/ Higher Education
Learning Agreement
Version May 2017
Fill out your full name and student number

Annex 2-LEARNING AGREEMENTTRAINEESHIP 2017-2018

To be completed BEFOREthe mobility –section 1

The Trainee(to be completed by the trainee)

First name(s)
Last name(s)
Date of birth
Nationality
Sex / ☐ Male / ☐ Female / ☐ Undefined
Study cycle / ☐ Bachelor / ☐ Master / ☐ PhD
Field of education code[1]

The Sending Institution(to be completed by the International Exchange Coordinator)

Name / Leiden University
Erasmus code / NL LEIDEN 01
Address & country / Postbus 9500, 2300 RA Leiden, The Netherlands
Faculty
Department (if applicable)
Contact person
Name
Email address
Phone number

The Receiving Organisation(to be completed by the receiving organisation)

Name
Address
Country
Department (if applicable)
Website
Size of enterprise / ☐ less than 250 employees / ☐ 250 employees or more
Contact person[2]
Name
Position
Email address
Phone number
Mentor[3]
Name
Position
Email address
Phone number

To be completed BEFORE the mobility – section 2

I. PROPOSED TRAINEESHIP PROGRAMME (to be completed by the trainee with input from the supervisor at the receiving organisation and the International Exchange Coordinator)

Planned traineeshipperiod[4]
/ From .. / ....
[month/year] / To .. / ....
[month/year]
Number of working
hours per week
Traineeship title
Detailed programme of the traineeship period
Please describe the programme of your traineeship below or attach a research/traineeship project proposal to the Learning Agreement.
Knowledge, skills and competences to be acquired by the trainee at the end of the traineeship
Please describe below your expected learning outcomes or attach a research/traineeship project proposal to the Learning Agreement.
Monitoring plan
Pleasedescribe how and when you will be monitored / supervised during the traineeship by the receiving organisation, the sending institution, and, if applicable, a third party.
Evaluation plan
Please describe the assessment criteria that will be used to evaluate the traineeship and the learning outcomes.
Language competence of the trainee(to be completed by the International Exchange Coordinator)
The level of language competence[5] in the main language of instruction that the trainee already has or agrees to acquire by the start of the study period is:
A1  A2  B1  B2  C1  C2  Native speaker 
  1. RESPONSIBILITIES OF THE SENDING INSTITUTION

(to be completed by the International Exchange Coordinator)

Please fill in one of the following two boxes depending on whether:
A) the traineeship is embedded in the curriculum and counts towards the degree or
B) the traineeship is undertaken on a voluntary basis and is not obligatory for the degree.

  1. The traineeship is embedded in the curriculum and upon satisfactory completion of the traineeship, the sending 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 

OR

  1. The traineeship is voluntary and upon satisfactory completion of the traineeship, the sending 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)

  • Record the traineeship in the trainee's Europass Mobility Document Yes  No 

  1. RESPONSIBILITIES OF THE RECEIVING ORGANISATION
    (to be completed by the receiving organisation)

  • The trainee will receive financial support for his/her traineeship: Yes  No 
If yes, amount per month: € ......
  • The trainee will receive a contribution in kind for his/her traineeship: Yes  No 
    If yes, please specify: ......

  • The receiving organisation will provide an 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 undertakes to ensure that appropriate equipment and support is available to the trainee.

  • Upon completion of the traineeship, the receiving organisation undertakes to issue a Traineeship Certificate within 5 weeks after the completion of the traineeship.

IV.RESPONSIBLE PERSONS

Responsible person[6]in the sending institution
(to be completed by or on behalf of the Board of Examiners / in Dutch: examencommissie)
Name
Position
Phone number
Email
Responsible person[7] in the receiving organisation
(to be completed by the receiving organisation)
Name
Position
Phone number
Email

V. COMMITMENT OF THE THREE PARTIES
By signing this document, the trainee, the Sending Institution and the Receiving Organisation confirm that they approve the Learning Agreement and that they will comply with all the arrangements agreed by all parties. The trainee and Receiving Organisation will communicate to the Sending Institution any problem or changes regarding the traineeship period. The Sending Institution and the trainee should also commit to what is set out in the Erasmus+ grant agreement. The institution undertakes to respect all the principles of the Erasmus Charter for Higher Education relating to traineeships.

The trainee
Trainee’s signature / Date
The sending institution(to be signed by / or on behalf of the Board of Examiners)
Responsible person’s
signature / Date
The receiving organisation(to be signed by the supervisor of the trainee)
Responsible person’s
signature / Date

! Please note: the student is responsible for obtaining all signatures !
Section to be completed DURING the mobility

CHANGES TO THE ORIGINAL LEARNING AGREEMENT
Personal details of the trainee(to be completed by the trainee)
First name(s)
Last name(s)
Student number
I.EXCEPTIONAL CHANGES TO THE TRAINEESHIP PROGRAMME

(to be completed by the trainee with input from the supervisor at the receiving organisation and the International Exchange Coordinator)

Planned traineeship period[8]
(to be completed by the student) / From .. / ....
[month/year] / To .. / ....
[month/year]
Number of working hours per week
Traineeship title
Detailed programme of the traineeship period
Please describe the programme of your traineeship below or attach a research/traineeship project proposal to
the Learning Agreement.
Knowledge, skills and competences to be acquired by the trainee at the end of
the traineeship
Please describe below your expected learning outcomes or attach a research/ traineeship project proposal to
the Learning Agreement.
Monitoring plan
Pleasedescribe how and when you will be monitored / supervised during the traineeship by the receiving
organisation, the sending institution, and, if applicable, a third party.
Evaluation plan
Please describe the assessment criteria that will be used to evaluate the traineeship and the learning outcomes.
  1. CHANGE IN THE RESPONSIBLE PERSON AT THE RECEIVING ORGANISATION

New responsible person at the receiving organisation
(to be completed by the receiving organisation)
Name
Position
Phone number
Email
III.CHANGES TO THE TRAINEESHIP PERIOD (to be completed by the trainee)
Original start date
/
.. / .. / ....
[day / month / year]
New end date
/
.. / .. / ....
[day / month / year]
  1. COMMITMENT OF THE THREE PARTIES

The trainee, the sending institution and the receiving organisation confirm their approval of the above-mentioned changes to the traineeship programme.

The trainee
Trainee’s signature / Date
The sending institution (to be signed by or on behalf of the Board of Examiners)
Name
Position
Responsible person’s
signature / Date
The receiving organisation (to be signed by the supervisor of the trainee)
Name
Position
Responsible person’s
signature / Date

! Please note: the student is responsible for obtaining all signatures !

Section to be completed AFTERthe mobility

TRAINEESHIP CERTIFICATE

(to be completed by the supervisor of the trainee at the receiving organisation)

Details of the trainee and the traineeship
Full name of the trainee
Start date traineeship
[day/month/year]
End date traineeship
[day/month/year]
Number of ECTS credits
Traineeship title
Financial support provided to the trainee / € .... per month
Details of the receiving organisation
Name
Sector
Address
[street, city, country]
Phone number
Email address
Website
Detailed programme of the traineeship period, including tasks carried out by the trainee:
Knowledge, skills and competences acquired (achieved learning outcomes):
Evaluation of the trainee:
Signature supervisor
Name / Seal of receiving organisation
[if available]
Date
Signature

1

[1] You can use the ISCED-F 2013 search tool available at to find the ISCED-F 2013 detailed field of education and training that is closest to the subject of the degree that you will be awarded by Leiden University. The code is composed of 4 digits, for example 0912 corresponds with ‘medicine’.

[2] Contact person at the receiving organisation: a person who can provide administrative information within the framework of Erasmus+ traineeships.

[3] Mentor: the role of the mentor is to provide support, encouragement and information to the trainee on the life and experience relative to the enterprise (culture of the enterprise, informal codes and conducts, etc.). Normally, the mentor should be a different person than the supervisor.

[4]Please be aware that the start and end date that you fill(ed) out on the online application form are used to calculate the level of your Erasmus+ grant.

[5]See for more information:

[6] This person is responsible for signing the Learning Agreement, amending it if needed and recognising the credits and associated learning outcomes on behalf of the sending institution as set out in this Learning Agreement.

[7] This person is responsible for signing the Learning Agreement, amending it if needed, supervising the trainee during the traineeship and signing the Traineeship Certificate.

[8]Pleasebe aware that the start and end date that you fill(ed) out on the online application form are used to calculate the level of your Erasmus+ grant.