APPLICATION FORM FOR STAFF TRAINING MOBILITY (STT) ... 3) Please
provide details of the type of activities you will be undertaking during your
planned ...
APPLICATION FORM FOR STAFF TRAINING MOBILITY (STT) ERASMUS PROGRAMME – University of Malta ACADEMIC YEAR 2013/2014
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For Office Use Only: Application Code: _____________________________
Kindly fill application in BLOCK Letters. Handw ritten Applications are not accepted Kindly attach your w ork program m e to this application PERSONAL DATA
Last Name: _________________________ First Name: ____________________________
Title: __________
Institute/Faculty: ____________________________________ Department: __________________________________ Grade:__________________________ Sex: M
F
Type of Work: _____________________________________
Nationality: ___________ Place of Birth: ____________ I.D. Card No:_____________________
Home address: ___________________________________________________________________________________ Tel: _______________
Mobile No: _______________
E-mail: ______________________________________
PROPOSED MOBILITY ABROAD Host Institution: __________________________________________________________________________________ Dates of the mobility period at host institution (excluding travel): ___________________________________________ Total Duration including travel dates:__________________________________________________________________ (Maximum to one day before and one day after the dates of the mobility period at the host institution) Duration (minimum 1 week; maximum 6 weeks): ________________________________________________________
OBJECTIVES AND SCOPE
All applications w ill be assessed in line w ith the criteria, recom m endations and form al procedures established for the Erasm us Program m e. The m axim um score that can be obtained for each reply are indicated in brackets at the end of each question. 1. Have you participated in Erasmus Staff Training Mobility in the past? (max score: 20 points)* YES NO If yes, please provide date and location of Erasmus Mobility Period: _________________________________________ 2) What is your main motivation for submitting this application? (max score: 20 points) _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _______________________________________________________________________________________________ 3) Please provide details of the type of activities you will be undertaking during your planned mobility abroad (i.e. will this constitute in a training experience, information exchange, knowledge gathering, etc) (max score: 10 points)
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_____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _______________________________________________________________________________________________ 4) Why have you chosen the specific host institution and location (max score: 10 points) _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _______________________________________________________________________________________________ 5) Which competencies, knowledge and/or skills are you aiming to achieve through participation in this mobility programme. (max score: 20 points) _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _______________________________________________________________________________________________ 6) Are you currently engaged in tasks through which you assist or interact with international exchange or degree-seeking students? If yes, please indicate how you think this experience will contribute to your work: If not, please indicate how the mobility activity abroad will contribute to your work: (max score: 20 points) _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _______________________________________________________________________________________________ SUPPORTING DOCUMENTS Kindly include the following documents: - Work Programme signed by the Host University - Official Invitation letter from the Host University, confirming the dates of your mobility period These documents will form the basis of the eligibility check and financial evaluation. It is therefore crucial for all documents to be included with the application when it is submitted. Closing Date for applications: Friday 15th October 2013
Signature of applicant: _____________________________________
Date: ____________________
Signature of Head of Department/ Dean of Faculty/Institute: ___________________________________
Date: ____________________
With the support of the Commission of the European Communities within the framework of the Lifelong Learning Programme
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Instructions to Applicants
Kindly submit one original and two copies of the original application form.
All application forms will be assessed by two external independent Assessors, who will grade each application accordingly.
The ESGAC (ERASMUS Selection Grant Allocation Committee) will select the beneficiaries to proceed on Erasmus and the funding allocation by the National Agency.
All applicants will be notified by email, and by post regarding the selection results.
Kindly note that the subsistence allowance will only cover up to one day prior the start of the Training Mobility, up to one day after the end of the mobility period. Beneficiaries are advised that the minimum duration of the Staff Training mobility is of 5days, and the maximum period is of 6 weeks
Three months prior to their departure, selected beneficiaries should present three flight quotation tickets (including the actual flight tickets) and boarding cards in correspondence with their training mobility at the Host Institution. Beneficiaries are advised at all times to travel with the cheapest mode of transport. Erasmus beneficiaries are advised that there is a maximum ceiling rate which can cover flight tickets, depending on the country of Destination. Should the flight tickets exceed the specific rates set in the Table provided by the National Agency, the beneficiaries would have to pay the difference from their own pockets.
Beneficiaries should be aware that the International & EU Office will not be able to cover flights not in relation with their Training mobility abroad, such as conferences or any other visits before/after their Erasmus mobility.
As the subsistence is calculated on the daily rate issued by the European Commission, and the actual flight receipts, the beneficiaries should present their flight receipts and boarding cards which cover their Erasmus mobility only. The International & EU Office will not be in a position to cover flight expenses incurred by third parties. In the case of misplaced boarding cards, the beneficiaries are requested to contact the airlines for a confirmation e-mail, in order to be eligible for the grants.
Beneficiaries are kindly reminded that same costs funded through other European Community programmes or covered by other funds cannot be claimed twice.
*Priority shall be given to first time applicants.
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