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 20../20.. Sex [M/F] Academic year E-mail The Sending Institution/Enterprise of Ecology Wyższa Szkoła Ekologii i Zarządzania w Warszawie (The University Name and Management in Warsaw) Erasmus code PL_WARSZAW41 Faculty/Department (if applicable) Ul. Olszewska 12 Country/ Poland/PL Address 00-792 Warszawa Country code Lia Sayadyan l.sayadyan@wseiz.pl Contact person Contact person Assistant Erasmus +48 22 825 80 32 name and position e-mail / phone Coordinator Size of enterprise <250 employees - Type of enterprise: >250 employees (if applicable) The Receiving Institution Name Erasmus code Faculty/Department (if applicable) Country/ Address Country code Contact person Contact person name and position e-mail / phone For guidelines, please look at the end notes on page 3. Section to be completed BEFORE THE MOBILITY I. PROPOSED MOBILITY PROGRAMME
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 20../20.. E-mail The Sending Institution/Enterprise Name Wyższa Szkoła Ekologii i Zarządzania w Warszawie (The University of Ecology and Management in Warsaw) Erasmus code (if applicable) PL_WARSZAW41 Faculty/Department Address Ul. Olszewska 12 00-792 Warszawa Country/ Country code Poland/PL Contact person name and position Lia Sayadyan Assistant Erasmus Coordinator Contact person e-mail / phone l.sayadyan@wseiz.pl +48 22 825 80 32 Type of enterprise: - Size of enterprise (if applicable) <250 employees >250 employees The Receiving Institution Name Erasmus code (if applicable) Faculty/Department 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. Section to be completed BEFORE THE MOBILITY I. PROPOSED MOBILITY PROGRAMME
Porozumienieoprogramienauczania_WSEiZ_2016.docx