Transnational Education - TNE
Mobility Programme – Teaching Staff

Planned period of the teaching 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 Receiving
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
Content of the teaching programme (proposed workplan):

	
Motivation:

	
Expected outcomes and impact (both on the professional development of the teaching staff member and in the context of modernisation and internationalisation strategies of the institutions involved, at regional and national level):

	
Language Skills:

	

The teaching staff member
Name:
Signature: 	Date:		

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