All.to n. 1

LEARNING AGREEMENT FOR TRAINEESHIPS

The Trainee
Last name (s)		First name (s)		
Date of birth		Nationality		
Sex [M/F]		Academic year	2014/2015	
Study cycle		Subject area, 
Code		
Phone
		E-mail		
Matriculation Number 

The Sending Institution
Name	Università degli Studi di Palermo	Faculty or School 		
Erasmus code 
(if applicable)	I PALERMO01	Department		
Name of 
the Study Course	
Address	Piazza Marina, 61	Country, 
Country code	Italy
IT	
Contact person for
Erasmus+ Traineeship
name	Altair Graziano	Contact person
E-mail / phone	altair.graziano@
unipa.it	

The Receiving Organisation/Enterprise
Name and
Sector		Department		
Address, website		Country		
Size of enterprise				
Contact person
name / position		Contact person
e-mail / phone		
Mentor name /
position		Mentor e-mail / phone		

For notes please look at the end of the document.  
Section to be completed BEFORE THE MOBILITY
I.	PROPOSED MOBILITY PROGRAMME
Planned period of the mobility: from [month/year] ….………... till [month/year] ………………
(not less than 2 months)	
Number of working hours per week: …	
Traineeship title: …	
Detailed programme of the traineeship period…

	
Knowledge, skills and competences to be acquired by the trainee at the end of the traineeship …

	
Monitoring plan …

	
Evaluation plan  …

	

Language competence of the trainee
The level of language competence in ……………………….. [workplace main language] that the trainee already has or agrees to acquire by the start of the mobility period is: 
A1      A2      B1      B2      C1      C2 	

The sending institution
The institution undertakes to respect all the principles of the Erasmus Charter for Higher Education relating to traineeships.
[Please fill in only one of the following boxes depending on whether the traineeship is embedded in the curriculum or is a voluntary traineeship.] 
The traineeship is embedded in the curriculum and upon satisfactory completion of the traineeship, the institution undertakes to:
•	Award …….. ECTS credits.
•	Give a grade based on: Traineeship certificate   Final report   Interview   
•	Record the traineeship in the trainee's Transcript of Records.
•	Record the traineeship in the trainee's Diploma Supplement (or equivalent).
•	Record the traineeship in the trainee's Europass Mobility Document Yes   No   	

The traineeship is voluntary and upon satisfactory completion of the traineeship, the institution undertakes to:
•	Award ECTS credits:  Yes   No   
If yes, please indicate the number of ECTS credits: ….
•	Give a grade: Yes   No   
If yes, please indicate if this will be based on: 
Traineeship certificate   Final report   Interview   
•	Record the traineeship in the trainee's Transcript of Records Yes   No   
•	Record the traineeship in the trainee's Diploma Supplement (or equivalent), except if the trainee is a recent graduate.
•	Record the traineeship in the trainee's Europass Mobility Document Yes   No     This is recommended if the trainee will be a recent graduate. 	

The receiving organisation/enterprise
The trainee will receive a financial support for his/her traineeship:  Yes   No 
If yes, amount in EUR/month: ….	
The trainee will receive a contribution in kind for his/her traineeship:  Yes   No 
If yes, please specify: ….
Is the trainee covered by the accident insurance?  Yes   No 
If not, please specify whether the trainee is covered by an accident insurance provided by the sending institution: Yes   No 
The accident insurance covers:
-	accidents during travels made for work purposes:  Yes   No 
-	accidents on the way to work and back from work:  Yes   No 
Is the trainee covered by a liability insurance?  Yes   No 
The receiving organisation/enterprise undertakes to ensure that appropriate equipment and support is available to the trainee.
Upon completion of the traineeship, the organisation/enterprise undertakes to issue a Traineeship Certificate by …. [maximum 5 weeks after the  traineeship].	

II.	RESPONSIBLE PERSONS
Responsible person in the sending institution:
Name:	                                                  Function: Coordinatore del Corso di studio                	
Phone number:	E-mail:		

Responsible person in the receiving organisation/enterprise (supervisor):
Name:		Function:	
Phone number:	E-mail:		

III. COMMITMENT OF THE THREE PARTIES
By signing this document, the trainee, the sending institution and the receiving organisation/enterprise confirm that they approve the proposed Learning Agreement and that they will comply with all the arrangements agreed by all parties.
The trainee and receiving organisation/enterprise will communicate to the sending institution any problem or changes regarding the traineeship period.
The trainee
Trainee’s signature 	                                                          Date:		
The sending institution
Responsible person’s signature 
Firma del Coordinatore del corso di studio	         Date: 		
The receiving organisation/enterprise
Responsible person’s signature 		         Date:		

Section to be completed DURING THE MOBILITY
EXCEPTIONAL MAJOR CHANGES TO THE ORIGINAL LEARNING AGREEMENT

I. 	EXCEPTIONAL CHANGES TO THE PROPOSED MOBILITY PROGRAMME
Planned period of the mobility: from [month/year] ….……. till [month/year] …………	
Number of working hours per week: …	
Traineeship title: …	
Detailed programme of the traineeship period…

Knowledge, skills and competences to be acquired by the trainee at the end of the traineeship …

Monitoring plan …
	
Evaluation plan  …

The trainee, the sending institution and the receiving organisation/enterprise confirm that the proposed amendments to the mobility programme are approved.
Approval by e-mail or signature from the trainee, the responsible person in the sending institution and the responsible person in the receiving organisation/enterprise. 

II. 	CHANGES IN THE RESPONSIBLE PERSON(S), if any:

New responsible person in the sending institution:

Name:		Function:	
Phone number:		E-mail:		

New responsible person in the receiving organisation/enterprise:

Name:		Function:	
Phone number:		E-mail:		

Section to be completed AFTER THE MOBILITY
TRAINEESHIP CERTIFICATE
Name of the trainee:	

Name of the receiving organisation/enterprise:

Sector of the receiving organisation/enterprise:	

Address of the receiving organisation/enterprise [street, city, country, phone, e-mail address], website:	

Start and end of the traineeship:
from [day/month/year]	…………….	till [day/month/year]	…………….	

Traineeship title:	

Detailed programme of the traineeship period including tasks carried out by the trainee:

	

Knowledge, skills (intellectual and practical) and competences acquired (learning outcomes achieved):

	

Evaluation of the trainee:	

Date:

Name and signature of the responsible person at the receiving organisation/enterprise:

End notes