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

International Exchange Outgoing Student
CHANGES TO THE LEARNING AGREEMENT	

Annex 2	

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

CHANGES TO THE ORIGINAL PROPOSED STUDY PROGRAMME ABROAD/LEARNING AGREEMENT
(to be filled in only if appropriate)

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

Hosting Institution		Country		

Course unit code	Course unit title	Del.	Add.	Number of university credits	
OC	OC			OC	
EC	EC			EC	
OC	OC			OC	
EC	EC			EC	
OC	OC			OC	
EC	EC			EC	
OC	OC			OC	
EC	EC			EC	
OC	OC			OC	
EC	EC			EC	
OC	OC			OC	
EC	EC			EC	
OC	OC			OC	
EC	EC			EC	
OC = Original Course at the hosting university; EC = Equivalent Course at Ca’ Foscari University.
If necessary, reprint the form and continue the list.

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)