– International Office, Ca’ Foscari, Dorsoduro 3246, 30123 Venice, Italy –

International Exchange Outgoing Student
LEARNING AGREEMENT FOR RESEARCH ACTIVITIES	

	

Please fill in the form and send it to the International Office of Ca’ Foscari University of Venice by e-mail (overseasout@unive.it). 

DETAILS OF THE PROPOSED STUDY PROGRAMME ABROAD/LEARNING AGREEMENT
Research activities for the degree thesis

Academic year	______________________	Semester	______	Matriculation number	__________	
Student’s name	______________________	Student’s surname	_____________________________	
Department	______________________________________________________________________	
Sending institution	_Università Ca’ Foscari Venezia______________	Country	_Italy_________________	

Hosting Institution		Country		

Description of the research activities for the degree thesis:	
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________	

Student’s signature		Date (dd/mm/yyyy)		

SENDING INSTITUTION:
We confirm that the proposed learning agreement is approved.

_______________________________          ___________
Academic contact person’s signature                  Date
                                                                        (dd/mm/yyyy)
	
HOSTING INSTITUTION:
We confirm that the proposed learning agreement is approved.

_______________________________          ___________
Academic contact person’s signature                  Date
                                                                        (dd/mm/yyyy)