Confirmation of placement period


I.                    Details of the Student

                 Name of the student: ………………..…

                 MU ID (UČO):…………………….

                                                          Country: CZECH REPUBLIC

                 Home university: MASARYK UNIVERSITY

                                                          Academic Year: ………………..…

                 Home university field of study: ………………..…


                                                          Subject area: ………………..…

                                                          Degree: ………………..…


II.                  Details of the HOST University/ Institution

Host university/institution: ……………………………………..…..........(in English)

Country: ………………..………………..(in English)

Faculty/department: ………………..…

Postal Address: ………………..…


III.                Confirmation of Placement period

This is to certify that the student mentioned above has carried out a practical placement in our
institution and its content and length comply with the trainning agreement and quality commitment/
Tímto potvrzujeme, že výše zmíněný student absolvoval pracovní pobyt v naší organizaci a jeho obsah
a délka se shoduje s popisem uvedeným na pracovním plánu a quality commitment.

From/ od _____/_____/__________(dd.mm.yyyy)   to/ do _____/_____/__________(dd.mm.yyyy)





IV.                Other Information

During the period the student has performed the following tasks and activities:





Job performance evaluation of the student:





V.                  Confirmation FROM THE HOST University/ Institution

   Coordinator’s name/ Responsible person name:

   ………………..…

                                               Date: ………………..…………….. (dd.mm.yyyy)

                                               Signature: ………………..…

                                               Stamp:

   We would like to continue the cooperation with Masaryk University and offer intership for its
   students:   yes,   no.


VI.                Confirmation FROM Masaryk University

We confirm that the proposed programme based on student’s training agreement and quality commitment
was fulfilled and completed. / Tímto potvrzujeme, že program dojednaného pracovního plánu stáže byl
splněn a ukončen.

The student will be given recognition of completion of following course(s) (enter course title,
course code and number of ECTS credits from MU catalogue): (

and will be awarded with the following number of ECTS credits:…………………(in total). Student will be
given a record of the training period (course) in the Diploma Supplement/ Studentovi bude předmět
zahraničního pracovního pobytu zaznamenán do dodatku k diplomu.

Coordinator’s name/ Responsible person name:

………………..……

Date: ………………..…………….. (dd.mm.yyyy)

Signature: ………………..……

Stamp: