LEARNING AGREEMENT FOR STUDIES The Student Last name(s) xxx First name(s) xxx Date of birth xxx Nationality xxx Sex [M/F] xxx Academic year xxx Study cycle xxx Subject area, Code xxx Phone xxx E-mail xxx The Sending Institution Name xxx Faculty xxx Erasmus code xxx Department xxx Address xxx Country, Country code xxx Contact person name xxx Contact person e-mail / phone xxx The Receiving Institution Name ŠKODA AUTO University Faculty --- Erasmus code (if applicable) CZ MLADA01 Department --- Address Na Karmeli 1457, 293 01 Mladá Boleslav Country, Country code Czech Republic, CZ Contact person name Barbora Bukovanová Contact person e-mail / phone bukovanova@is.savs.cz +420 326 823 003 For guidelines, please look at Annex 1, for end notes please look at Annex 2. Section to be completed BEFORE THE MOBILITY I. PROPOSED MOBILITY PROGRAMME Planned period of the mobility: from DD/MM/YYYY till DD/MM/YYYY Table A: Study programme abroad
Component code (if any) Component title (as indicated in the course catalogue) at the receiving institution Semester [autumn / spring] [or term] Number of ECTS credits to be awarded by the receiving institution upon successful completion xxx xxx xxx xxx xxx xxx xxx xxx Total: ………… Web link to the course catalogue at the receiving institution describing the learning outcomes: http://is.savs.cz/dok_server/slozka.pl?id=5788;download=10537 Table B: Group of educational components in the student's degree that would normally be completed at the sending institution and which will be replaced by the study abroad NB no one to one match with Table A is required. Where all credits in Table A are recognised as forming part of the programme at the sending institution without any further conditions being applied, Table B may be completed with a reference to the mobility window (see guidelines). Component code (if any) Component title (as indicated in the course catalogue) at the sending institution Semester [autumn / spring] [or term] Number of ECTS credits xxx xxx xxx xxx xxx xxx xxx xxx Total: ………… If the student does not complete successfully some educational components, the following provisions will apply: xxx Language competence of the student The level of language competence in [the main language of instruction] that the student already has or agrees to acquire by the start of the study period is: A1 A2 B1 B2 C1 C2 II. RESPONSIBLE PERSONS Responsible person in the sending institution: Name: xxx Function: xxx Phone number: xxx E-mail: xxx
The student and receiving institution will communicate to the sending institution any problems or changes regarding the proposed mobility programme, responsible persons and/or study period. The student Student’s signature Date: The sending institution Responsible person’s signature Date: The receiving institution Responsible person’s signature Date: Section to be completed AFTER THE MOBILITY RECOGNITION OUTCOMES I. MINIMUM INFORMATION TO INCLUDE IN THE RECEIVING INSTITUTION'S TRANSCRIPT OF RECORDS Start and end dates of the study period: from DD/MM/YYYY till DD/MM/YYYY. Table E: academic outcomes at receiving institution Component code (if any) Component title (as indicated in the course catalogue) at the receiving institution Was the component successfully completed by the student? [Yes/No] Number of ECTS credits Receiving institution grade Total: [Signature of responsible person in receiving institution and date] II. MINIMUM INFORMATION TO INCLUDE IN THE SENDING INSTITUTION'S TRANSCRIPT OF RECORDS Start and end dates of the study period: from DD/MM/YYYY till DD/MM/YYYY.