Staff Erasmus Application Form

Personal Details

First Name

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Last Name

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Telephone Number

Please enter a valid telephone number

Abertay Email Address

Please enter a valid email address

Nationality

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Date of Birth

Please enter a valid date

Level of education

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Have you been on an Erasmus+ staff mobility before?

Yes

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If yes, please give details

Please confirm by checking the box that you are a current employee of Abertay University *

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Abertay School or Service

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Experience level/seniority

Junior (less than 10 years of experience)

Intermediate (between 10 and 20 years of experience)

Senior (more than 20 years of experience)

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Do you have additional support needs?

Yes

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Please check the box if you wish to apply for supplementary funding for staff with additional support needs. We will contact you directly to follow up.

Supplementary funding for staff

Details of proposed activity

Type of staff mobility

Teaching

Training

Teaching & Training (Combined)

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Name of host university/organisation

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Country of host

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Language of teaching/training

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Proposed dates of mobility (not including travel days)

Start date

Please enter a valid date

End date

Please enter a valid date

Total number of teaching/training days

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Total number of teaching hours

A teaching activity has to comprise a minimum of 8 hours of teaching per week (or any shorter period of stay). If the mobility lasts longer than one week, the minimum number of teaching hours for an incomplete week should be proportional to the duration of that week. If the teaching activity is combined with a training activity during a single period abroad, the minimum number of hours of teaching per week (or any shorter period of stay) is reduced to 4 hours.

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Additional day of travel required before the first day of activity overseas?

Additional day of travel required after the last day of activity overseas?

Estimated travel distance (km) from Dundee to host

Please use the EC distance calculator.

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Teaching Mobility

Proposed teaching title/topic

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Host university department

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Level of students you will be teaching

Bachelor

Masters

Doctoral

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Training Mobility

Type of training

Workshop / Professional Development Course

Job Shadowing

Erasmus+ Staff Week

Other

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Please specify the type of training

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Size of host organisation

<250 employees

>250 employees

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Full address of organisation (if not a partner university)

Contact person at host (name & email address)

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Aims & Objectives

Overall objectives of the training/teaching mobility

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Added value of the mobility (both for the institutions involved and for the participant)

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Provisional content of the teaching/training programme

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Expected outcomes and impact (not limited to the students and staff directly involved)

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Name of your line manager

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We will contact your line manager to confirm their approval of your participation in Erasmus+

By participating in Erasmus+ staff mobility I agree:

to complete all required paperwork and the final report,
to disseminate information about my experience to colleagues
if applicable, to meet with Abertay students (from any subject area) who are on exchange at the host institution
If applicable, to meet with and answer queries from prospective future Erasmus+ applicants from host institution

Please check the box to confirm your agreement with the terms above *

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Many thanks for submitting your application for Erasmus+ staff mobility. The upcoming deadline is 29 February 2020, and we will be in touch within 2 weeks after this date with the outcome of your application.

If you have any questions, please contact international@abertay.ac.uk