Erasmus+ Mobility Agreement Staff Mobility For Training
Planned period of the physical mobility: from [day/month/year] to [day/month/year]

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

The Staff Member

Last name (s)		First name (s)		
Seniority1		Nationality2		
Sex [M/F/Undefined]		Academic year	20../20..	
E-mail		
The Sending Institution

Name	Sapienza Università di Roma	Faculty/Department		
Erasmus code3
(if applicable)	I ROMA01			
Address	Piazzale Aldo Moro n. 5, 00185 Roma	Country/ Country code4	Italy	
Contact person name and position	Tiziana De Matteis Head of Erasmus+ (EU) Unit 	

	Contact person e-mail / phone	staffmobility@uniroma1.it
+390649690436 	

The Receiving Institution 

Name		
Erasmus code
(if applicable)		Faculty/Department		
Address		Country/ Country code		
Contact person, name and position		Contact person e-mail / phone		
Type of enterprise:		Size of enterprise
(if applicable)	☐	<250 employees
☐	>250 employees	
.

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 modernization 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 signing5 this document, the staff member, the sending institution and the receiving institution/enterprise 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 his/her experience, in particular its impact on his/her professional development and on the sending higher education institution, as a source of inspiration to others.
The staff member and the beneficiary institution commit to the requirements set out in the grant agreement signed between them.
The staff member and the receiving institution/enterprise will communicate to the sending institution any problems or changes.

The receiving institution
Name of the responsible person: Signature:

Date:

The sending institution/enterprise
Name of the responsible person: Signature:

Date:

The staff member
Name: Signature:

Date:

1 Seniority: Junior (approx. < 10 years of experience), Intermediate (approx. > 10 and < 20 years of experience) or Senior (approx. > 20 years of experience).
2 Nationality: Country to which the person belongs administratively and that issues the ID card and/or passport.
3 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 EU Member States and third countries associated to the programme.
4 Country code: ISO 3166-2 country codes available at: https://www.iso.org/obp/ui/#search.
5 Circulating papers with original signatures is not compulsory. Scanned copies of signatures or electronic signatures may be accepted, depending on the national legislation of the country of the sending institution (in the case of mobility with third countries not associated to the programme: the national legislation of the EU Member State or third country associated to the programme). Certificates of attendance can be provided electronically or through any other means accessible to the staff member and the sending institution.