International Relations Office, Ca’ Foscari University of Venice
Dorsoduro 3246, 30123 Venice, Italy

Erasmus+ Outgoing Student
LEARNING AGREEMENT FOR RESEARCH ACTIVITIES	

Annex 1B	

Once signed by both home University and the host University, please send this form to the International Relations Office of Ca’ Foscari University of Venice by email (erasmusout@unive.it) or by fax 
(+39 041 234 7567). The student has also to hand in the original form to the International Relations Office of Ca’ Foscari University of Venice within 15 days from the end of the Erasmus mobility period.

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

Academic year	2017/2018______________________	Semester	______	Matriculation number
(Ca’ Foscari)	__________	
Student’s name	______________________	Student’s surname	_____________________________	
Field of study	______________________________________________________________________	
Home  institution	_Università Ca’ Foscari Venezia______________	Country	_Italy_________________	

Host Institution		Country		

Description of the research activities for the degree thesis:	
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________	

Research activities coordinator at Ca’ Foscari, prof.(signature)___________________________________

Student’s signature		

Erasmus Departmental Coordinator’s signature (Home Instituition)

_______________________________________	
Date
(dd/mm/yyyy)

________________________	

Erasmus Departmental Coordinator’s signature (Host Institution)

_______________________________________	
Date
(dd/mm/yyyy)
______________________