Student Semester Exchange. Learning Agreement. Academic year 20_/20_. Semester ____. Student. Sending Institution. Contact person name; email; phone. Receiving Institution. Contact person name; email; phone

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Student Semester Exchange

Learning Agreement

Academic year 20___/20___

Semester ________________

Student

Last name(s)

First name(s)

Date of birth

Study cycle^{^[1]}

Program of Study

Sending Institution

Name

Country

Department

Contact person name; email; phone

ITMO University

Russia

International Office

outgoping@itmo.ru

+7(812) 572-21-53

Receiving Institution

Name

Country

Department

Contact person name; email; phone

	ITMO University			Receiving Institution
Course Unit Code (if any)	Course Unit Title	ECTS	Course Unit Code (if any)	Course Unit Title (as indicated in the information pack)	ECTS






	< If necessary, continue the list >			< If necessary, continue the list >
Total:			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. The student and the Receiving Institution will communicate to the Sending Institution any problems or changes regarding the study program, responsible persons and/or study period.

Commitment	Name	Email	Position	Date	Signature
Student			Student
Responsible person at the Sending Institution^{^[2]}
Responsible person at the Receiving Institution^{^[3]}

^{^[1]} Study cycle: Bachelor or equivalent first cycle (EQF level 6) / Master or equivalent second cycle (EQF level 7) / Doctorate or equivalent third cycle (EQF level 8).

^{^[2]} 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 program on behalf of the responsible academic body. The name and email of the Responsible person must be filled in.

^{^[3]} Responsible person at the Receiving Institution: the name and email of the Responsible person must be filled in.

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Student Semester Exchange. Learning Agreement. Academic year 20___/20___. Semester ____. Student. Sending Institution. Contact person name; email; phone. Receiving Institution. Contact person name; email; phone

Student Semester Exchange. Learning Agreement. Academic year 20_/20_. Semester ____. Student. Sending Institution. Contact person name; email; phone. Receiving Institution. Contact person name; email; phone