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 Neuer Osnabrück Institution International Graben 27, University D OSNABRU01 Germany Verena Blum; verena.blum@uos.de; +49 541 969 4708 Office 49074 Osnabrück Address; Contact person name; Mentor name; position; Receiving Name Department Country Size website position; e-mail; phone 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 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:
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 Osnabrück University International Office D OSNABRU01 Neuer Graben 27, 49074 Osnabrück Germany Verena Blum; verena.blum@uos.de; +49 541 969 4708 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: