LEARNING AGREEMENT for EM LEADERS

First name : Last name:

Home University: Host University:
Mobility duration : Mobility level :
6 month Undergraduate
12 months Masters
Other

Please list all courses you intend to take during your study abroad period.
*If you intend to do a guided research, please also fill in the table by describing the research.
**Se=semester, Cr=credits, Lg=Language taught
***If no corresponding course information of the Home University is yet available, please leave the Home University course
fields blank.

HOME : HOST :
Se Code Title and Description Cr Se Code Title and Description Lg Cr

****All courses listed above are subject to the availability at the host institution.

Students signature : Date :

<Home Institution>
We confirm that the above proposed programme of study/Learning Agreement are approved.

Signature of the responsible person at the Home Institution Date :

Notes :