Mobility Agreement Staff Mobility For Teaching Planned period of the teachingactivity: from …………..till …………….. Duration (days) excluding travel days: 5 – The teaching staff member Last name (s) First name (s) Seniority Nationality Sex[M/F] Academic year 2017/2018 E-mail The Sending Institution/Enterprise Name UNIVERSITY OF LODZ smus code PL LODZ01 Faculty/Department Faculty of Economics (if applicable) and Sociology Address ul. POW 3/5, 90-255 Country/ Poland/PL Country code Łódź Contact person Faculty Exchange Contact person +48 889 162 263 name Programmes e-mail / phone and position Coordinator Tomasz Schabek +48 42 635 48 14 Ph.D. Type Size of enterprise <250 employees of enterprise: (if applicable) >250 employees The Receiving Institution Name Faculty/Department Erasmus code (if applicable) Address Country/ Country code Contact person Contact person name and position e-mail / phone For guidelines, please look at the end notes on page 3.
Mobility Agreement Staff Mobility For Teaching Planned period of the teachingactivity: from …………..till …………….. Duration (days) – excluding travel days: 5 The teaching staff member Last name (s) First name (s) Seniority Nationality Sex[M/F] Academic year 2017/2018 E-mail The Sending Institution/Enterprise Name UNIVERSITY OF LODZ smus code (if applicable) PL LODZ01 Faculty/Department Faculty of Economics and Sociology Address ul. POW 3/5, 90-255 Łódź Country/ Country code Poland/PL Contact person name and position Faculty Exchange Programmes Coordinator Tomasz Schabek Ph.D. Contact person e-mail / phone +48 889 162 263 +48 42 635 48 14 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.