LLP – ERASMUS PROGRAMME Academic year: …………………. Teaching Assignments Teaching Programme To be filled out PRIOR TO departure A teaching programme must be filled out for each teaching assignment, approved and signed by all three parties (the mobility beneficiary, the home institution and the host institution) prior to the teaching mobility. Name of the mobility beneficiary: Name of the home Institution/department: Name of the contact person from the home institution: Name of the host Institution/department: Name of the contact person from the host institution: Subject area: Level: FT : 1st cycle SD : 2nd cycle TD : 3rd cycle Number of students at the host institution benefiting from the teaching programme: Number of teaching hours: 2) Objectives of the mobility: 3) Added value of the mobility (both for the host institution and for the teacher): 4) Content of the teaching programme: 5) Expected results (not limited to the number of students concerned): Signature of the mobility beneficiary: ……………... Date: ………/………/20…. Signatures of the legal representatives/heads of both institutions: Name of the home institution: Alexandru Ioan Cuza University Name of the host institution: Name and status of the official representative: ………………………………………. Name and status of the official representative: ………………………………………. Dean – Faculty of … Signature: Signature: Date: Date: Alexandru Ioan Cuza University Bd. Carol I no. 11, 700506 Iasi, Romania Department of International Relations, European Programmes Office Tel. 0040 232 201201, Fax: 0040 232 201201, Email: erasmus@uaic.ro