LLP – ERASMUS PROGRAMME TEACHING STAFF MOBILITY
(STA)
INDIVIDUAL TEACHING
PROGRAMME
ACADEMIC YEAR 2011/ 2012
UNIWERSYTET WARSZAWSKI –
UNIVERSITY OF WARSAW
PL WARSZAW01 EUC 45834-IC-1-2007-1-PL-
Name and Erasmus code of the home institution
ERASMUS-EUCX-1
Beneficiary’s forename and surname
Faculty/ Institute/ Department (Uni. of Warsaw)
Name and Erasmus code of the host Institution
Faculty/ Department (Host Institution)
Erasmus subject area:
http://www.erasmus.org.pl/s/p/artykuly/17/178/Kody%20dziedzin.xls
Bachelor Master Doctorate other
Teaching level
Number
of
teaching
hours
Number of students at the host institution benefiting from the
teaching programme
Arrival date
, please specify
....
(dd/mm/yy)
Departure date
(dd/mm/yy)
Objectives of the mobility
Content of the teaching programme
Added value expected from the mobility / expected results for the
host institution
Added value expected from the mobility / expected results for the
staff member carrying out the assignment
Added value expected from the mobility / expected results for the
home institution
............................................................
Date
........................................................
Signature of the Beneficiary
Approval of the teaching programme:
University of Warsaw
.......................................................................................
Name and status of the official representative of
Faculty/Institute
.................................................................................
.......................................................................................
Name and status of the official representative of host
Institution
......................................................
....................................................
(Place and date)
(Place and date)
Signature
Signature
Stamp of Faculty/Institute
Stamp of the host institution