2. Nachdem Sie das Formular von der Praktikumseinrichtung erhalten haben, unterschreiben Sie es.

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1 EU Hochschulbüro Hannover/ Hildesheim EU Liaison Office Hannover / Hildesheim Dezernat Forschung und EU Hochschulbüro, Technologietransfer Leibniz Universität Hannover Bruehlstrasse 27 D Hannover, Germany Phone: ; Fax: lisa.grow@zuv.uni hannover.de hannover.de/dezernat4 Liebe Bewerberin, Lieber Bewerber, Bitte füllen Sie das Formular LEARNING AGREEMENT FOR TRAINEESHIPS mit dem Computer so weit wie möglich aus und schicken Sie es als Anhang an Ihre Praktikumseinrichtung. Die Praktikumseinrichtung soll die Angaben über sich selbst sowie über das Praktikum detailliert und vollständig ausfüllen. Die Angaben in diesem Formular bilden die Grundlage für die Bewilligung eines Stipendiums. 1. Die Praktikumseinrichtung soll das Formular vollständig ausfüllen, ausdrucken, unterschreiben und Ihnen das unterschriebene Original per Post zurückschicken. 2. Nachdem Sie das Formular von der Praktikumseinrichtung erhalten haben, unterschreiben Sie es. 3. Reichen Sie dann das Formular zusammen mit Ihren Bewerbungsunterlagen bei Ihrer/em Schulbeauftragten ein. Er/sie wird die Bewerbungsunterlagen prüfen und mit einem Empfehlungsschreiben an das EU Hochschulbüro senden, sofern diese vollständig sind. Bitte wenden Sie sich bei Fragen an Ihre/n Schulbeauftragte/n oder an das EU Hochschulbüro. Dear Receiving Organisation / Institution, This Learning Agreement for VET Mobility Internships documents the details and content of the internship you will be offering. The programme as well as scope and range of tasks should demonstrate a level of expertise relevant to the student s field of studies and suitable to the duration of the internship. Please fill out each question in detail. The content provided in the Learning Agreement is crucial for determining if the student will be awarded financial support through our Erasmus+ Project. This Learning Agreement serves as a contract between all of the signing parties. Copies will be sent to the German National Agency (BiBB) and the European Commission. Therefore, if any changes in duration or content are necessary in the course of the internship, please contact our office without delay. Please fill out the following sections on the computer: 1. All information concerning the Receiving Organisation/Institution (see page 2). 2. All of the questions under SECTION II Proposed Training Programme. 3. Questions for the Receiving Organisation/ Enterprise in SECTION III. 4. After completion, please print out and sign the Learning Agreement on behalf of the Receiving Organisation/ Institution under SECTION VI COMMITMENT. 5. Please send the original document by postal mail back to the student. If you have any questions, please do not hesitate to contact us. After all parties have signed the form, you will receive a copy from the student. If you would prefer an original copy, please print out and sign two or more copies. Stand: Oktober 2014

2 Health Care Work Exchange Project Learning Agreement for VET Mobility Internships The Participant Name of the Participant Field of Vocational Education The Sending Institutions Sending Vocational Educational Institution Contact Person Name Street Address City Code, City Country Name Function E Mail Telephone Germany Project Coordinating Institution Name Street Address City Code, City Country EU Hochschulbüro Hannover/ Hildesheim (EU Liaison Office Hannover/ Hildesheim) in Dezernat Forschung und EU Hochschulbüro, Technologietransfer at the Leibniz Universität Hannover Bruehlstrasse Hannover Germany Project Coordinator Name Lisa Grow E Mail lisa.grow@zuv.uni hannover.de Telephone +49 (0) (0)

3 The Receiving Organisation / Institution Name of Organisation Street Address City & City Code Country Region/Province Legal status (e.g. public/ private) Sector / Field of Activity Number of employees Contact Person / Tutor in the Receiving Organisation Name Mr. Ms. Function E Mail Telephone (direct dial) Duration of the Internship Training The training period must be at least 4 full weeks 28 days! from / / to / / *Please note: The internship must begin and end on the dates given above. During this entire time period, the participant must live in the host country. Weekly Work Days Working hours may not exceed 40 hours per week. Please include time allotted for breaks. Daily Working Hours: from to time allotted for breaks: additional information: Language(s) needed at the workplace:

4 II. Proposed Training Programme Knowledge, skills and competences to be acquired by the participant by the end of the internship *Please be specific

5 Detailed Programme of the Internship Training Period Timetable: *Please provide a general timetable/schedule covering the entire internship period. It should demonstrate that the receiving organization/institution has developed a concrete plan for introducing the intern workplace and the various tasks described below in the next question. For example: Introduction, Week 1, Week 2, etc. and/or Month 1, Month 2, etc.

6 Detailed description of the work and/or tasks to be carried out during the internship: *Please provide a detailed description of the specific tasks, assignments, responsibilities, projects, activities, etc. to be assigned to the intern throughout the entire internship period. Please describe these in a manner comprehensible to non specialists. The information provided in this section is crucial for determining the quality of the internship offered by the receiving organisation and if the work activities are appropriate with regard to the participant s qualifications.

7 Mentoring and Monitoring of the Participant *Please describe by whom and in what manner (e.g. daily guidance, weekly conversations, meetings, evaluations, reports, etc.) the participant will be mentored and supervised. Evaluation and Validation / Certification of the Internship The Receiving Organisation agrees to issue the participant a written certificate upon completion of the internship training: The Certificate will include the exact duration of the training (day/month/year), the specific tasks performed during the training and an written evaluation of the participant s performance. The Participant, the Sending Vocational School and the Receiving Organisation shall supply the Project Coordinator at the EU Hochschulbüro Hannover/ Hildesheim with any information as soon as possible that may be required for the execution of the placement as governed by this Learning Agreement. The Participant, the Sending Vocational School and the Receiving Organisation shall make available any documents necessary to demonstrate that the training programme is being carried out or has been completed in accordance with the terms of the agreement to the Project Coordinator at the EU Hochschulbüro Hannover/ Hildesheim.

8 III. Benefits provided by Receiving Organisation / Institution Contributions provided by Receiving Organisation / Institution The trainee will receive a financial support for his/her internship: If yes, amount in EUR/month: Amount in EUR/month : The trainee will receive a contribution in kind (i.e. accommodation, free meals, language lessons, etc.) for his/her internship: If yes, please specify type of contribution: Estimated amount in EUR/month: Insurances Provided Receiving Organisation / Institution Is the trainee covered by the accident insurance covering at least damages caused to the trainee at the workplace? If yes, please specify if it also covers: accidents during travels made for work purposes: accidents on the way to work and back from work: Is the trainee covered by a liability insurance covering damages caused by the trainee at the workplace?

9 IV. COMMITMENT OF THE PARTIES INVOLVED By signing this document, the participant, the sending institutions and the receiving organisation/institution confirm that they approve the proposed Learning Agreement and that they will comply with all the arrangements agreed by all parties and abide by the principles of the Quality Commitment for Erasmus+ Internship Training placements. The participant, the and the receiving organisation/institution will communicate to the sending vocational educational institution and the project coordinating institution if any problems or changes arise during the the training period. The receiving organisation/institution will ensure that appropriate equipment and support is available to the participant. And upon completion of the traineeship, the organisation/enterprise will issue a Certificate to the participant. The Participant Signature: Date: The Sending Vocational Educational Institution Signature of the representative: Date: Stamp The Receiving Organisation / Institution Signature of the representative: Date: Stamp The Project Coordinating Institution Signature of the Project Coordinator: Date: Stamp