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Higher EducationMobility Agreement formParticipant’s name
GfNA-II-C-Annex IV-Erasmus+ HE Staff Mobility Agreement for
teaching !"#$
STAFF MOBILITY FOR TEA HI!" #
MOBILITY A"REEME!TPlanned period of the teaching activity: from
[day/month/year] till [day/month/year]
Duration (days) – excluding travel days: ………………….
The teaching $taff member
Last name (s) First name (s)
eniority ! "ationality #
ex $ M/F % &cademic year !' *!' +
,-mail
The Sending In$titution%Enter&ri$e '
"ame (OLITE H!I)A "*A+S)A"dan$, -ni.er$ity of Technology,rasmus
code (if applica le) (L "*A!S)/0 Faculty*Department
&ddress"aruto/ic0a * !1'-!## 2da3s45Poland
6ountry*6ountry code + (L
6ontact personname and position
M$1 Maria *OERFFER ,rasmus 7 8nstitutional6oordinator
6ontact persone-mail * phone
mdoerffer2&g1gda1&l3'4 54 6'7 #0 48
9ype of enterprise:"&6, code (if applica le)
P- ,ducation i0e of enterprise(if applica le)☐ ;! '
employees☐
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Higher EducationMobility Agreement formParticipant’s name
GfNA-II-C-Annex IV-Erasmus+ HE Staff Mobility Agreement for
teaching !"#$
Section to be com&leted BEFORE THE MOBILITY
I1(RO(OSE* MOBILITY (RO"RAMME
=ain su >ect field 1: ………………….
Level (select the main one): hort cycle (,?F level ) ☐ @
Aachelor or eBuivalent firstcycle (,?F level +) ☐ @ =aster or
eBuivalent second cycle (,?F level ) ☐ @ Doctoral oreBuivalent
third cycle (,?F level 1) ☐
"um er of students at the receiving institution enefiting from
the teachingprogramme: ………………
"um er of teaching hours: …………………
Language of instruction: ………………………………………
O.erall ob9ecti.e$ of the mobility:
Added .alue of the mobility ;in the conte
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Higher EducationMobility Agreement formParticipant’s name
GfNA-II-C-Annex IV-Erasmus+ HE Staff Mobility Agreement for
teaching !"#$
II1 OMMITME!T OF THE THREE (ARTIES
Ay signing C this document5 the teaching staff mem er5 the
sending institution*enterprise and the receivinginstitution confirm
that they approve the proposed mo ility agreement.
9he sending higher education institution supports the staff mo
ility as part of its modernisation andinternationalisation strategy
and /ill recognise it as a component in any evaluation or
assessment of theteaching staff mem er.
9he teaching staff mem er /ill share his*her experience5 in
particular its impact on his*her professionaldevelopment and on the
sending higher education institution5 as a source of inspiration to
others.
9he teaching staff mem er and the sending institution commit to
the reBuirements set out in the grantagreement signed et/een
them.
9he teaching staff mem er and the receiving institution /ill
communicate to the sendinginstitution*enterprise any pro lems or
changes regarding the proposed mo ility programme or mo
ilityperiod.
The teaching $taff member"ame:
ignature: Date:
The $ending in$titution%enter&ri$e"ame of the responsi le
person:
ignature: Date:
The recei.ing in$titution"ame of the responsi le person:
ignature: Date:
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1 8n case the mo ility com ines teaching and training
activities5 thi$ template should e used and ad>usted to fit
othactivity types.
2 Seniority: unior (approx. ; ' years of experience)5
8ntermediate (approx. < ' and ; !' years of experience) orenior
(approx. < !' years of experience).
3 !ationality: 6ountry to /hich the person elongs
administratively and that issues the 8D card and*or passport.
4 &ll refererences to E enter&ri$e E are only applica le
to mo ility for staff et/een Programme 6ountries or /ithin6apacity
Auilding pro>ects.
5 Era$mu$ ode: & uniBue identifier that every higher
education institution that has een a/arded /ith the ,rasmus6harter
for igher ,ducation receives. 8t is only applica le to higher
education institutions located in Programme 6ountries.
6 ountry code : 8 G # ++-! country codes availa le at:
https:**///.iso.org*o p*ui*Hsearch .
7 9he top-level "&6, sector codes are availa le at
http:**ec.europa.eu*eurostat*ramon*nomenclatures*index.cfmI9argetJrlKL
9 "G= D9LM tr"omK"&6, N,O!M trLanguage6odeK,"
8 9he 8 6,D-F !' # search tool (availa le at
http:**ec.europa.eu*education*tools*isced-f en.htm ) should e used
to find
the 8 6,D !' # detailed field of education and training.
9 6irculating papers /ith original signatures is not compulsory.
canned copies of signatures or electronic signatures maye accepted5
depending on the national legislation of the country of the sending
institution (in the case of mo ility /ith
Partner 6ountries: the national legislation of the Programme
6ountry).
https://www.iso.org/obp/ui/#searchhttp://ec.europa.eu/eurostat/ramon/nomenclatures/index.cfm?TargetUrl=LST_NOM_DTL&StrNom=NACE_REV2&StrLanguageCode=ENhttp://ec.europa.eu/eurostat/ramon/nomenclatures/index.cfm?TargetUrl=LST_NOM_DTL&StrNom=NACE_REV2&StrLanguageCode=ENhttp://ec.europa.eu/education/tools/isced-f_en.htmhttp://ec.europa.eu/education/tools/isced-f_en.htmhttp://ec.europa.eu/eurostat/ramon/nomenclatures/index.cfm?TargetUrl=LST_NOM_DTL&StrNom=NACE_REV2&StrLanguageCode=ENhttp://ec.europa.eu/eurostat/ramon/nomenclatures/index.cfm?TargetUrl=LST_NOM_DTL&StrNom=NACE_REV2&StrLanguageCode=ENhttp://ec.europa.eu/education/tools/isced-f_en.htmhttp://ec.europa.eu/education/tools/isced-f_en.htmhttps://www.iso.org/obp/ui/#search
