Mobility Agreement Staff Mobility For Training Planned period of the teaching activity: from ________________ till _____________ [day/month/year] Duration (days) excluding travel days: – …………………. The staff member Last name (s) First name (s) Seniority Nationality Sex [M/F] Academic year 20../20.. E-mail The Sending Institution/Enterprise Name Fachhochschule Dortmund Erasmus code D DORTMUN 02 Faculty/Department (if applicable) Address Sonnenstr. 96 Country/ Germany / DE 44139 Dortmund Country code Contact person Dagmar Hösch Contact person name and position e-mail / phone +49 231 9112 217 Institutional Erasmus Coordinator Type of enterprise: Size of enterprise <250 employees (if applicable) >250 employees The Receiving Institution Name Faculty/Department Erasmus code (if applicable) Address Country/ Country code Contact person Contact person name and position e-mail / phone For guidelines, please look at the end notes on page 3.
Mobility Agreement Staff Mobility For Training Planned period of the teaching activity: from ________________ till _____________ [day/month/year] Duration (days) – excluding travel days: …………………. The staff member Last name (s) First name (s) Seniority Nationality Sex [M/F] Academic year 20../20.. E-mail The Sending Institution/Enterprise Name Fachhochschule Dortmund Erasmus code (if applicable) D DORTMUN 02 Faculty/Department Address Sonnenstr. 96 44139 Dortmund Country/ Country code Germany / DE Contact person name and position Dagmar Hösch Institutional Erasmus Coordinator Contact person e-mail / phone +49 231 9112 217 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 For guidelines, please look at the end notes on page 3.
2016_Mobility_Agreement_for_training_STT__EN_.docx