Learning Agreement and Study Plan

Academic Year 20____/20____

Field of Study: Medicine

Name of student:
Semester enrolled during the exchange period: / Social Security Number:
Sending institution: Faculty of Medicine – Lund University / City, country:Lund, Sweden

DETAILS OF THE PROPOSED STUDY PROGRAMME ABROAD/LEARNING AGREEMENT

Receiving institution:
City, country: / Exchange Period (ddmmyy – ddmmyy):

Section 1: Exchange Study Plan at Host University and Preliminary Course Equivalency

If the study plan changes during an exchange period, it is the student’s responsibility to report this to his/her International Coordinator as well as his/her academic responsible at Lund University. Changes to the study plan may affect the preliminary course equivalency as well as the study plan for when the student has returned to Lund University.

The student above will complete the following courses at the host university:

Course Name at Host University / ECTS / Preliminary course equivalency at Lund University – Course Name and Code/Clinical medicine subject / ECTS/hp
Description of Learning Activities:
Comments:
Course Name at Host University / ECTS / Preliminary course equivalency at Lund University – Course Name and Code/Clinical medicine subject / ECTS/ hp
Description of Learning Activities:
Comments:
Course Name at Host University / ECTS / Preliminary course equivalency at Lund University – Course Name and Code/Clinical medicine subject / ECTS/ hp
Description of Learning Activities:
Comments:

If the study plan changes during an exchange period, it is the student’s responsibility to report this to his/her International Coordinator as well as his/her academic responsible at Lund University.

Section 2: Necessary Documentation for Post-Exchange Evaluation

One of the following documents are necessary in order to evaluate the exchange period and determine the final course equivalency, credit transfer and study plan at Lund University:

  • Transcript of Records
  • Certificate outlining a clinical placement

Student’s signature: / Date:

Sending Institution:

We confirm that the proposed program of study/learning agreement is approved.
Departmental coordinator/Director of Studies / Institutional Coordinator
Name: / Name: Christina Jeppsson
Signature: / Signature:
Date: / Date:

Stamp from Sending Institution:

Receiving Institution:

We confirm that the proposed program of study/learning agreement is approved.
Departmental coordinator / Institutional Coordinator
Name: / Name:
Signature: / Signature:
Date: / Date:

Stamp from Receiving Institution:

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