Mobility Agreement Staff Mobility For Teaching 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 2017/2018 E-mail The Sending 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 (if applicable) >250 employees The Receiving Institution Name Pädagogische Faculty/Department Internationales Hochschule Büro Erasmus code A WIEN09 (if applicable) Address Grenzackerstraße 18 Country/ Austria/ 1100 Wien Country code AT Contact person Birgit Höfler Contact person Birgit.hoefler@ name and position International Office e-mail / phone phwien.ac.at/ Staff Mobility +43 60118 3863 For guidelines, please look at the end notes on page 3. Section to be completed BEFORE THE MOBILITY
Mobility Agreement Staff Mobility For Teaching 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 2017/2018 E-mail The Sending 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: Size of enterprise (if applicable) <250 employees >250 employees The Receiving Institution Name Pädagogische Hochschule Faculty/Department Internationales Büro Erasmus code (if applicable) A WIEN09 Address Grenzackerstraße 18 1100 Wien Country/ Country code Austria/ AT Contact person name and position Birgit Höfler International Office Staff Mobility Contact person e-mail / phone Birgit.hoefler@ phwien.ac.at/ +43 60118 3863 For guidelines, please look at the end notes on page 3. Section to be completed BEFORE THE MOBILITY
in_sta_mobility_agreement_17_18.docx