Programme Erasmus+
Academic Year 2014/2015
WORK PLAN
PERSONAL DATA
NAME and SURNAME of the candidate	
	
Home institution 
Erasmus ID code	UNIVERSITA’ DEGLI STUDI DI FIRENZE 
I FIRENZE01	
Dept. in the home institution		
Responsible of the Department		
Position of the candidate in the home institution		
DATA OF HOST INSTITUTION
Name of the HOST institution		
Country of the Host institution/ enterprise		
Erasmus ID code (if available)		
Host Faculty/Department		
Name of contact person at Host Institution/Enterprise		
Position of the contact person		
Size of the enterprise (tick the appropriate size)	□ Small: 1- <50 staff
□ Medium: 51 < 500 staff
□ Large: 501 or more staff	
MOBILITY DATA
Duration (days)		
Period (month of departure)		
Language used during the training period		
Specify if the candidate is involved in a Erasmus mobility for the first time	□     YES
□     NO	
Overall aim and OBJECTIVES of the mobility	(maximum half page)	
ACTIVITIES to be carried out and, if possible, the programme for the period	(maximum half page)	
EXPECTED results	(maximum half page)	
SIGNATURES

NAME and SURNAME of the candidate	
Firenze, 
               (Date)	Signature	
Home institution:                                                              UNIVERSITA’ DEGLI STUDI DI FIRENZE	
Date 	Firenze,	
Responsible of the Department
	Signature	
	Stamp	
Receiving institution/enterprise 	
ate 		
Name of contact person
(Name and Surname and position)	Signature	

Stamp