Last name(s) First name(s) Date of birth Nationality Sex [M/F] Study cycle Field of education Trainee Faculty/ Erasmus code Name Address Country Contact person name; email; phone Department (if applicable) Sending Institution Address; Contact person name; Mentor name; position; Receiving Name Department Country Size website position; e-mail; phone e-mail; phone Organisation < 250 employees > 250 employees DURING the Mobility Table A2 - Exceptional Changes to the Traineeship Programme at the Receiving Organisation/Enterprise (to be approved by e-mail or signature by the student, the responsible person in the Sending Institution and the responsible person in the Receiving Organisation/Enterprise) Planned period of the mobility: from till [month/year] [month/year] ……………. ……………. Traineeship Number of working hours per week: title: … … Detailed programme of the traineeship period: Knowledge, skills and competences to be acquired by the end of the traineeship (expected Learning Outcomes): Monitoring plan: Evaluation plan: Commitment Name Email Position Date Signature Trainee Trainee Responsible person at the Sending Institution Supervisor at the Receiving
Trainee Last name(s) First name(s) Date of birth Nationality Sex [M/F] Study cycle Field of education Sending Institution Name Faculty/ Department Erasmus code (if applicable) Address Country Contact person name; email; phone Receiving Name Department Address; website Country Size Contact person name; position; e-mail; phone Mentor name; position; e-mail; phone < 250 employees > 250 employees DURING the Mobility Table A2 - Exceptional Changes to the Traineeship Programme at the Receiving Organisation/Enterprise (to be approved by e-mail or signature by the student, the responsible person in the Sending Institution and the responsible person in the Receiving Organisation/Enterprise) Planned period of the mobility: from [month/year] ……………. till [month/year] ……………. Traineeship title: … Number of working hours per week: … Detailed programme of the traineeship period: Knowledge, skills and competences to be acquired by the end of the traineeship (expected Learning Outcomes): Monitoring plan: Evaluation plan: Commitment Name Email Position Date Signature Trainee Trainee Responsible person at the Sending Institution Supervisor at the Receiving Organisation