Report on Staff Mobility

Purpose of mobility: teaching/training

Period of the mobility: from [day/month/year]	till [day/month/year]

Duration (days) – excluding travel days: ………………….

The staff member

Last name(s)		First name(s)		
Seniorityi		Nationalityii		
Sex [M/F]		Academic year	20../20..	
E-mail		

The Sending Institution/Enterpriseiii

Name		
Erasmus codeiv (if applicable)		Faculty/Department		
Address		Country/ Country codev		

Contact person name and position		
Contact person e-mail / phone		

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		

Mobility agreement fulfilment:
Please specify level of fulfilment of Mobility agreement.
In case some of planned activities were not fulfilled, specify reasons and explain.

Satisfaction with outcomes of mobility:
Specify your satisfaction with outcomes of mobility. Did your mobility reach your expectations in terms of gained knowledge, experience and contacts?

Effects of mobility on future work:
What effects of mobility do you expect on your further work in science and education? How will it reflect to the rest of your commitments and future work?

Sending institution conditions and atmosphere:
Please report on communication with Sending institution, their respective International office and staff.

Receiving institution conditions and atmosphere:
Please report on communication with Receiving institution, their respective International office and staff.

Life and social integration:
Please report on everyday life, conditions at the Receiving institution, social integration, housing and social aspects of life in new surrounding.

Legal issues
Please report on legal issues of your mobility: residence permit, healthcare insurance, travel documents etc.

Other remarks
Please state here other remarks on your mobility, as well as recommendations and complaints to any side included in the process.

Report submitted by:
[Last Name(s), First Name(s)]	Date:	Signature:	

i  Seniority: Junior (approx. < 10 years of experience), Intermediate (approx. > 10 and < 20 years of experience) or Senior (approx. > 20 years of experience).
ii Nationality: Country to which the person belongs administratively and that issues the ID card and/or passport.
iii All refererences to "enterprise" are only applicable to mobility for staff between Programme Countries or within Capacity Building projects.
iv  Erasmus Code: A unique identifier that every higher education institution that has been awarded with the Erasmus Charter for Higher Education receives. It is only applicable to higher education institutions located in Programme Countries.
v Country code: ISO 3166-2 country codes available at: https://www.iso.org/obp/ui/#search.