ERASMUS+ Staff Mobility for Teaching Application (2015-2016)

ERASMUS+ Application of Staff Mobility for Teaching
(2015-2016)

Önemli Not: Formda "*" işaretli olarak belirtilmiş tüm alanların doldurulması zorunludur (Erasmus Personel Ders Verme Hareketliliğinde minimum süre 2 gündür. Dolayısıyla, faaliyetini 2 gün olarak gerçekleştirmek isteyen başvuru sahiplerinin "Content of the teaching programme" kısmının ilk 2 gününü doldurulması yeterlidir. 1 haftalık faaliyet için ilk 5 günün doldurulması gerekmektedir). Partner kurumların ülkeleri ve Erasmus ID kodları Erasmus Personel Hareketliliği web ilanındaki "Ders Verme Hareketliliği için tercih edilebilecek partner kurumlar kontenjan listesi"nde yer almaktadır.

PERSONAL INFORMATION

Full Name*

First Name(s)Last Name

Title*

Gender*

FemaleMale

Birth Date*

MonthDayYear

Place of Birth*

Nationality*

Special Care*

YesNo

Citizen ID Number*

Official Document of ÜDS/KPDS/YDS Score

Upload a File

CONTACT INFORMATION

E-mail*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone*

Area CodePhone Number

Mobile Phone*

Area CodePhone Number

HOME (SENDING) INSTITUTION

Faculty / School*

Department / Programme*

Departmental Erasmus Coordinator (Name, Address, Telephone, Fax, E-mail)*

HOST (RECEIVING) INSTITUTION

Name of Institution (the Institution chosen by the applicant)*

Erasmus ID Code*

TEACHING PLAN

Subject Area*

Level (Bachelor year X, Master year X, Doctoral year X)*

Number of students at the host institution benefiting from the teaching programme*

Number of teaching hours*

1st day*

2nd day*

3rd day

4th day

5th day

6th day

7th day

8th day

9th day

10th day

Overall objectives of the mobility (please state overall aims and objectives of the mobility as articles)*

Added value of the mobility (both for the host institution and for the teacher)*

Expected outcomes and impact (not limited to the number of students concerned)*

Form Submitted On

MonthDayYearHourMinutesAM/PM Option