her degree curriculum are also listed
&elo(%]
>able A6 St#dy +ro-ramme abroad
'om,onent code
1if an&2
'om,onent tit%e 1as indicated in
the course cata%ogue2 at the
recei#ing institution
Semester
3autumn
/ s,ring4
3or term4
Num+er of E'TS credits to
+e a"arded +& the
recei#ing institution u,on
successfu% com,%etion of
the com,onent
5
6
An ?ed#cational com+onent? is a self*contained and formal str#ct#red learnin- ex+erience that
feat#res learnin- o#tcomes% credits and forms of assessment0 )xam+les of ed#cational com+onents are6
a co#rse% mod#le% seminar% laboratory ,or9% +ractical ,or9% +re+aration!research for a thesis% mobility
,indo, or free electi.es0
7
/n co#ntries ,here the ?)&>S? system it is not in +lace% in +artic#lar for instit#tions located in
+artner co#ntries not +artici+atin- in the <olo-na +rocess% ?)&>S? needs to be re+laced in all tables by
the name of the e2#i.alent system that is #sed0
8
>he sendin- instit#tion sho#ld f#lly reco-nise this n#mber of )&>S credits and any exce+tion to this
r#le sho#ld be doc#mented in an annex of the Learnin- A-reement and a-reed by all +arties0
2
Higher Education
Learning Agreement form
Student/trainees name


Total* 30
5e+ %in6 to the course cata%ogue at the recei#ing institution7
+e& link,s- to &e provided
/f s#ccessf#lly com+leted% the ed#cational com+onents of the st#dy +ro-ramme
abroad ,ill be reco-nised by the sendin- instit#tion in the follo,in- ,ay6
>able <6 Set of com+onents to be re+laced at sendin- instit#tion
'om,onent code
1if an&2
'om,onent tit%e 1as indicated in
the course cata%ogue2 at the
sending institution
Semester
3autumn
/ s,ring4
3or term4
Num+er of E'TS credits
Total* 30
Total* 30
/n case some ed#cational com+onents ,o#ld not be s#ccessf#lly com+leted by the
st#dent% the follo,in- +ro.isions ,ill a++ly6 [+lease s+ecify or +ro.ide a ,eblin9 to
the rele.ant information0]
Language com,etence of the student
>he le.el of lan-#a-e com+etence
@
in AAAA [language of instruction] that the
st#dent already has or a-rees to ac2#ire by the start of the st#dy +eriod (for the
abo.e*mentioned dates) is6
A1 A2 <1 <2 &1 &2
9
For the &ommon )#ro+ean Frame,or9 of Beference for Lan-#a-es (&)FB) see
htt+6!!e#ro+ass0cedefo+0e#ro+a0e#!en!reso#rces!e#ro+ean*lan-#a-e*le.els*cefr
3
Higher Education
Learning Agreement form
Student/trainees name


II/ RES0ONSI-LE 0ERSONS
Res,onsi+%e ,erson
)(
in the sending institution7
Name6
F#nction6
(hone n#mber6 )*
mail6
Res,onsi+%e ,erson
))
in the recei#ing institution7
Name6 F#nction6
(hone n#mber6 )*mail6
III/ 'OMMITMENT OF THE THREE 0ARTIES
<y si-nin-
12
this doc#ment% the st#dent% the sendin- instit#tion and the recei.in-
instit#tion confirm that they a++ro.e the +ro+osed Learnin- A-reement and that they
,ill com+ly ,ith all the arran-ements a-reed by all +arties0 Sendin- and recei.in-
instit#tions #nderta9e to a++ly all the +rinci+les of the )rasm#s &harter for Ci-her
)d#cation relatin- to mobility for st#dies (or the +rinci+les a-reed in the inter*
instit#tional a-reement for instit#tions located in +artner co#ntries)0
>he recei.in- instit#tion confirms that the ed#cational com+onents listed in >able A
are in line ,ith its co#rse catalo-#e0
>he sendin- instit#tion commits to reco-nise all the credits -ained at the recei.in-
instit#tion for the s#ccessf#lly com+leted ed#cational com+onents and to co#nt them
to,ards the st#dentDs de-ree as described in >able <
1'
0
>he st#dent and recei.in- instit#tion ,ill comm#nicate to the sendin- instit#tion any
+roblems or chan-es re-ardin- the +ro+osed mobility +ro-ramme% res+onsible
+ersons and!or st#dy +eriod0
The student
St#dentEs si-nat#re

Date6
The sending institution
Bes+onsible +ersonEs si-nat#re Date6
The recei#ing institution
10
An academic ,ho has the a#thority to a++ro.e the mobility +ro-ramme of o#tbo#nd st#dents
(Learnin- A-reements)% to exce+tionally amend them ,hen it is needed% as ,ell as to -#arantee f#ll
reco-nition of s#ch +ro-rammes on behalf of the res+onsible academic body0
11
An academic ,ho has the a#thority to a++ro.e the mobility +ro-ramme of incomin- st#dents and is
committed to -i.e them academic s#++ort in the co#rse of their st#dies at the recei.in- instit#tion0
12
Scanned co+ies of si-nat#res or di-ital si-nat#res are reco-nised0 >here is no need to circ#late
+a+ers ,ith ori-inal si-nat#res0
13
Any exce+tions to this r#le are doc#mented in an annex of this Learnin- A-reement and a-reed by all
+arties0
4
Higher Education
Learning Agreement form
Student/trainees name


Bes+onsible +ersonEs si-nat#re
Date6
5
Higher Education
Learning Agreement form
Student/trainees name


Section to +e com,%eted !RING
THE MO-ILIT.
'HANGES TO THE ORIGINAL LEARNING AGREEMENT
[The section to &e completed &efore the mo&ilit. should &e kept
unchanged' and changes should &e decri&ed in this section onl.%]
I/ E8'E0TIONAL 'HANGES TO THE 0RO0OSE! MO-ILIT.
0ROGRAMME
[E/ceptional changes should &e made (ithin a month% 0nl. if
a&solutel. necessar.' an. part. can re)uest changes (ithin the
first t(o1(eek period after regular classes/educational
components have started% 2ll these changes have to &e agreed &.
the three parties (ithin a t(o1(eek period after the re)uest%]
>able &6 )xce+tional chan-es to st#dy +ro-ramme abroad
'om,onent
code 1if an&2
at the
recei#ing
institution
'om,onent
tit%e 1as
indicated in
the course
cata%ogue2 at
the recei#ing
institution
!e%eted
com,onent
[tick if
applicable]
Added
com,onent
[tick if
applicable]
Reason
for
change
14
Num+er of E'TS
credits to +e
a"arded +& the
recei#ing institution
u,on successfu%
com,%etion of the
com,onent
1"
ourse #
F
F
A1 "
ourse 3 F
F
<1 "
>otal6 AAAA
[0nl. if changes affect ta&le 3' please insert a revised version
&elo( and la&el the ta&le as 4Ta&le 5* E/ceptional changes to set
of components to &e replaced at sending institution4%]
14
Beasons for deletin- a com+onent6 A1) (re.io#sly selected ed#cational com+onent is not a.ailable at
recei.in- instit#tion A2) &om+onent is in a different lan-#a-e than +re.io#sly s+ecified in the co#rse
catalo-#e A') >imetable conflict% A) 7ther (+lease s+ecify)0
Beason for addin- a com+onent6 <1) S#bstit#tin- a deleted com+onent% <2) )xtendin- the mobility
+eriod% <') 7ther (+lease s+ecify)0
15
>he sendin- instit#tion sho#ld f#lly reco-nise this n#mber of )&>S credits and any exce+tion to this
r#le sho#ld be doc#mented in an annex of the Learnin- A-reement and a-reed by all +arties0
6
Higher Education
Learning Agreement form
Student/trainees name


II/ 'HANGES IN THE
RES0ONSI-LE 0ERSON1S2* if
an&7
Ne" res,onsi+%e ,erson in the sending institution7
Name6 F#nction6
(hone n#mber6 )*mail6
Ne" res,onsi+%e ,erson in the recei#ing institution7
Name6 F#nction6
(hone n#mber6 )*mail6
III/ 'OMMITMENT OF THE THREE 0ARTIES
>he st#dent% the sendin- instit#tion and the recei.in- instit#tion confirm that the
+ro+osed amendments to the Learnin- A-reement are a++ro.ed0
[2greement of the proposed amendments &. email is accepted% 0riginal or scanned
signatures are not mandator. for this specific section%]
The student
St#dentEs si-nat#re or a++ro.al by e*mail Date6
The sending institution
Bes+onsible +ersonEs si-nat#re or a++ro.al by e*mail Date6
The recei#ing institution
Bes+onsible +ersonEs si-nat#re or a++ro.al by e*mail Date6
7
Higher Education
Learning Agreement form
Student/trainees name


Section to +e com,%eted AFTER THE
MO-ILIT.
RE'OGNITION !O'MENT
[This 6ecognition 5ocument must &e issued together (ith the sections &efore and
during mo&ilit. and it can additionall. &e issued indepentl.]%
Act#al dates of the start
13
and the end
14
of the st#dy +eriod6
from [da./month/.ear] AAAAA0 till [da./month/.ear] AAAAA0
[The receiving institution commits to provide the sending institution and the student
(ith a Transcript of 6ecords
#7
according to Ta&le E &elo( and containing all the
educational components agreed in the a&ove sections% This should &e done (ithin a
period stipulated in the inter1institutional agreement and normall. not longer than
five (eeks after pu&lication/proclamation of the student8s results at the receiving
institution%]
>able )6 >ranscri+t of Becords
'om,on
ent code
1if an&2
'om,onent tit%e 1as
indicated in the course
cata%ogue2 at the recei#ing
institution
5as the
com,onent
successfu%%&
com,%eted +&
the student9
3.es/No4
Num+er of E'TS
credits
Recei#ing
institution
grade
E/ample
*
ourse 3 9 $ :
Module ; 9 #0 :
Thesis research 9 #$ :
Total* 30
[Follo(ing the receipt of the Transcript of 6ecords from the receiving institution' the
sending institution commits to provide to the student a 6ecognition 5ocument
including Ta&le E a&ove and the completed Ta&le F &elo(' (ithout further
re)uirements from the student' and (ithin five (eeks%]
16
First day the st#dent has been +resent at the recei.in- or-anisation for academic reasons (e0-0 first
co#rse% ,elcomin- e.ent or-anised by the host instit#tion% lan-#a-e and interc#lt#ral trainin- etcA)
17
>he end of the st#dy +eriod is the last day the st#dent has been +resent at the recei.in-
or-anisation for academic reasons (e0-0 end of exam +eriod!co#rse!,or9!mandatory sittin- +eriod000)
18
Gradin- distrib#tion information sho#ld be attached to the >ranscri+t of Becords (or a ,eb lin9 ,here
this information can be fo#nd)0
8
Higher Education
Learning Agreement form
Student/trainees name


>able F6 Beco-nition o#tcomes
'om
,on
ent
cod
e
1if
an&2
'om,onent tit%e 1as
indicated in the course
cata%ogue2 at the
sending institution
Num+er of
E'TS credits
Sending
institution
grade* if
a,,%ica+%e
E/a
mpl
e #*
Mo&ilit. (indo( 30
Total* 30
E/a
mpl
e ;*
ourse / #0
Module . #0
<a&orator. (ork #0
Total* 30
All the abo.e ed#cational com+onents ,ill a++ear as ,ell in the st#dentDs Di+loma
S#++lement ,ith also the exact title that they had in the recei.in- instit#tion0
9
Higher Education
Learning Agreement form
Student/trainees name


LEARNING AGREEMENT FOR
TRAINEESHI0S
The Trainee
Last name (s) First name (s)
Date of birth Nationality
):
Sex [M/F] Academic year 2000!2000
St#dy cycle
20
S#b$ect area%
&ode
21
(hone )*mail
The Sending Institution
Name Fac#lty
)rasm#s code
(if a++licable)
De+artment
Address &o#ntry%
&o#ntry code
22
&ontact +erson
name
&ontact +erson
)*mail ! +hone
The Recei#ing Organisation/Enter,rise
Name
Sector
2'
De+artment
Address% ,ebsite &o#ntry
SiHe of enter+rise
2
&ontact +erson
2"
name ! +osition
&ontact +erson
e*mail ! +hone
19
&o#ntry to ,hich the +erson belon-s administrati.ely and that iss#es the /D card and!or +ass+ort0
20
Short cycle ()1F le.el ") ! bachelor or e2#i.alent first cycle ()1F le.el 3) ! master or e2#i.alent
second cycle ()1F le.el 4) ! doctorate or e2#i.alent third cycle ()1F le.el 5) * s+ecify the latest st#dy
cycle for recent -rad#ates0
21
(lease refer to the /S&)D 201' s#b$ect field that is closest to the s#b$ect of the de-ree to be
a,arded to the trainee by the sendin- instit#tion0 For the list of detailled s#b$ect fields% see6
htt+6!!,,,0#is0#nesco0or-!)d#cation!(a-es!international*standard*classification*of*ed#cation0as+x0
22
(lease #se /S7 '133*2 co#ntry codes a.ailable at6 htt+s6!!,,,0iso0or-!ob+!#i!8search0
23
For the list of to+*le.el NA&) sector codes% see 6
htt+6!!ec0e#ro+a0e#!e#rostat!ramon!nomenclat#res!index0cfmI
>ar-etJrlKLS>LN7MLD>LNStrNomKNA&)LB):2NStrLan-#a-e&odeK)N0
24
For instance6 1*"0 ! "1*"00 ! more than "00 em+loyees0
25
A +erson ,ho can +ro.ide administrati.e information ,ithin the frame,or9 of )rasm#s
traineeshi+s0
10
Higher Education
Learning Agreement form
Student/trainees name


Mentor
23
name ! +osition Mentor e*mail ! +hone
Section to +e com,%eted
-EFORE THE MO-ILIT.
I/ 0RO0OSE! MO-ILIT. 0ROGRAMME
0%anned ,eriod of the mo+i%it&
from [month/.ear] AAAAA0 till [month/.ear] AAAAA
Num+er of "or6ing hours ,er "ee67 ;
Traineeshi, tit%e
;;;;;;;;;//
!etai%ed ,rogramme of the traineeshi, ,eriod* inc%uding tas6s/de%i#era+%es
and associated timing to +e carried out +& the trainee
;;;;;;;;;//
<no"%edge% s6i%%s 1inte%%ectua% and ,ractica%2 and com,etences to +e ac=uired
+& the trainee at the end of the traineeshi, 1%earning outcomes2
;;;;;;;;;//
Monitoring ,%an [descri&ing ho(/(hen the trainee (ill &e monitored during his / her
traineeship &. &oth the sending institution and the receiving organisation /
enterprise% !pecif. the num&er of supervision hours% !pecif. if a third part. is also
involved' such as a higher education institution in the receiving countr.' and if .es'
specif. the contact details of the person in charge%]
;;;;;;;;;//
E#a%uation ,%an [descri&ing the assessment criteria to &e used to evaluate the trainee=ship
period%]
E/amples of assessment criteria* academic skills/e/pertise' anal.tical skills' initiative'
adapta&ilit.' communication skills' team(ork skills' decision1making skills' IT skills'
innovative and creative skills' strategic1organisational skills' foreign language skills
;;;;;;;;;//
Language com,etence of the trainee
>he le.el of lan-#a-e com+etence
24
in AAAA00 [(orkplace language] that the trainee
26
>he role of the mentor is to +ro.ide s#++ort% enco#ra-ement and information to the trainee on the life
and ex+erience relati.e to the enter+rise (c#lt#re of the enter+rise% informal codes and cond#cts% etc0)0
Normally% the mentor sho#ld be a different +erson than the s#+er.isor0
24
For the &ommon )#ro+ean Frame,or9 of Beference for Lan-#a-es (&)FB) see
htt+6!!e#ro+ass0cedefo+0e#ro+a0e#!en!reso#rces!e#ro+ean*lan-#a-e*le.els*cefr0
11
Higher Education
Learning Agreement form
Student/trainees name


already has or a-rees to ac2#ire by the start of the
mobility +eriod (for the abo.e*mentioned dates) is6 A1
A2 <1 <2 &1 &2
The sending institution
>he instit#tion #nderta9es to res+ect all +rinci+les of the )rasm#s &harter for Ci-her
)d#cation relatin- to traineeshi+s0
>he traineeshi+ is embedded in the c#rric#l#m and #+on satisfactory com+letion
of the traineeshi+% the instit#tion #nderta9es to6
A,ard AA00 )&>S credits0
Gi.e a -rade based on6 >raineeshi+ certificate Final re+ort /nter.ie,
Becord the traineeshi+ in the traineeDs >ranscri+t of Becords0
Becord the traineeshi+ in the traineeDs Di+loma S#++lement (or e2#i.alent)0
Becord the traineeshi+ in the traineeDs )#ro+ass Mobility Doc#ment Oes No

>he traineeshi+ is .ol#ntary and #+on satisfactory com+letion of the traineeshi+%
the instit#tion #nderta9es to6
A,ard )&>S credits6 Oes No
/f yes% +lease indicate the n#mber of )&>S credits6 A0
Gi.e a -rade6 Oes No
/f yes% +lease indicate if this ,ill be based on6
>raineeshi+ certificate Final re+ort /nter.ie,
Becord the traineeshi+ in the traineeDs >ranscri+t of Becords Oes No
Becord the traineeshi+ in the traineeDs Di+loma S#++lement (or e2#i.alent)%
exce+t if the trainee is a recent -rad#ate0
Becord the traineeshi+ in the traineeDs )#ro+ass Mobility Doc#ment Oes No
/f the trainee is a recent -rad#ate this is recommended0
The recei#ing organisation/enter,rise
>he trainee ,ill recei.e a financial s#++ort for his!her traineeshi+6 Oes No
/f yes% amo#nt in )JB!month6 A0
>he trainee ,ill recei.e a contrib#tion in 9ind for his!her traineeshi+6 Oes No
/f yes% +lease s+ecify6 A0
/s the trainee co.ered by the accident ins#rance (co.erin- at least dama-es ca#sed
to the trainee at the ,or9+lace)I Oes No
/f yes% +lease s+ecify if it also co.ers6
* accidents d#rin- tra.els made for ,or9 +#r+oses6 Oes No
12
Higher Education
Learning Agreement form
Student/trainees name


* accidents on the ,ay to ,or9 and bac9 from ,or96
Oes No
/f not% +lease s+ecify ,hereas the trainee is co.ered
by an accident ins#rance +ro.ided by the sendin-
instit#tion6 Oes No
/f yes% +lease s+ecify if it also co.ers6
* accidents d#rin- tra.els made for ,or9 +#r+oses6
Oes No
* accidents on the ,ay to ,or9 and bac9 from ,or96
Oes No
/s the trainee co.ered by a liability ins#rance
(co.erin- dama-es ca#sed by the trainee at the
,or9+lace)I Oes No
>he recei.in- or-anisation!enter+rise #nderta9es to
ens#re that a++ro+riate e2#i+ment and s#++ort is
a.ailable to the trainee0
J+on com+letion of the traineeshi+% the
or-anisation!enter+rise #nderta9es to iss#e a
>raineeshi+ &ertificate to the trainee [corresponding
to the form in the section 2fter the Mo&ilit. (hich
needs to &e filled in the present document and can
additionall. &e issued independentl.%]
13
Higher Education
Learning Agreement form
Student/trainees name


II/ RES0ONSI-LE 0ERSONS
Res,onsi+%e ,erson
>?
in the sending institution7
Name6 F#nction6
(hone n#mber6 )*mail6
Res,onsi+%e ,erson
>:
in the recei#ing organisation/enter,rise 1su,er#isor27
Name6 F#nction6
(hone n#mber6 )*mail6
III/ 'OMMITMENT OF THE THREE 0ARTIES
<y si-nin-
'0
this doc#ment% the trainee% the sendin- instit#tion and the recei.in-
or-anisation!enter+rise confirm that they a++ro.e the +ro+osed Learnin- A-reement
and that they ,ill com+ly ,ith all the arran-ements a-reed by all +arties0
>he trainee and recei.in- or-anisation!enter+rise ,ill comm#nicate to the sendin-
instit#tion any +roblem or chan-es re-ardin- the mobility +eriod0
The trainee
>raineeEs si-nat#re Date6
The sending institution
Bes+onsible +ersonEs si-nat#re Date6
The recei#ing organisation/enter,rise
Bes+onsible +ersonEs si-nat#re Date6
28
>he res+onsible +erson in the sendin- or-anisation is res+onsible for si-nin- the Learnin-
A-reement and reco-nisin- the credits and associated learnin- o#tcomes as set o#t in the Learnin-
A-reement0
29
>he res+onsible +erson in the recei.in- or-anisation (s#+er.isor) is res+onsible for si-nin- the Learnin-
A-reement% s#+er.isin- the trainee d#rin- the traineeshi+ and si-nin- the >raineeshi+ &ertificate0
30
Scanned co+ies of si-nat#res or di-ital si-nat#res are reco-nised0 >here is no need to circ#late
+a+ers ,ith ori-inal si-nat#res0
14
Higher Education
Learning Agreement form
Student/trainees name


Section to +e com,%eted !RING
THE MO-ILIT.
E8'E0TIONAL MA@OR 'HANGES TO THE ORIGINAL
LEARNING AGREEMENT
I/ E8'E0TIONAL 'HANGES TO THE 0RO0OSE! MO-ILIT.
0ROGRAMME
0%anned duration of the mo+i%it& ,eriod
from [month/.ear] AAAAA0 till [month/.ear] AAAAA
Num+er of "or6ing hours ,er "ee67 ;
Traineeshi, tit%e
AAAAAAAAA00
!etai%ed ,rogramme of the traineeshi, ,eriod* inc%uding tas6s/de%i#era+%es
and associated timing to +e carried out +& the trainee
AAAAAAAAA00
<no"%edge* s6i%%s 1inte%%ectua% and ,ractica%2 and com,etences to +e ac=uired
+& the trainee at the end of the traineeshi, 1%earning outcomes2
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Monitoring ,%an [descri&ing ho(/(hen the trainee (ill &e monitored during his /
her traineeship &. &oth the sending institution and the receiving organisation /
enterprise% !pecif. the num&er of supervision hours% !pecif. if a third part. is also
involved' such as a higher education institution in the receiving countr.' and if .es
specif. the contact details of the person in charge%]
AAAAAAAAA00
E#a%uation ,%an [descri&e the assessment criteria used to evaluate the traineeship
period]
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II/ 'HANGES IN THE RES0ONSI-LE 0ERSONS* if an&
Ne" res,onsi+%e ,erson in the sending institution7
Name6 F#nction6
(hone n#mber6 )*mail6
Ne" res,onsi+%e ,erson in the recei#ing organisation/enter,rise7
15
Higher Education
Learning Agreement form
Student/trainees name


Name6
F#nction6
(hone n#mber6 )*
mail6
III/ 'OMMITMENT OF THE THREE 0ARTIES
>he trainee% the sendin- instit#tion and the recei.in- or-anisation!enter+rise confirm
that the +ro+osed amendments to the Learnin- A-reement are a++ro.ed0
[2greement of the proposed amendments &. email is accepted% 0riginal or scanned
signatures are not mandator. for this specific section%]
The trainee
>raineeDs si-nat#re or a++ro.al by e*mail Date6
The sending institution
Bes+onsible +ersonEs si-nat#re or a++ro.al by e*mail Date6
The recei#ing organisation/enter,rise
Bes+onsible +ersonEs si-nat#re or a++ro.al by e*mail Date6
16
Higher Education
Learning Agreement form
Student/trainees name


Section to +e com,%eted AFTER THE
MO-ILIT.
TRAINEESHI0 'ERTIFI'ATE
[This Traineeship ertificate must &e issued together (ith the sections &efore and
during mo&ilit. and it can additionall. &e issued independentl.]%
Name of the trainee7
Name of the recei#ing organisation/enter,rise7
Sector of the recei#ing organisation/enter,rise7
Address of the recei#ing organisation/enter,rise [street' cit.' countr.' phone'
e1mail address]* "e+site7
Start
A)
and end
A>
of the traineeshi,7
from [da./month/.ear] AAAAA0 till [da./month/.ear] AAAAA0
Traineeshi, tit%e7
!etai%ed ,rogramme of the traineeshi, ,eriod inc%uding tas6s carried out +&
the trainee7
<no"%edge* s6i%%s 1inte%%ectua% and ,ractica%2 and com,etences ac=uired
1%earning outcomes achie#ed27
E#a%uation of the trainee
''
7
!ate7
Name and signature of the res,onsi+%e ,erson at the recei#ing
organisation/enter,rise7
31
First day the trainee has been +resent at the enter+rise to carry o#t his!her traineeshi+0
32
>he end of the traineeshi+ +eriod is the last day the trainee has been +resent at the recei.in-
enter+rise to carry o#t his!her traineeshi+0
33
Accordin- to the a-reed assessment criteria% s#ch as6 academic s9ills!ex+ertise% analytical s9ills%
initiati.e% ada+tability% comm#nication s9ills% team,or9 s9ills% decision*ma9in- s9ills% /&> s9ills%
inno.ati.e and creati.e s9ills% strate-ic*or-anisational s9ills% forei-n lan-#a-e s9ills% A
17