Erasmus+ Learning Agreement
Short Term Mobility 
Student Mobility for Studies
General information

Student
	Last name(s)	First name(s)	Date of birth	
Nationality*	Gender
[Male/Female/Undefined]	
						
	ESI*, if applicable	Study cycle*	Field of education*
(ISCED)	Field of education 
(clarification)	
					
Sending Institution
	Name	Faculty/Department	Erasmus code*/
City	Country	Administrative contact person name*; email; phone	
	Università di Pisa		IPISA01	Italy	Sabina Manca, Lucia Di Girolamo circleU.erasmus@unipi.it;
	
Receiving Institution
 	Name	Faculty/Department	Erasmus code*/ 
City 	Country	Administrative contact person name*; email; phone	
						
The level of language competence* 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 ☐	

Before the mobility
Table A
Study Programme at the Receiving Institution (physical component of the mobility)
Planned period of the physical mobility: from ____ to ____ 	
Component code*
(if any)	Component Description and Title at the Receiving Institution	Term
[e.g. autumn/spring; term]	Number of ECTS credits* (or equivalent) to be awarded by the Receiving Institution upon successful completion	

 	
			Total: 	

Table B
Description of the virtual component at Receiving Institution – Period of the virtual component: from ___ to ___	
Component 
code (if any)	Component title or description of the study
programme at the Receiving Institution	Short description of the virtual component* 
	Number of ECTS credits (or equivalent) to be awarded by the Receiving Institution upon successful completion	

				
			Total: …	

Table C
Recognition at the Sending Institution (physical and virtual components, if applicable)
	
Component code 
(if any)	Activities at the Sending Institution 	Term
[e.g. autumn/spring; term]	Number of ECTS credits (or equivalent) to be recognised by the Sending Institution 	Automatic recognition* 	

 

 

 	Yes ☐     No ☐	

					

					
 			Total: …		
Provisions applying if the student does not complete successfully some educational components*: [web link to the relevant information]	

Commitment of the three parties 
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 upon by all parties. Sending and Receiving Institutions undertake to apply all the principles of the Erasmus Charter for Higher Education relating to mobility for studies (or the principles agreed in the Inter-Institutional Agreement for institutions located in third countries not associated to the Programme). The Beneficiary Organisation and the student should also commit to what is set out in the Erasmus+ grant agreement. The Receiving Institution confirms that the educational components listed are in line with its course catalogue or as agreed otherwise and should be available to the student. The Sending Institution commits to recognise all the credits or equivalent units gained at the Receiving Institution for the successfully completed educational components and to count them towards the student's degree. The student and the Receiving Institution will communicate any problems or changes regarding the study programme, responsible persons and/or study period to the Sending Institution.	
Commitment	Name	Email	Position	Date	Signature	
Student	

	
	Student			
Responsible person at the Sending Institution*	

		International Coordinator of the Department			
Responsible person at the Receiving Institution*