LLP/ERASMUS 
Mobility for teaching assignments and staff training
TEACHING PROGRAMME / WORK PLAN 
Academic year 201../201..

I. DETAILS OF THE TEACHER / EMPLOYEE 

Name:
Date of birth: 
Sex:
Nationality: 
Current address:
E-mail:
Tel.:

Sending institution:
Position at the sending institution:
Subject area / field of training:                                                                                
Coordinator’s name:
Tel:
Fax:
E-mail:	

II. DETAILS OF THE TEACHING PROGRAMME / WORK PLAN ABROAD

Host organisation:
Coordinator / contact person:
Position of the contact person:
Tel:
Fax:
E-mail:	
In case of staff training:  
Size of the host/sending enterprise: 
 S = Small (1-50 staff)
 M = Medium (51-500 staff)
 L = Large (>500 staff)
Sector of the host/sending enterprise:       Economic sector (NACE) (see Annex I)	

Planned dates of start and end of the teaching / work period: from …….        till .......       , that is …….. days                                                                               	

TEACHING PROGRAMME 
Objectives, added value and expected results of the teaching period abroad (not limited to the number of students concerned):

Content of the teaching programme:

WORK PLAN 

Overall aim, objectives and results of the work period abroad:

Activities to be carried out during the work period (detailed programme if possible):

III.   COMMITMENT OF THE THREE PARTIES

The teacher  / employee
Teacher’s / employee’s signature

...........................................................................       Date: 	

The sending institution
We confirm that this proposed teaching programme  / work plan is approved.  	
Coordinator’s signature
.............................................................................	
Date: ...................................................................	
	
The host organisation
We confirm that this proposed teaching programme / work plan is approved. 	
Coordinator’s signature
..............................................................................	
Date: ...................................................................	

 Economic sector (NACE)							ANNEX I
 
CODE	Description	
A	AGRICULTURE, FORESTRY AND FISHING	
B	MINING AND QUARRYING	
C	MANUFACTURING	
D	ELECTRICITY,  GAS, STEAM AND AIR CONDITIONING SUPPLY	
E	WATER SUPPLY; SEWERAGE, WASTE MANAGEMENT AND REMEDIATION ACTIVITIES	
F	CONSTRUCTION	
G	WHOLESALE AND RETAIL TRADE; REPAIR OF MOTOR VEHICLES AND MOTORCYCLES	
H	TRANSPORTATION AND STORAGE	
I	ACCOMMODATION AND FOOD SERVICE ACTIVITIES	
J	INFORMATION AND COMMUNICATION	
K	FINANCIAL AND INSURANCE ACTIVITIES	
L	REAL ESTATE ACTIVITIES	
M	PROFESSIONAL, SCIENTIFIC AND TECHNICAL ACTIVITIES	
N	ADMINISTRATIVE AND SUPPORT SERVICE ACTIVITIES	
O	PUBLIC ADMINISTRATION AND DEFENCE; COMPULSORY SOCIAL SECURITY	
P	EDUCATION	
Q	HUMAN HEALTH AND SOCIAL WORK ACTIVITIES	
R	ARTS, ENTERTAINMENT AND RECREATION	
S	OTHER SERVICE ACTIVITIES	
T	ACTIVITIES OF HOUSEHOLDS AS EMPLOYERS; UNDIFFERENTIATED GOODS- AND SERVICES-PRODUCING ACTIVITIES OF HOUSEHOLDS FOR OWN USE	
U	ACTIVITIES OF EXTRATERRITORIAL ORGANIZATIONS AND BODIES