STAFF MOBILITY FOR TRAINING MOBILITY AGREEMENT Planned period of the training activity: from [day/month/year] till [day/month/year] Duration (days) – excluding travel days: …………………. The Staff Member Last name (s) First name (s) Seniority Nationality Sex [M/F] Academic year 20../20.. E-mail The Sending Institution Name Universidade dos Faculty/Department Açores Erasmus code P ACORES01 (if applicable) Address Rua da Mãe de Deus Country/ Portugal Country code PT 20 9500-321 Ponta Delgada Contact person Graça Pinheiro Contact person Reitoria.gre@uac.pt name and position Cavaco e-mail / phone The Receiving Institution / Enterprise Name Erasmus code Faculty/Department (if applicable) Address Country/ Country code Contact person, Contact person name and position e-mail / phone Type of enterprise: Size of enterprise <250 employees NACE code (if applicable) >250 employees (if applicable) For guidelines, please look at the end notes on page 3. Section to be completed BEFORE THE MOBILITY
STAFF MOBILITY FOR TRAINING MOBILITY AGREEMENT Planned period of the training activity: from [day/month/year] till [day/month/year] Duration (days) – excluding travel days: …………………. The Staff Member Last name (s) First name (s) Seniority Nationality Sex [M/F] Academic year 20../20.. E-mail The Sending Institution Name Universidade dos Açores Faculty/Department Erasmus code (if applicable) P ACORES01 Address Rua da Mãe de Deus 9500-321 Ponta Delgada Country/ Country code Portugal PT 20 Contact person name and position Graça Pinheiro Cavaco Contact person e-mail / phone Reitoria.gre@uac.pt The Receiving Institution / Enterprise Name Erasmus code (if applicable) Faculty/Department Address Country/ Country code Contact person, name and position Contact person e-mail / phone Type of enterprise: NACE code (if applicable) Size of enterprise (if applicable) <250 employees >250 employees For guidelines, please look at the end notes on page 3. Section to be completed BEFORE THE MOBILITY