Mobility Agreement Staff Mobility For Teaching Planned period of the teaching activity: from till ………….. …………….. Duration (days) excluding travel days: – The teaching staff member Last name (s) First name (s) Seniority Nationality Sex [M/F] Academic year 2018/2019 E-mail The Sending Institution/Enterprise Name UNIVERSITY OF LODZ Erasmus code PL LODZ01 Faculty/ Faculty of Economics (if applicable) Department and Sociology Address ul. POW 3/5, 90-255 Country/ Poland/PL Country code Łódź Contact person Faculty Exchange Contact person +48 889 162 263 name and Programmes e-mail / phone position Coordinator Tomasz Schabek +48 42 635 48 14 Ph.D. Type of Size of <250 employees enterprise: enterprise >250 employees (if applicable) The Receiving Institution Name Faculty/Department Erasmus code (if applicable) Address Country/ Country code Contact person Contact person name and position e-mail / phone
Mobility Agreement Staff Mobility For Teaching Planned period of the teaching activity: from ………….. till …………….. Duration (days) – excluding travel days: The teaching staff member Last name (s) First name (s) Seniority Nationality Sex [M/F] Academic year 2018/2019 E-mail The Sending Institution/Enterprise Name UNIVERSITY OF LODZ Erasmus code (if applicable) PL LODZ01 Faculty/ Department Faculty of Economics and Sociology Address ul. POW 3/5, 90-255 Łódź Country/ Country code Poland/PL Contact person name and position Faculty Exchange Programmes Coordinator Tomasz Schabek Ph.D. Contact person e-mail / phone +48 889 162 263 +48 42 635 48 14 Type of enterprise: Size of enterprise (if applicable) <250 employees >250 employees The Receiving Institution Name Faculty/Department Erasmus code (if applicable) Address Country/ Country code Contact person name and position Contact person e-mail / phone
staff-mobility-agreement-teaching_integr_2018_prefilled_ts.docx