modalitat a
STAFF MOBILITY FOR TEACHING
MOBILITY AGREEMENT	

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)		
Seniority		Nationality		
Sex [M/F]		Academic year	20../20..	
E-mail		

The Sending Institution/Enterprise
Name 	Universitat Jaume I 	
Erasmus code 
(if applicable)
	E  CASTELL01	Faculty/Department	International 
Relations Office	
Address	Av. Sos Baynat S/N	Country/
Country code	ES	
Contact person 
name and position	Margarita Gonell 
Ibáñez	Contact person
e-mail / phone	gonellm@uji.es
+34964387077	
Type of enterprise:
NACE code 
(if applicable)		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.

 Section to be completed BEFORE THE MOBILITY

I.	PROPOSED MOBILITY PROGRAMME
Main subject field: ………………….
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):

	

II. COMMITMENT OF THE THREE PARTIES
By signing 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: