Erasmus+ Mobility Agreement
Staff Mobility For Training

Planned period of the physical mobility: from [day/month/year] to [day/month/year]

Duration of physical mobility (days) – excluding travel days: …………………. 

If applicable, planned period of the virtual component: from [day/month/year] to [day/month/year]

The Staff Member
Last name (s)		First name (s)		
Seniority		Nationality		
Sex [M/F/Undefined]		Academic year	20../20..	
E-mail		

The Sending Institution
Name		Faculty/Department		
Erasmus code 
(if applicable)
 				
Address		Country/
Country code		
Contact person 
name and position		Contact person
e-mail / phone		

The Receiving Organisation
Name 		
Erasmus code 
(if applicable)
		Faculty/Department
(if applicable)		
Address		Country/
Country code		
Contact person,
name and position		Contact person
e-mail / phone		
Type of organisation:
 		Size of organisation 
(if applicable)	☐<250 employees
☐≥250 employees	

For guidelines, please look at the end notes on page 3.

Section to be completed BEFORE THE MOBILITY
I.	PROPOSED MOBILITY PROGRAMME
Language of training: ………………………………………
Overall objectives of the mobility:

	
Added value of the mobility (in the context of the modernisation and internationalisation strategies of the institutions involved):

	
Activities to be carried out (including the virtual component, if applicable):

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

	

II. COMMITMENT OF THE THREE PARTIES
By signing this document, the staff member, the sending institution and the receiving organisation confirm that they approve the proposed mobility agreement.
The sending higher education institution supports the staff mobility as part of its modernisation and internationalisation strategy and will recognise it as a component in any evaluation or assessment of the staff member.
The staff member will share their experience, in particular its impact on their professional development and on the sending higher education institution, as a source of inspiration to others. 
The staff member and the beneficiary organisation commit to the requirements set out in the grant agreement signed between them.
The staff member and the receiving organisation will communicate to the sending institution any problems or changes regarding the proposed mobility programme or mobility period.
The staff member
Name:
Signature: 	Date:		

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

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