Placement agreement for an Erasmus student placement

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					                           PLACEMENT AGREEMENT
                         for an Erasmus student placement

                           Under the Lifelong Learning Programme


Sending Institution :

full official name of the sending institution : HAUTE ECOLE LUCIA DE BROUCKERE
Erasmus Code :          B BRUXEL 88
official address :      Emile Gryzon Avenue, 1
                        1070 Brussels (Belgium)

called hereafter "the institution", represented for the purposes of signature of this agreement by
:
Name and forename :
Function :

of the one part, and

Mr/Mrs Nam and Forename :
Official address : x
                   x
Birth date :
Nationality:

called hereafter “the beneficiary” of the other part,


                                         HAVE AGREED


the Conditions and Annexes below:

Annex I           Training Agreement and Quality Commitment for Erasmus student
                  placements
Annex II          General Conditions
Annex III         Erasmus Student Charter
Annex IV          Arrival and Departure Form - Attestation Séjour
Annex V           Final report form

which form an integral part of this agreement ("the agreement").



                                                                                                1
                                                   CONDITIONS


ARTICLE 1 – PURPOSE OF THE GRANT

1.1     The institution will provide Community financial support to the beneficiary for undertaking a Placement
        under the Erasmus programme of the Lifelong Learning Programme.
1.2     The beneficiary accepts the grant and undertakes to carry out the Placement as described in Annex I, acting
        on his/her own responsibility.
1.3     The beneficiary hereby declares to have taken note of and accepted the terms and conditions set out in the
        present agreement. Any amendment or supplement to the agreement shall be done in writing.

ARTICLE 2 - DURATION

2.1     The agreement shall enter into force on the date when the last of the two parties signs.
2.2     The Placement shall start on ……… at the earliest and end on …………… at the latest.

ARTICLE 3 - FINANCING THE PLACEMENT

3.1     The Community grant to co-finance the Placement has a maximum amount of EUR ………………
3.2     The final amount of the grant shall be determined by multiplying the actual duration of the Placement in
        months by a rate of EUR […] per month. The beneficiary must provide proof of the actual dates of start and
        end of the Placement.

ARTICLE 4 – PAYMENT ARRANGEMENTS

4.1     Within 45 days of the date of entry into force of the agreement, a financing payment of EUR ………….shall
        be made to the beneficiary, representing 80 % of the maximum grant amount.
4.2     If the payment under article 4.1 is lower than 100% of the maximum grant amount, the final report will be
        considered as the beneficiary's request for payment of the balance of the grant. The institution shall have 45
        calendar days to make the balance payment or to issue a recovery order in case a reimbursement is due.

ARTICLE 5 – FINAL REPORT

The beneficiary shall submit the final report using the official forms at the latest 30 days after the end of the
Placement.

ARTICLE 6 - BANK ACCOUNT

Payments shall be made to the beneficiary's bank account as indicated below:
     Name of bank: […]
     Address of branch: […]
     Precise denomination of the account holder: […]
     Full account number (including bank codes): […]

ARTICLE 7 – LAW APPLICABLE AND COMPETENT COURT

The grant is governed by the terms of the agreement, the Community rules applicable and, on a subsidiary basis, by
the law of Belgium relating to grants. The beneficiary may bring legal proceedings regarding decisions by the
institution concerning the application of the provisions of the agreement and the arrangements for implementing it
before the competent Court in accordance with the applicable national law.


SIGNATURES
For the beneficiary                                                     For the institution
[name / forename]                                                       [name / forename / function]


[signature]                                                             [signature]

Done at Brussels, ……………..                                               Done at Brussels, …………….




                                                                                                                    2
        Annex 1
                                                           ERASMUS PROGRAMME
                                                TRAINING AGREEMENT and QUALITY COMMITMENT


I. DETAILS OF THE STUDENT


     Name of the student:
     Subject area:                                                                                    Academic year :
     Degree :
     Sending institution:



II. DETAILS OF THE PROPOSED TRAINING PROGRAMME ABROAD

      Host organisation:


      Planned dates of start and end of the placement period: from …….                                                till .......         , that is …….. months


      - Knowledge, skills and competence to be acquired:


      - Detailed programme of the training period:


      - Tasks of the trainee:


      - Monitoring and evaluation plan:




III. COMMITMENT OF THE THREE PARTIES

By signing this document the student, the sending institution and the host organisation confirm that they will abide by the principles of the
Quality Commitment for Erasmus student placements set out in the document below.


      The student
      Student’s signature
      ...........................................................................     Date:



      The sending institution
      We confirm that this proposed training programme agreement is approved. On satisfactory completion of the training programme
      the institution will award ……. ECTS credits or will record the training period in the Diploma Supplement.
      Coordinator’s name and function
      ...................................................................                     Date: ...................................................................
      Coordinator’s signature
      .............................................................................


                                                                                                                                                                          3
    The host organisation
    The student will receive a financial support for his placement                                Yes             No
    The student will receive a contribution in kind for his placement Yes                                           No
    We confirm that this proposed training programme is approved. On completion of the training programme the organisation will
    issue a Certificate to the student
    Coordinator’s name and function
    ...................................................................              Date: ...................................................................
    Coordinator’s signature
    ..............................................................................




                                                                      QUALITY COMMITMENT
                                                                  For Erasmus student placements


                    This Quality Commitment replicates the principles of the European Quality Charter for Mobility


THE SENDING HIGHER EDUCATION INSTITUTION* UNDERTAKES TO:
Define the learning outcomes of the placement in terms of the knowledge, skills and competencies to be acquired
Assist the student in choosing the appropriate host organisation, project duration and placement content to achieve these
learning outcomes
Select students on the basis of clearly defined and transparent criteria and procedures and sign a placement contract with the
selected students.
Prepare students for the practical, professional and cultural life of the host country, in particular through language training
tailored to meet their occupational needs
Provide logistical support to students concerning travel arrangements, visa, accommodation, residence or work permits and
social security cover and insurance
Give full recognition to the student for satisfactory completed activities specified in the Training Agreement
Evaluate with each student the personal and professional development achieved through participation in the Erasmus
programme


THE SENDING INSTITUTION* AND HOST ORGANISATION JOINTLY UNDERTAKE TO:
Negotiate and agree a tailor-made Training Agreement (including the programme of the placement and the recognition
arrangements) for each student and the adequate mentoring arrangements
Monitor the progress of the placement and take appropriate action if required


THE HOST ORGANISATION UNDERTAKES TO:
Assign to students tasks and responsibilities (as stipulated in the Training Agreement) to match their knowledge, skills,
competencies and training objectives and ensure that appropriate equipment and support is available
Draw a contract or equivalent document for the placement in accordance with the requirements of the national legislation
Appoint a mentor to advise students, help them with their integration in the host environment and monitor their training
progress
Provide practical support if required, check appropriate insurance cover and facilitate understanding of the culture of the
host country




                                                                                                                                                                 4
THE STUDENT UNDERTAKES TO:
Comply with all arrangements negotiated for his/her placement and to do his/her best to make the placement a success
Abide by the rules and regulations of the host organisation, its normal working hours, code of conduct and rules of
confidentiality
Communicate with the sending institution about any problem or changes regarding the placement
Submit a report in the specified format and any required supporting documents at the end of the placement


* In the event that the higher education institution is integrated in a consortium, its commitments may be shared with the co-ordinating
organisation of the consortium




                                                                                                                                      5
Annex II                                                          to receive the amount of the grant corresponding to the actual
                                                                  time of the placement. Any remaining funds will have to be
                                                                  refunded.
           GENERAL CONDITIONS                                     Article 3: Data Protection

                                                                  All personal data contained in the agreement shall be
Article 1: Liability                                              processed in accordance with Regulation (EC) No 45/2001 of
                                                                  the European Parliament and of the Council on the protection
Each party of this agreement shall exonerate the other from       of individuals with regard to the processing of personal data
any civil liability for damages suffered by him or his staff as   by the Community institutions and bodies and on the free
a result of performance of this agreement, provided such          movement of such data. Such data shall be processed solely
damages are not the result of serious and deliberate              in connection with the implementation and follow-up of the
misconduct on the part of the other party or his staff.           agreement by the sending institution, the National Agency
                                                                  and the European Commission, without prejudice to the
The National Agency of [..country..], the European                possibility of passing the data to the bodies responsible for
Commission or their staff shall not be held liable in the event   inspection and audit in accordance with Community
of a claim under the agreement relating to any damage caused      legislation (Court of Auditors or European Antifraud Office
during the execution of the placement. Consequently, the          (OLAF)).
National Agency of [..country..] or the European Commission
shall not entertain any request for indemnity of                  The beneficiary may, on written request, gain access to his
reimbursement accompanying such claim.                            personal data and correct any information that is inaccurate or
                                                                  incomplete. He/she should address any questions regarding
Article 2: Termination of the agreement                           the processing of his/her personal data to the sending
                                                                  institution and/or the National Agency. The participant may
In the event of failure by the beneficiary to perform any of      lodge a complaint against the processing of his personal data
the obligations arising from the agreement, and regardless of     with the [national supervising body for data protection] with
the consequences provided for under the applicable law, the       regard to the use of these data by the sending institution, the
institution is legally entitled to terminate or cancel the        National Agency, or to the European Data Protection
agreement without any further legal formality where no            Supervisor with regard to the use of the data by the European
action is taken by the beneficiary within one month of            Commission.
receiving notification by registered letter.

If the beneficiary terminates the agreement before its            Article 4: Checks and Audits
agreementual end or if he/she fails to follow the agreement in
accordance with the rules, he/she will have to refund the         The parties of the agreement undertake to provide any
amount of the grant already paid.                                 detailed information requested by the European Commission,
                                                                  the National Agency of [..country..] or by any other outside
In case of termination by the beneficiary due to "force           body authorised by the European Commission or the National
majeure", i.e. an unforeseeable exceptional situation or event    Agency of [..country..] to check that the Placement and the
beyond the beneficiary's control and not attributable to error    provisions of the agreement are being properly implemented.
or negligence on his/her part, the beneficiary will be entitled




                                                                                                                               6
Annex III




            7
Annex IV
                                  ERASMUS - Stage
                                Attestation de séjour


     A TRANSMETTRE AU RESPONSABLE ERASMUS DE VOTRE ETABLISSEMENT EN
                        BELGIQUE DES VOTRE RETOUR

A faire compléter dans la semaine qui suit votre arrivée dans l’organisme
d’accueil (date d’arrivée) et durant la semaine qui précède la fin de votre
séjour d'études auprès de l’organisme d'accueil (date de retour).
Les dates de séjours doivent comporter un jour, un mois et une année.
Elles correspondent à la date réelle d’arrivée des étudiants dans l’organisme
d’accueil (période de préparation linguistique comprise)
et la date réelle de départ.
Ce document est OBLIGATOIRE, un oubli pourrait entraîner l'obligation de
rembourser votre bourse.


Student family name and first name: ……………………………………………………………………………………

Home Institution : ………………………………………………………………………………………………………….….
Receiving Organisation : …………………………………………………………………….………………………..
COUNTRY: ………………………………………………………………………………………………………………………….
Duration: ……… months

Period of placement: from ……………..…………………. to ……………….………………….




                                       Arrival form

We confirm that the above mentioned student has arrived at our organisation

on ………………………………….(day/month/year) and will stay for ............................ months.

Signature :                             ............          Stamp (if available) :

Name :                                  ............

Position :                              ............          Date : ……………………………………….




                                     Departure form

We confirm that the above mentioned student              is     leaving   our   organisation   on
……………………………………………………(day/month/year).

Signature :                             ............          Stamp (if available) :

Name :                                  ............

Position :                              ............          Date : ……………………………….




                                                                                                8
Annex V




                                       Erasmus Programme

                                Student Mobility for Placement

                                    FINAL REPORT FORM

Narrative final report from the returning student from a placement period to the home higher education
institution


(This report on your experiences will provide the EU Lifelong Learning Programme/Erasmus programme
with valuable information which will benefit both future students and contribute to the continued
improvement of the programme. We are grateful for your co-operation in filling out the questionnaire.
Please and return this report in an electronic format to your home institution at the end of your placement
period abroad. Aurore Vaes – European Office Coordinator - HELDB)

All personal data mentioned in this form will be processed in accordance with Regulation (EC) No 45/2001
of the European Parliament and of the Council of 18 December 2000 on the protection of individuals with
regard to the processing of personal data by the Community institutions and bodies and on the free
movement of such data. On request, you may be sent personal data and correct or complete them. You may
lodge a complaint against the processing of personal data with the European Data Protection Supervisor at
any time (Official Journal L 8, 12.1.2001)


0. Identification of the home institution

Name of the home higher education institution:         Haute Ecole Lucia de Brouckère
Erasmus University Charter No / Code Erasmus :         B BRUXEL 88

1. Identification of student

Your name (family, given):
Your gender: M/F
Subject area of your degree/major:
Your email address:
I agree that my email address may be later used to contact me:         Yes/ No




                                                                                                         9
2. Placement period and motivation

Name of the host enterprise/organisation:
Address (street, city, country):

Dates of placement period abroad: dd/mm/20yy - dd/mm/20yy

In which year/at which level where you during your placement abroad:
       Bachelors 1-2-3/Masters 1-2/Doctoral/Other

Do you consider the placement period to have been:
       Too short - too long - just right

Which were the factors which motivated you to go abroad?
      Academic (mandatory part of my curriculum)               Yes / No
      Gaining relevant work experience                         Yes / No
      Acquiring new vocational knowledge and skills            Yes / No
      Cultural                                                 Yes / No
      Live in a foreign country                                Yes / No
      Practice a foreign language                              Yes / No
      Friends living abroad                                    Yes / No
      Career plans/enhance future employment prospects         Yes / No
      European experience                                      Yes / No
      Be independent/self-reliant                              Yes / No
      Other (please specify): ………………….

3. Information and support

How did you find the host enterprise/organisation?
      Home institution                       Yes / No
      Host enterprise/organisation           Yes / No
      Intermediary organisation              Yes / No
      Internet                               Yes / No       Relevant links: ……
      Other (please specify): ……………

Do you consider it difficult to find a host enterprise/organisation?
scale 1-5: 1=not at all, 5=very much
        1–2–3–4–5

On your arrival at the host enterprise/organisation, were you offered:
      A welcome event - An information session – other (please specify) : ..

Did you receive adequate support from the host enterprise/organisation/home institution/intermediary
institution before and during your Erasmus placement period?
scale 1-5: 1=poor/negative, 5=excellent
         Host enterprise/organisation:  1–2–3–4–5
         Home institution:              1–2–3–4–5
         Intermediary institution:      1–2–3–4–5

Did the host enterprise meet your expectations concerning the placement?
scale 1-5: 1=not at all, 5=very much
                                                             1–2–3–4–5

How do you consider your integration with local employees in the host enterprise/organisation?
scale 1-5: 1=poor/negative, 5=excellent                     1–2–3–4–5


                                                                                                 10
4. Accommodation and infrastructure

Type of accommodation in the host country:
       Private housing                                          Yes / No
       Accommodation provided by the enterprise                 Yes / No
       University accommodation                                 Yes / No
       Apartment or house together with other students          Yes / No
       Other (please specify): …………………….

How did you find your accommodation?
      University service                                 Yes / No
      Friends/family                                     Yes / No
      Private market                                     Yes / No
      Internet                                           Yes / No
      Other (please specify): ……………..


5. Linguistic preparation

Language(s) of work in host enterprise/organisation:

Was language preparation provided?                                     Yes / No

If yes, did you attend an Erasmus Intensive Language Course?           Yes / No

If Yes, who organised the language course(s)?
        Home institution                                               Yes / No
        Host enterprise/organisation                                   Yes / No
        Other (please specify):

Duration of language training
       Total number of weeks:                                          Hours per week:

How would you rate your competency in the language of your host enterprise/organisation
     Before the Erasmus placement period:
      scale 1-5: 1= no knowledge, 5= very good            1–2–3–4–5

       After the Erasmus placement period:
       scale 1-5: 1= no knowledge, 5= very good                 1–2–3–4–5


6. Recognition

Did you and your home and host enterprise/organisation sign a Training Agreement prior to the
commencement of your placement period?
       Yes – No – after the beginning of my stay

Will you gain recognition for your placement abroad?
       Yes – No – partially

If yes, what kind of recognition?
         ECTS – DS – Europass – other – I don’t know

Will you get recognition for completing language courses?
       Yes - No – I don’t know - not participated

                                                                                                11
7. Costs

How much was the amount of your Erasmus grant per month (EUR):

Average costs per month during your period abroad (EUR):

To what extent did the Erasmus grant cover your needs?
scale 1-5 1=not at all, 5=fully
                                     1–2–3–4–5

When did you receive your Erasmus grant (multiple answers are possible)?

       Prior to your stay – at the beginning of your stay – in the middle of your stay – at the end of your
       stay – after your stay

Did you receive a financial support from the host enterprise/organisation?

       Yes / No

If yes, what was your financial support per month (EUR)?

       < 500 EUR; 500-800; 800-1200; >1200

Did the host enterprise offer you other benefits in kind?

       Accommodation           Yes / No
       Meals                   Yes / No
       Travel tickets          Yes / No
       Other                   Yes / No please specify:

Did you have other sources of funding?

       State grant             Yes / No
       State loan              Yes / No
       Private grant(s)        Yes / No
       Private loan            Yes / No
       Family                  Yes / No
       Own savings             Yes / No
       Other sources (please specify): ………………………..

Amount of the other sources of funding in total per month (EUR):




                                                                                                        12
8. Your personal experience – overall evaluation of Erasmus placement period

Judgement of professional outcome of the placement:
scale 1-5: 1=poor/negative, 5=excellent                      1–2–3–4–5

Judgement of personal outcome of placement:
scale 1-5: 1=poor/negative, 5=excellent                      1–2–3–4–5

Did you encounter any serious problems during Erasmus placement?

       Yes / No

If yes, please specify: ……………..

Which aspects of the Erasmus period did you particularly appreciate?
      Academic (mandatory part of my curriculum)           Yes / No
      Gaining relevant work experience                     Yes / No
      Acquiring new vocational knowledge and skills        Yes / No
      Cultural                                             Yes / No
      Live in a foreign country                            Yes / No
      Practice a foreign language                          Yes / No
      Friends living abroad                                Yes / No
      Career plans/enhance future employment prospects     Yes / No
      European experience                                  Yes / No
      Be independent/self-reliant                          Yes / No
      Other (please specify): ………………….

Did you experience new techniques, technologies and methods?
       Yes / No

Are you more likely to consider working in another European country at the end of your placement as
a result of your Erasmus experience?

       Yes / No

Do you think the placement will help you in your career?
scale 1-5: 1=not at all, 5=very much                         1–2–3–4–5

Do you think the placement will help you in finding a job?
scale 1-5: 1=not at all, 5=very much                         1–2–3–4–5

Overall evaluation of your Erasmus placement:
scale 1-5: 1=poor/negative, 5=excellent                      1–2–3–4–5

Are you willing to help outgoing or incoming students with your Erasmus experience?

       Yes / No

Recommendations and ideas to other students concerning information, application procedures etc.:

………
………
………
………



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