Higher Education:
Learning Agreement form
Learning Agreement – Hors Student’s name
Programme Erasmus Academic Year ____/____
Student Mobility for Studies
Last name(s) First name(s) Date of birth Nationality1 Sex [M/F] Study cycle2 Field of education 3
Student 0312: Political sciences and civics
(14.1, 14.6 - 313)
Faculty/ Erasmus code4
Name Department (if applicable) Address Country Contact person name5; email; phone
Sending 1030 Avenue
Centrale
Institution Sciences Po Political BP 48 - 38040
Anna Jeannesson
Grenoble Sciences F GRENOBL 23 Grenoble Cedex 9 France [Link]@[Link]
Faculty/
Name Department Address Country Contact person name; email; phone
Receiving
Institution
Before the mobility
Study Programme at the Receiving Institution
Planned period of the mobility: from [month/year] ……………. to [month/year] ……………
Component
title at the
Semester
Table A Component6 Receiving
[e.g. Number of ECTS credits (or equivalent)8 to be awarded by the Receiving Institution upon
Before the code Institution
autumn/spring; successful completion
mobility (if any) (as indicated in
term]
the course
catalogue7)
1
Nationality: country to which the person belongs administratively and that issues the ID card and/or passport.
2
Study cycle: Short cycle (EQF level 5) / Bachelor or equivalent first cycle (EQF level 6) / Master or equivalent second cycle (EQF level 7) / Doctorate or equivalent third
cycle (EQF level 8).
3
Field of education: The ISCED-F 2013 search tool available at [Link] should be used to find the ISCED 2013 detailed field
of education and training that is closest to the subject of the degree to be awarded to the student by the Sending Institution.
4
Erasmus code: a unique identifier that every higher education institution that has been awarded with the Erasmus Charter for Higher Education (ECHE) receives. It is
only applicable to higher education institutions located in Programme Countries.
5
Contact person: person who provides a link for administrative information and who, depending on the structure of the higher education institution, may be the
departmental coordinator or works at the international relations office or equivalent body within the institution.
6
An "educational component" is a self-contained and formal structured learning experience that features learning outcomes, credits and forms of assessment. Examples
of educational components are: a course, module, seminar, laboratory work, practical work, preparation/research for a thesis, mobility window or free electives.
7
Course catalogue: detailed, user-friendly and up-to-date information on the institution’s learning environment that should be available to students before the mobility period and throughout their studies to enable them to
make the right choices and use their time most efficiently. The information concerns, for example, the qualifications offered, the learning, teaching and assessment procedures, the level of programmes, the individual
educational components and the learning resources. The Course Catalogue should include the names of people to contact, with information about how, when and where to contact them.
8
ECTS credits (or equivalent): in countries where the "ECTS" system is not in place, in particular for institutions located in Partner Countries not participating in the
Bologna process, "ECTS" needs to be replaced in the relevant tables by the name of the equivalent system that is used, and a web link to an explanation to the system
should be added.
1
Higher Education:
Learning Agreement form
Student’s name
Academic Year ____/____
Total: …
The level of language competence9 in ________ [indicate here 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 ☐ Native speaker ☐
Recognition at the Sending Institution
Table B Component Semester Number of ECTS credits (or equivalent)
Component title at the Sending Institution
Before the code [e.g. autumn/spring; to be recognised by the Sending
(as indicated in the course catalogue)
mobility (if any) term] Institution
Mobility Window
Total: 60
Provisions applying if the student does not complete successfully some educational components
Commitment
By signing this document, the student, the Sending Institution and the Receiving Institution confirm that they approve the Learning Agreement and that they will comply with all the
arrangements agreed by all parties.
Commitment Name Email Position Date Signature
Student Student
Responsible person10 at Anna Anna. Jeannesson@sciencespo- Academic
the Sending Institution Jeannesson [Link] Advisor
Responsible person at the
Receiving Institution11
During the Mobility
9
Level of language competence: a description of the European Language Levels (CEFR) is available at: [Link]
language-levels-cefr
10
Responsible person at the Sending Institution: an academic who has the authority to approve the Learning Agreement, to exceptionally amend it when it is needed, as
well as to guarantee full recognition of such programme on behalf of the responsible academic body. The name and email of the Responsible person must be filled in only
in case it differs from that of the Contact person mentioned at the top of the document.
11
Responsible person at the Receiving Institution: the name and email of the Responsible person must be filled in only in case it differs from that of the Contact person
mentioned at the top of the document.
2
Higher Education:
Learning Agreement form
Student’s name
Academic Year ____/____
DURING V1: Exceptional changes to Table A (if applicable)
(to be approved by e-mail or signature by the student and the responsible person in the Sending Institution)
Table A2 Component Deleted Added
Component title at the Sending Institution
During the code component component
(as indicated in the course catalogue) Number of ECTS credits (or equivalent)
mobility (if any) [tick if applicable] [tick if applicable]
☐ ☐
☐ ☐
☐ ☐
☐ ☐
☐ ☐
☐ ☐
☐ ☐
☐ ☐
☐ ☐
☐ ☐
☐ ☐
☐ ☐
☐ ☐
☐ ☐
☐ ☐
☐ ☐
☐ ☐
☐ ☐
Total: …
Commitment
By signing this document, the student, the Sending Institution and the Receiving Institution confirm that they approve the Learning Agreement and that they will comply with all the
arrangements agreed by all parties.
Commitment Name Email Position Date Signature
Student Student
Anna.
Responsible person12 at
Anna Jeannesson Jeannesson@sciencespo- Academic Advisor
the Sending Institution
[Link]
Responsible person at the
Receiving Institution13
DURING V2: Exceptional changes to Table A (if applicable)
(to be approved by e-mail or signature by the student and the responsible person in the Sending Institution)
12
Responsible person at the Sending Institution: an academic who has the authority to approve the Learning Agreement, to exceptionally amend it when it is needed, as
well as to guarantee full recognition of such a programme on behalf of the responsible academic body. The name and email of the Responsible person must be filled in
only in case it differs from that of the Contact person mentioned at the top of the document.
13
Responsible person at the Receiving Institution: the name and email of the Responsible person must be filled in only in case it differs from that of the Contact person
mentioned at the top of the document.
3
Higher Education:
Learning Agreement form
Student’s name
Academic Year ____/____
Table A2 Component Deleted Added
Component title at the Sending Institution
During the code component component
(as indicated in the course catalogue) Number of ECTS credits (or equivalent)
mobility (if any) [tick if applicable] [tick if applicable]
☐ ☐
☐ ☐
☐ ☐
☐ ☐
☐ ☐
☐ ☐
☐ ☐
☐ ☐
☐ ☐
☐ ☐
☐ ☐
☐ ☐
☐ ☐
☐ ☐
☐ ☐
☐ ☐
☐ ☐
☐ ☐
Total: …
Commitment
By signing this document, the student, the Sending Institution and the Receiving Institution confirm that they approve the Learning Agreement and that they will comply with all the
arrangements agreed by all parties.
Commitment Name Email Position Date Signature
Student Student
Anna.
Responsible person14 at
Anna Jeannesson Jeannesson@sciencespo- Academic Advisor
the Sending Institution
[Link]
Responsible person at the
Receiving Institution15
14
Responsible person at the Sending Institution: an academic who has the authority to approve the Learning Agreement, to exceptionally amend it when it is needed, as
well as to guarantee full recognition of such a programme on behalf of the responsible academic body. The name and email of the Responsible person must be filled in
only in case it differs from that of the Contact person mentioned at the top of the document.
15
Responsible person at the Receiving Institution: the name and email of the Responsible person must be filled in only in case it differs from that of the Contact person
mentioned at the top of the document.
