Common Contracts
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Learning Agreement Student Mobility for TraineeshipsJune 13th, 2019
Trainee Last name(s) First name(s) Date of birth Nationality1 Sex [M/F] Study cycle2 Field of education3 First Medicine Sending Institution Name Faculty/ Department Erasmus code4(if applicable) Address Country Contact person name5; email; phone Universität zu Köln Medicine D KOLN01 Albertus- Magnus- Platz, 50923 Köln Germany Mrs. Aneta DenevaE-Mail : zibmed@uk-koeln.de Tel. : 004922147830713 Receiving Organisation/Enterprise Name Department Address;website Country Size Contact person6 name;position; e-mail; phone Mentor7 name; position;e-mail; phone ☐ < 250 employees☐ > 250 employees Before the mobility Table A - Traineeship Programme at the Receiving Organisation/Enterprise Planned period of the mobility: from [date/month/year] ……………. to [date/month/year] ……………. Traineeship title: final year medical elective practical training Number of working hours per week: 40 (including theoreticallessons and home study) Detailed programme of the traineeship: Complet
