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 $o%da () De+artment
Address (b "00% ,101 -olda &o#ntry% Nor"a&*
&o#ntry code NO
1
&o#ntry to .hich the +erson belon/s administrati0ely and that iss#es the 1D card and!or +ass+ort2
2
Short cycle ()3F le0el ") ! bachelor or e4#i0alent first cycle ()3F le0el ,) ! master or e4#i0alent
second cycle ()3F le0el 5) ! doctorate or e4#i0alent third cycle ()3F le0el 6)2
3
(lease refer to the 1S&)D 201' s#b$ect field that is closest to the s#b$ect of the de/ree to be
a.arded to the st#dent by the sendin/ instit#tion2 For the list of detailled s#b$ect fields% see7
htt+7!!...2#is2#nesco2or/!)d#cation!(a/es!international*standard*classification*of*ed#cation2as+x2
4
(lease #se 1S8 '1,,*2 co#ntry codes a0ailable at7 htt+s7!!...2iso2or/!ob+!#i!9search2
5
A +erson .ho +ro0ides a lin: for administrati0e 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 .or: at the international
relations office or e4#i0alent body .ithin the instit#tion2
1
Higher Education
Learning Agreement form
Student/trainees name


&ontact +erson

name
;#lia <ele#ta &ontact +erson bele#ta=hi0olda2no!
e*mail ! +hone 5005"2'2
Section to +e com,%eted -EFORE THE
MO-ILIT.
I/ 0RO0OSE! MO-ILIT. 0ROGRAMME
(lanned +eriod of the mobility7 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 recei0in/ instit#tion2
[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 A7 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
6
Total* 30
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 assessment2 )xam+les of ed#cational com+onents are7
a co#rse% mod#le% seminar% laboratory .or:% +ractical .or:% +re+aration!research for a thesis% mobility
.indo. or free electi0es2
7
1n 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 e4#i0alent system that is #sed2
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 +arties2
2
Higher Education
Learning Agreement form
Student/trainees name


5e+ %in6 to the course cata%ogue at the recei#ing institution7
+e& link,s- to &e provided
1f 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/ .ay7
>able <7 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
1n case some ed#cational com+onents .o#ld not be s#ccessf#lly com+leted by the
st#dent% the follo.in/ +ro0isions .ill a++ly7 [+lease s+ecify or +ro0ide a .eblin: to
the rele0ant information2]
Language com,etence of the student
>he le0el of lan/#a/e com+etence
@
in AAAA [language of instruction] that the
st#dent already has or a/rees to ac4#ire by the start of the st#dy +eriod (for the
abo0e*mentioned dates) is7
A1 A2 <1 <2 &1 &2
9
For the &ommon )#ro+ean Frame.or: of Beference for Lan/#a/es (&)FB) see
htt+7!!e#ro+ass2cedefo+2e#ro+a2e#!en!reso#rces!e#ro+ean*lan/#a/e*le0els*cefr
3
Higher Education
Learning Agreement form
Student/trainees name


II/ RES0ONSI-LE 0ERSONS
Res,onsi+%e ,erson
)(
in the sending institution7
Name7 F#nction7
(hone n#mber7 )*mail7
Res,onsi+%e ,erson
))
in the recei#ing institution7
Name7 F#nction7
(hone n#mber7 )*mail7
III/ 'OMMITMENT OF THE THREE 0ARTIES
<y si/nin/
12
this doc#ment% the st#dent% the sendin/ instit#tion and the recei0in/
instit#tion confirm that they a++ro0e the +ro+osed Learnin/ A/reement and that they
.ill com+ly .ith all the arran/ements a/reed by all +arties2 Sendin/ and recei0in/
instit#tions #nderta:e 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)2
>he recei0in/ instit#tion confirms that the ed#cational com+onents listed in >able A
are in line .ith its co#rse catalo/#e2
>he sendin/ instit#tion commits to reco/nise all the credits /ained at the recei0in/
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'
2
>he st#dent and recei0in/ 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 +eriod2
The student
St#dentEs si/nat#re

Date7
The sending institution
Bes+onsible +ersonEs si/nat#re Date7
The recei#ing institution
Bes+onsible +ersonEs si/nat#re Date7
10
An academic .ho has the a#thority to a++ro0e 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 body2
11
An academic .ho has the a#thority to a++ro0e the mobility +ro/ramme of incomin/ st#dents and is
committed to /i0e them academic s#++ort in the co#rse of their st#dies at the recei0in/ instit#tion2
12
Scanned co+ies of si/nat#res or di/ital si/nat#res are reco/nised2 >here is no need to circ#late
+a+ers .ith ori/inal si/nat#res2
13
Any exce+tions to this r#le are doc#mented in an annex of this Learnin/ A/reement and a/reed by all
+arties2
4
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 &7 )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 "
>otal7 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+onent7 A1) (re0io#sly selected ed#cational com+onent is not a0ailable at
recei0in/ instit#tion A2) &om+onent is in a different lan/#a/e than +re0io#sly s+ecified in the co#rse
catalo/#e A') >imetable conflict% A) 8ther (+lease s+ecify)2
Beason for addin/ a com+onent7 <1) S#bstit#tin/ a deleted com+onent% <2) )xtendin/ the mobility
+eriod% <') 8ther (+lease s+ecify)2
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 +arties2
5
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
Name7 F#nction7
(hone n#mber7 )*mail7
Ne" res,onsi+%e ,erson in the recei#ing institution7
Name7 F#nction7
(hone n#mber7 )*mail7
III/ 'OMMITMENT OF THE THREE 0ARTIES
>he st#dent% the sendin/ instit#tion and the recei0in/ instit#tion confirm that the
+ro+osed amendments to the Learnin/ A/reement are a++ro0ed2
[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++ro0al by e*mail Date7
The sending institution
Bes+onsible +ersonEs si/nat#re or a++ro0al by e*mail Date7
The recei#ing institution
Bes+onsible +ersonEs si/nat#re or a++ro0al by e*mail Date7
6
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
1,
and the end
15
of the st#dy +eriod7
from [da./month/.ear] AAAAA2 till [da./month/.ear] AAAAA2
[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 )7 >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%]
>able F7 Beco/nition o#tcomes
16
First day the st#dent has been +resent at the recei0in/ or/anisation for academic reasons (e2/2 first
co#rse% .elcomin/ e0ent 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 recei0in/
or/anisation for academic reasons (e2/2 end of exam +eriod!co#rse!.or:!mandatory sittin/ +eriod222)
18
Gradin/ distrib#tion information sho#ld be attached to the >ranscri+t of Becords (or a .eb lin: .here
this information can be fo#nd)2
7
Higher Education
Learning Agreement form
Student/trainees name


'om,on
ent
code
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/ample
#*
Mo&ilit. (indo( 30
Total* 30
E/ample
;*
ourse / #0
Module . #0
<a&orator. (ork #0
Total* 30
All the abo0e 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 recei0in/ instit#tion2
8
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 2022!2022
St#dy cycle
20
S#b$ect area%
&ode
21
(hone )*mail
The Sending Institution
Name Fac#lty
)rasm#s code
(if a++licable)
De+artment
Address &o#ntry%
&o#ntry code
22
&ontact +erson
name
&ontact +erson
)*mail ! +hone
The Recei#ing Organisation/Enter,rise
Name
Sector
2'
De+artment
Address% .ebsite &o#ntry
SiHe of enter+rise
2
&ontact +erson
2"
name ! +osition
&ontact +erson
e*mail ! +hone
Ientor
2,
name ! +osition Ientor e*mail ! +hone
19
&o#ntry to .hich the +erson belon/s administrati0ely and that iss#es the 1D card and!or +ass+ort2
20
Short cycle ()3F le0el ") ! bachelor or e4#i0alent first cycle ()3F le0el ,) ! master or e4#i0alent
second cycle ()3F le0el 5) ! doctorate or e4#i0alent third cycle ()3F le0el 6) * s+ecify the latest st#dy
cycle for recent /rad#ates2
21
(lease refer to the 1S&)D 201' s#b$ect field that is closest to the s#b$ect of the de/ree to be
a.arded to the trainee by the sendin/ instit#tion2 For the list of detailled s#b$ect fields% see7
htt+7!!...2#is2#nesco2or/!)d#cation!(a/es!international*standard*classification*of*ed#cation2as+x2
22
(lease #se 1S8 '1,,*2 co#ntry codes a0ailable at7 htt+s7!!...2iso2or/!ob+!#i!9search2
23
For the list of to+*le0el NA&) sector codes% see 7
htt+7!!ec2e#ro+a2e#!e#rostat!ramon!nomenclat#res!index2cfmJ
>ar/etKrlLLS>MN8IMD>LNStrNomLNA&)MB)-2NStrLan/#a/e&odeL)N2
24
For instance7 1*"0 ! "1*"00 ! more than "00 em+loyees2
25
A +erson .ho can +ro0ide administrati0e information .ithin the frame.or: of )rasm#s
traineeshi+s2
9
Higher Education
Learning Agreement form
Student/trainees name


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] AAAAA2 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 le0el of lan/#a/e com+etence
25
in AAAA22 [(orkplace language] that the trainee
26
>he role of the mentor is to +ro0ide s#++ort% enco#ra/ement and information to the trainee on the life
and ex+erience relati0e to the enter+rise (c#lt#re of the enter+rise% informal codes and cond#cts% etc2)2
Normally% the mentor sho#ld be a different +erson than the s#+er0isor2
25
For the &ommon )#ro+ean Frame.or: of Beference for Lan/#a/es (&)FB) see
htt+7!!e#ro+ass2cedefo+2e#ro+a2e#!en!reso#rces!e#ro+ean*lan/#a/e*le0els*cefr2
10
Higher Education
Learning Agreement form
Student/trainees name


already has or a/rees to ac4#ire by the start of the mobility +eriod (for the abo0e*
mentioned dates) is7 A1 A2 <1 <2 &1 &2
The sending institution
>he instit#tion #nderta:es to res+ect all +rinci+les of the )rasm#s &harter for Ci/her
)d#cation relatin/ to traineeshi+s2
>he traineeshi+ is embedded in the c#rric#l#m and #+on satisfactory com+letion
of the traineeshi+% the instit#tion #nderta:es to7
A.ard AA22 )&>S credits2
Gi0e a /rade based on7 >raineeshi+ certificate Final re+ort 1nter0ie.
Becord the traineeshi+ in the traineeDs >ranscri+t of Becords2
Becord the traineeshi+ in the traineeDs Di+loma S#++lement (or e4#i0alent)2
Becord the traineeshi+ in the traineeDs )#ro+ass Iobility Doc#ment Oes No

>he traineeshi+ is 0ol#ntary and #+on satisfactory com+letion of the traineeshi+%
the instit#tion #nderta:es to7
A.ard )&>S credits7 Oes No
1f yes% +lease indicate the n#mber of )&>S credits7 A2
Gi0e a /rade7 Oes No
1f yes% +lease indicate if this .ill be based on7
>raineeshi+ certificate Final re+ort 1nter0ie.
Becord the traineeshi+ in the traineeDs >ranscri+t of Becords Oes No
Becord the traineeshi+ in the traineeDs Di+loma S#++lement (or e4#i0alent)%
exce+t if the trainee is a recent /rad#ate2
Becord the traineeshi+ in the traineeDs )#ro+ass Iobility Doc#ment Oes No
1f the trainee is a recent /rad#ate this is recommended2
The recei#ing organisation/enter,rise
>he trainee .ill recei0e a financial s#++ort for his!her traineeshi+7 Oes No
1f yes% amo#nt in )KB!month7 A2
>he trainee .ill recei0e a contrib#tion in :ind for his!her traineeshi+7 Oes No
1f yes% +lease s+ecify7 A2
1s the trainee co0ered by the accident ins#rance (co0erin/ at least dama/es ca#sed
to the trainee at the .or:+lace)J Oes No
1f yes% +lease s+ecify if it also co0ers7
* accidents d#rin/ tra0els made for .or: +#r+oses7 Oes No
* accidents on the .ay to .or: and bac: from .or:7 Oes No
1f not% +lease s+ecify .hereas the trainee is co0ered by an accident ins#rance
11
Higher Education
Learning Agreement form
Student/trainees name


+ro0ided by the sendin/ instit#tion7 Oes No
1f yes% +lease s+ecify if it also co0ers7
* accidents d#rin/ tra0els made for .or: +#r+oses7 Oes No
* accidents on the .ay to .or: and bac: from .or:7 Oes No
1s the trainee co0ered by a liability ins#rance (co0erin/ dama/es ca#sed by the
trainee at the .or:+lace)J Oes No
>he recei0in/ or/anisation!enter+rise #nderta:es to ens#re that a++ro+riate
e4#i+ment and s#++ort is a0ailable to the trainee2
K+on com+letion of the traineeshi+% the or/anisation!enter+rise #nderta:es 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.%]
12
Higher Education
Learning Agreement form
Student/trainees name


II/ RES0ONSI-LE 0ERSONS
Res,onsi+%e ,erson
>?
in the sending institution7
Name7 F#nction7
(hone n#mber7 )*mail7
Res,onsi+%e ,erson
>:
in the recei#ing organisation/enter,rise 1su,er#isor27
Name7 F#nction7
(hone n#mber7 )*mail7
III/ 'OMMITMENT OF THE THREE 0ARTIES
<y si/nin/
'0
this doc#ment% the trainee% the sendin/ instit#tion and the recei0in/
or/anisation!enter+rise confirm that they a++ro0e the +ro+osed Learnin/ A/reement
and that they .ill com+ly .ith all the arran/ements a/reed by all +arties2
>he trainee and recei0in/ or/anisation!enter+rise .ill comm#nicate to the sendin/
instit#tion any +roblem or chan/es re/ardin/ the mobility +eriod2
The trainee
>raineeEs si/nat#re Date7
The sending institution
Bes+onsible +ersonEs si/nat#re Date7
The recei#ing organisation/enter,rise
Bes+onsible +ersonEs si/nat#re Date7
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/reement2
29
>he res+onsible +erson in the recei0in/ or/anisation (s#+er0isor) is res+onsible for si/nin/ the Learnin/
A/reement% s#+er0isin/ the trainee d#rin/ the traineeshi+ and si/nin/ the >raineeshi+ &ertificate2
30
Scanned co+ies of si/nat#res or di/ital si/nat#res are reco/nised2 >here is no need to circ#late
+a+ers .ith ori/inal si/nat#res2
13
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] AAAAA2 till [month/.ear] AAAAA
Num+er of "or6ing hours ,er "ee67 ;
Traineeshi, tit%e
AAAAAAAAA22
!etai%ed ,rogramme of the traineeshi, ,eriod* inc%uding tas6s/de%i#era+%es
and associated timing to +e carried out +& the trainee
AAAAAAAAA22
<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%]
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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
Name7 F#nction7
(hone n#mber7 )*mail7
Ne" res,onsi+%e ,erson in the recei#ing organisation/enter,rise7
Name7 F#nction7
14
Higher Education
Learning Agreement form
Student/trainees name


(hone n#mber7 )*mail7
III/ 'OMMITMENT OF THE THREE 0ARTIES
>he trainee% the sendin/ instit#tion and the recei0in/ or/anisation!enter+rise confirm
that the +ro+osed amendments to the Learnin/ A/reement are a++ro0ed2
[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++ro0al by e*mail Date7
The sending institution
Bes+onsible +ersonEs si/nat#re or a++ro0al by e*mail Date7
The recei#ing organisation/enter,rise
Bes+onsible +ersonEs si/nat#re or a++ro0al by e*mail Date7
15
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] AAAAA2 till [da./month/.ear] AAAAA2
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+2
32
>he end of the traineeshi+ +eriod is the last day the trainee has been +resent at the recei0in/
enter+rise to carry o#t his!her traineeshi+2
33
Accordin/ to the a/reed assessment criteria% s#ch as7 academic s:ills!ex+ertise% analytical s:ills%
initiati0e% ada+tability% comm#nication s:ills% team.or: s:ills% decision*ma:in/ s:ills% 1&> s:ills%
inno0ati0e and creati0e s:ills% strate/ic*or/anisational s:ills% forei/n lan/#a/e s:ills% A
16