Trainee	Last name(s)	First name(s)	Date of birth	Nationality	Sex [M/F]	Study cycle	Field of education	

Sending Institution	Name	Faculty/ Department	Erasmus code  (if applicable)	Address	Country	Contact person name; email; phone	
							
Receiving Organisation/Enterprise	Name	Department	Address; website	Country	Size	Contact person name; position; e-mail; phone	Mentor name; position;
e-mail; phone	
	Università degli Studi di Firenze
	Dipertimento di Scienze e Tecnologie Agrarie, Alimentari, Ambientali e Forestali - DAGRI	I FIRENZE01	Piazzale delle Cascine, 18
50144 Firenze	☐ < 250 employees
☐ > 250 employees	Riccardo Martelli
didattica@dagri.unifi.it 	NOME DOCENTE UNFII OSPITANTE	

Before the mobility	
	Table A - Traineeship Programme at the Receiving Organisation/Enterprise	
Planned period of the mobility: from [month/year] ……………. to [month/year] …………….	
Traineeship title: …
	Number of working hours per week: …	
Detailed programme of the traineeship:

	
Knowledge, skills and competences to be acquired by the end of the traineeship (expected Learning Outcomes):

Monitoring plan:

Evaluation plan:

									
The level of language competence  in ________ [indicate here the main language of work]  that the trainee already has or agrees to acquire by the start of the mobility period is: A1 ☐     A2 ☐     B1  ☐     B2 ☐     C1 ☐     C2 ☐     Native speaker ☐	

Table B - Sending Institution 
Please use only one of the following three boxes: 
1.	The traineeship is embedded in the curriculum and upon satisfactory completion of the traineeship, the institution undertakes to:
Award …….. .…ECTS credits  (or equivalent)	
Give a grade based on:     Traineeship certificate ☐      Final report ☐     Interview ☐   	

Record the traineeship in the trainee's Transcript of Records and Diploma Supplement (or equivalent). 	

Record the traineeship in the trainee's Europass Mobility Document: Yes ☐  No ☐	

2.	The traineeship is voluntary and, upon satisfactory completion of the traineeship, the institution undertakes to:
Award ECTS credits  (or equivalent):  Yes ☐    No ☐    	
 If yes, please indicate the number of credits: ….	

Give a grade: Yes ☐   No ☐  	
If yes, please indicate if this will be based on:   Traineeship certificate ☐    Final report ☐    Interview ☐   	

Record the traineeship in the trainee's Transcript of Records:   Yes ☐   No ☐ 	

Record the traineeship in the trainee's Diploma Supplement (or equivalent).	

Record the traineeship in the trainee's Europass Mobility Document: Yes ☐   No ☐  	

3.	The traineeship is carried out by a recent graduate and, upon satisfactory completion of the traineeship, the institution undertakes to:
Award ECTS credits  (or equivalent):  Yes ☐    No ☐    	
If yes, please indicate the number of credits: ….	

Record the traineeship in the trainee's Europass Mobility Document (highly recommended): Yes ☐   No ☐	

Accident insurance for the trainee
The Sending Institution will provide an accident insurance to the trainee (if not provided by the Receiving Organisation/Enterprise):                                                 Yes x No ☐  
	
The accident insurance covers:  
- accidents during travels made for work purposes:     Yes x  No ☐    
- accidents on the way to work and back from work:   Yes x  No ☐	

The Sending Institution will provide a liability insurance to the trainee (if not provided by the Receiving Organisation/Enterprise):  Yes x  No ☐	

	
Table C - Receiving Organisation/Enterprise

The Receiving Organisation/Enterprise will provide financial support to the trainee for the traineeship:  Yes ☐ No ☐             	
If yes, amount (EUR/month): ………..

The Receiving Organisation/Enterprise will provide a contribution in kind to the trainee for the traineeship: Yes ☐ No ☐  
If yes, please specify: ….

The Receiving Organisation/Enterprise will provide an accident insurance to the trainee (if not provided by the Sending Institution): Yes ☐ No ☐ 

The accident insurance covers:  
- accidents during travels made for work purposes:    Yes ☐  No ☐    - accidents on the way to work and back from work:  Yes ☐  No ☐	

The Receiving Organisation/Enterprise will provide a liability insurance to the trainee (if not provided by the Sending Institution):  
Yes ☐  No ☐	

The Receiving Organisation/Enterprise will provide appropriate support and equipment to the trainee. 

Upon completion of the traineeship, the Organisation/Enterprise undertakes to issue a Traineeship Certificate within 5 weeks after the end of the traineeship.

	

By signing this document, the trainee, the Sending Institution and the Receiving Organisation/Enterprise confirm that they approve the Learning Agreement and that they will comply with all the arrangements agreed by all parties. The trainee and Receiving Organisation/Enterprise will communicate to the Sending Institution any problem or changes regarding the traineeship period. The Sending Institution and the trainee should also commit to what is set out in the Erasmus+ grant agreement. The institution undertakes to respect all the principles of the Erasmus Charter for Higher Education relating to traineeships (or the principles agreed in the partnership agreement for institutions located in Partner Countries).
	
Commitment	Name	Email	Position	Date	Signature	
Trainee	 
		Trainee	 	 	
Responsible person at the Sending Institution			Erasmus+ Delegate	 	 	
Supervisor at the Receiving Organisation	 NOME COGNOME DOCENTE UNIFI
	EMAIL DOCENTE UNIFI	 	 		

During the Mobility

	Table A2 - Exceptional Changes to the Traineeship Programme at the Receiving Organisation/Enterprise
(to be approved by e-mail or signature by the student, the responsible person in the Sending Institution and the responsible person in the Receiving Organisation/Enterprise)	

Planned period of the mobility: from [month/year] ……………. till [month/year] …………….	
Traineeship title: …
	Number of working hours per week: …	
Detailed programme of the traineeship period:

Knowledge, skills and competences to be acquired by the end of the traineeship (expected Learning Outcomes):
	
Monitoring plan:

Evaluation plan:

After the Mobility

Table D - Traineeship Certificate by the Receiving Organisation/Enterprise	
Name of the trainee:	
Name of the Receiving Organisation/Enterprise:	
Sector of the Receiving Organisation/Enterprise:	
Address of the Receiving Organisation/Enterprise [street, city, country, phone, e-mail address], website:
	
Start date and end date of traineeship:    from [day/month/year] …………………. to [day/month/year] ………………..	
Traineeship title: 

Detailed programme of the traineeship period including tasks carried out by the trainee: 

	
Knowledge, skills (intellectual and practical) and competences acquired (achieved Learning Outcomes): 

	
Evaluation of the trainee: 

	
Date:	
Name and signature of the Supervisor at the Receiving Organisation/Enterprise: