FREEMOVER/PROMOS Learning Agreement (SMS)

FREEMOVER/PROMOS Learning Agreement (SMS)

FREEMOVER/PROMOSLearning Agreement (SMS)

(to be completed DURING the mobility)

Academic year of the mobility: 2018/20192019/20202020/2021
Student
Last name, first name: / , / Date of birth (DD.MM.YYYY): / ..
E-Mail: / @hs-nordhausen.de / Sex (F/M/X): / FMX
Subject, code: / Business Administration, 0413International Business, 0413Social Management, 0418Public Management, 0428Health and Social Services, 0923Inclusive Studies, 0921Renewable Energies Engineering, 0713Internet-Technology and Applications, 0714Automation and Electronics Engineering, 0714Industrial Eng. for Sustainable Technologies, 0718Environmental and Recycling Engineering, 0711Geo-Engineering, 0711Innovation and Change Management, 0413Public Management & Governance, 0428Therapeutic Social Work, 0923Systems Engineering, 0713Energetic Urban Redevelopment, 0718Industrial Engineering, 0718Systemic Councelling, 0923Transdisciplinary Early Intervention, 0922 / Nationality:
Study cycle: / BachelorMaster
The sending institution / The receiving institution
Name: / HS Nordhausen / Name:
University of Applied Sciences
C. Exceptional changes to study programme abroad
Component
code / Component title
(as indicated atthe receiving institution)* / Deletedcomp.
(if applicable) / Addedcomp.
(if applicable) / Reason for
change** / ECTS / Link
No.
-D1 N/AD2 LanguageD3 TimetableD4 OtherA5 SubstituteA6 ExtensionA7 Other
-D1 N/AD2 LanguageD3 TimetableD4 OtherA5 SubstituteA6 ExtensionA7 Other
-D1 N/AD2 LanguageD3 TimetableD4 OtherA5 SubstituteA6 ExtensionA7 Other
-D1 N/AD2 LanguageD3 TimetableD4 OtherA5 SubstituteA6 ExtensionA7 Other
-D1 N/AD2 LanguageD3 TimetableD4 OtherA5 SubstituteA6 ExtensionA7 Other
-D1 N/AD2 LanguageD3 TimetableD4 OtherA5 SubstituteA6 ExtensionA7 Other
-D1 N/AD2 LanguageD3 TimetableD4 OtherA5 SubstituteA6 ExtensionA7 Other
-D1 N/AD2 LanguageD3 TimetableD4 OtherA5 SubstituteA6 ExtensionA7 Other
-D1 N/AD2 LanguageD3 TimetableD4 OtherA5 SubstituteA6 ExtensionA7 Other
-D1 N/AD2 LanguageD3 TimetableD4 OtherA5 SubstituteA6 ExtensionA7 Other
Component
code / Component title
(as indicated atthe sending institution)* / Deleted comp.
(if applicable) / Added comp.
(if applicable) / Reason for
change** / ECTS / Link
No.
-D1 N/AD2 LanguageD3 TimetableD4 OtherA5 SubstituteA6 ExtensionA7 Other
-D1 N/AD2 LanguageD3 TimetableD4 OtherA5 SubstituteA6 ExtensionA7 Other
-D1 N/AD2 LanguageD3 TimetableD4 OtherA5 SubstituteA6 ExtensionA7 Other
-D1 N/AD2 LanguageD3 TimetableD4 OtherA5 SubstituteA6 ExtensionA7 Other
-D1 N/AD2 LanguageD3 TimetableD4 OtherA5 SubstituteA6 ExtensionA7 Other
-D1 N/AD2 LanguageD3 TimetableD4 OtherA5 SubstituteA6 ExtensionA7 Other
-D1 N/AD2 LanguageD3 TimetableD4 OtherA5 SubstituteA6 ExtensionA7 Other
-D1 N/AD2 LanguageD3 TimetableD4 OtherA5 SubstituteA6 ExtensionA7 Other
-D1 N/AD2 LanguageD3 TimetableD4 OtherA5 SubstituteA6 ExtensionA7 Other
-D1 N/AD2 LanguageD3 TimetableD4 OtherA5 SubstituteA6 ExtensionA7 Other
*Please use abbreviations. / **Please use the dropdown menu.
Reasons for deleting a component: / Reasons for adding a component:
D1 Previously selected educational component is not available / A5 Substituting a deleted component
D2 Component is in a different language than previously specified / A6 Extending the mobility period
D3 Timetable conflict / A7 Other (please specify below signature fields)
D4 Other (please specify below signature fields)
Commitment
By signing this document, the receiving institution confirms that the educational components listed in Table C are in line with its course catalogue. The sending institution commits to recognise all the credits gained at the receiving institution for the successfully completed educational components and to count them towards the student's degree as described in Table B or C.
1 / Student / 3 / Departmental coordinator of sending institution
Student’s signature / Date / Institutional coordinator’s signature / Date
2 / Responsible coordinator ofreceiving institution / 4 / Institutional coordinator of sending institution
Department coordinator’s signature / Date / Responsible coordinator’s signature / Date
D4 Other:
A7 Other: