Erasmus+ KA131/KA171 Student Traineeship Mobility Learning Agreement Post-Mobility Section

Attention!
All fields must be completed in ENGLISH. Forms completed in Turkish are invalid.

1/4

INTERN INFORMATION

Your name

Your last name

Turkish Republic/Foreign Identity Number

Student Number

Email Address

2/4

HOSTING INSTITUTION INFORMATION

Institution Name

Corporate Sector

Institution Address

Country where the institution is located

Organizational Network Site

Institution Email Address

Institutional Phone Number

3/4

INFORMATION REGARDING THE INTERNSHIP ACTIVITY

Academic year

Mobility Start Date (day/month/year)

Mobility End Date (day/month/year)

Virtual Mobility Start Date, if applicable. (LEAVE BLANK)

Internship Name/Title/Subject

Detailed internship program including activities performed during the internship (including virtual mobility, if any)

Knowledge, Skills (Theoretical and Practical) and Competencies (Learning Outcomes) Acquired at the End of the Internship

Intern Evaluation

4/4

GDPR & APPROVAL

My data within the scope of the Law No. 6698 on the Protection of Personal Data I consent to the processing of my personal data as described in the Explicit Consent Form.

APPROVAL

I acknowledge that I have completed this form with the assistance of the relevant personnel at the institution where the internship is taking place.

I understand that this form must be completed by the relevant staff member of the institution where the internship is taking place, including the name, date, signature, and stamp.

I acknowledge and agree that I must submit the completed form, bearing my wet signature and stamp, to the Erasmus+ Institutional Coordinator. Failure to do so will result in my mobility being deemed invalid, and I will be subject to legal action in accordance with the regulations and other relevant legislation determined by the Presidency of the European Union Education and Youth Programs Center of the Ministry of Foreign Affairs of the Republic of Turkey. I understand that this may result in a reduction in the grant payment made/to be made to me, or that I may be required to return the grant payment to the Erasmus+ Institutional Coordinator. I accept that legal action will be taken against me if I fail to return the grant payment.