Allegato 2 - Overseas Mobility Agreement – Teaching Staff
Planned period of the mobility (travel days included): 
from [day/month/year]____________	 
till [day/month/year]__________________
Planned period of the teaching/training activity (travel days excluded): 
from [day/month/year]____________	 
till [day/month/year]__________________

The Teaching Staff Member
Last name (s)		First name (s)		
E-mail		
Department		

The Receiving Institution 
Name of Receving
Institution		
Country		
City		
Name of receiving 
Department/Faculty		
Contact person,
name and position at the receiving 
Institution		Contact person
e-mail / phone		

 
Proposed mobility programme

Overall objectives of the mobility:

	
Expected impact on the professional development of the teaching staff member and motivations, added value of the mobility (in the context of the modernisation and internationalisation strategies of the institutions involved):

	
Content of the teaching/training/activity programme:

	
Expected outcomes and impact (e.g. on the professional development of the teaching staff member and on the competences of students at both institutions):

	

The teaching staff member
Name:
Signature: 	Date:		

The sending institution
Name of the responsible person (DIRETTORE DIPARTIMENTO):
Signature: 		Date: 		

The receiving institution
Name of the responsible person:
Signature: 		Date: