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GfNA-II.7-C-Annex-Erasmus+ HE Staff Mobility Agreement for teaching – 2016

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Higher Education:

Mobility Agreement form

Participant’s name

Mobility Agreement

Staff Mobility For Teaching1

Planned period of the teaching activity: from [day/month/year] till [day/month/year]

Duration (days) – excluding travel days: ………………….

The teaching staff member

Last name (s)

First name (s)

Seniority2

Nationality3

Sex [M/F]

Academic year

20../20..

E-mail

The Sending Institution/Enterprise4

Name

Erasmus code5

(if applicable)

Faculty/Department

Address

Country/

Country code6

Contact person

name and position

Contact person

e-mail / phone

Type of enterprise:

Size of enterprise

(if applicable)

☐<250 employees

☐>250 employees

The Receiving Institution

Name

Faculty/Department

Erasmus code

(if applicable)

Address

Country/

Country code

Contact person

name and position

Contact person

e-mail / phone

For guidelines, please look at the end notes on page 3.

GfNA-II.7-C-Annex-Erasmus+ HE Staff Mobility Agreement for teaching – 2016

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Higher Education:

Mobility Agreement form

Participant’s name

Section to be completed BEFORE THE MOBILITY

I. PROPOSED MOBILITY PROGRAMME

Main subject field7: ………………….

Level (select the main one): Short cycle (EQF level 5) ☐; Bachelor or equivalent first

cycle (EQF level 6) ☐; Master or equivalent second cycle (EQF level 7) ☐; Doctoral or

equivalent third cycle (EQF level 8) ☐

Number of students at the receiving institution benefiting from the teaching

programme: ………………

Number of teaching hours: …………………

Language of instruction: ………………………………………

Overall objectives of the mobility:

Added value of the mobility (in the context of the modernisation and

internationalisation strategies of the institutions involved):

Content of the teaching programme:

Expected outcomes and impact (e.g. on the professional development of

the teaching staff member and on the competences of students at both

institutions):

GfNA-II.7-C-Annex-Erasmus+ HE Staff Mobility Agreement for teaching – 2016

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Higher Education:

Mobility Agreement form

Participant’s name

II. COMMITMENT OF THE THREE PARTIES

By signing8 this document, the teaching staff member, the sending institution/enterprise and the receiving

institution confirm that they approve the proposed mobility agreement.

The sending higher education institution supports the staff mobility as part of its modernisation and

internationalisation strategy and will recognise it as a component in any evaluation or assessment of the

teaching staff member.

The teaching staff member will share his/her experience, in particular its impact on his/her professional

development and on the sending higher education institution, as a source of inspiration to others.

The teaching staff member and the beneficiary institution commit to the requirements set out in the grant

agreement signed between them.

The teaching staff member and the receiving institution will communicate to the sending

institution/enterprise any problems or changes regarding the proposed mobility programme or mobility

period.

The teaching staff member

Name:

Signature:

Date:

The sending institution/enterprise

Name of the responsible person:

Signature:

Date:

The receiving institution

Name of the responsible person:

Signature:

Date:

1 In case the mobility combines teaching and training activities, this template should be used and adjusted

to fit both activity types.

2 Seniority: Junior (approx. < 10 years of experience), Intermediate (approx. > 10 and < 20 years of

experience) or Senior (approx. > 20 years of experience).

3 Nationality: Country to which the person belongs administratively and that issues the ID card and/or

passport.

4 All refererences to "enterprise" are only applicable to mobility for staff between Programme Countries or

within Capacity Building projects.

5 Erasmus Code: A unique identifier that every higher education institution that has been awarded with the

Erasmus Charter for Higher Education receives. It is only applicable to higher education institutions located

in Programme Countries.

6 Country code: ISO 3166-2 country codes available at: https://www.iso.org/obp/ui/#search.

7 The ISCED-F 2013 search tool (available at http://ec.europa.eu/education/tools/isced-f_en.htm) should be

used to find the ISCED 2013 detailed field of education and training.

8 Circulating papers with original signatures is not compulsory. Scanned copies of signatures or electronic

signatures may be accepted, depending on the national legislation of the country of the sending institution

(in the case of mobility with Partner Countries: the national legislation of the Programme Country).

Certificates of attendance can be provided electronically or through any other means accessible to the staff

member and the sending institution.