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GfNA-II-C-ERA HEI mobility-grant agreement-Annex V.11-staff teaching final report form – version October 2011


                                                                                                       Annex V.11ii




                                           Erasmus Programme

                              Staff Mobility – Teaching Assignment

                                        FINAL REPORT FORM

                                            [Minimum requirements]


(Message to teacher and staff member, e.g.: This report on your experiences will provide the
EU Lifelong Learning Programme/Erasmus programme with valuable information which will
benefit both future teachers and other higher education staff and contribute to the continued
improvement of the programme. We are grateful for your co-operation in filling out the
questionnaire. Signed)

All personal data mentioned in this form will be processed in accordance with Regulation (EC) No 45/2001 of
the European Parliament and of the Council of 18 December 2000 on the protection of individuals with regard to
the processing of personal data by the Community institutions and bodies and on the free movement of such
data. On request, you may be sent personal data and correct or complete them. You may lodge a complaint
against the processing of personal data with the European Data Protection Supervisor at any time (Official
Journal L 8, 12.1.2001)

0. Identification of the home institution

Your home higher education institution: [to be prefilled by HEI]
The home institution's Erasmus ID code: [to be prefilled by HEI]

1. Identification of the teaching staff member

Your name (family, given):
Your gender: M/F
Your academic field/area of work:
Your email address:

2. Mobility data

Your host higher education institution, city, country:
The host institution's Erasmus code (if known to you):

Dates of mobility period abroad:           dd/mm/20yy - dd/mm/20yy




                                                                                                                 1
GfNA-II-C-ERA HEI mobility-grant agreement-Annex V.11-staff teaching final report form – version October 2011


3. Organisation of stay

Mention features such as:

- Preliminary contacts with the host institution (who, why has chosen it and how? Does the department
concerned already have Erasmus cooperation activities? etc).
- Preparation of the teaching period abroad (linguistic preparation, production of teaching material,
etc)

4. Content of the activities

Mention features such as:

- Course typology and didactic methodology (lecture, seminar, workshop, etc.)
- Details regarding the level of integration of the teaching abroad (co-teaching, involvement of more
courses, etc.)
- Other activities developed/implemented in the host institution (e.g.: monitoring of home Erasmus
students, participation in test/exams, preparation of other cooperation activities/research/etc). Impact for
future co-operation.


5. Evaluation of the mobility period

Were the expected results defined in the teaching assignment met? Yes/No
Did you get additional results? Yes/No
If yes, please specify

Remarks on positive elements and/or difficulties encountered

Please evaluate the quality of the mobility period
Scale: 1=poor/negative, 5=excellent

- Judgement of the outcome of the mobility:
1–2–3–4–5

- Judgement of social/cultural benefits of the mobility:
1–2–3–4–5

- Overall evaluation of your Erasmus mobility:
1–2–3–4–5

Recommendations to disseminate and exploit the experience/results of your mobility in your
department/HEI/ …

Suggestions (ways in which the scheme could be improved etc.)


Date:
Signature:




                                                                                                                2

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036 v11iistaff teaching final report form

  • 1. GfNA-II-C-ERA HEI mobility-grant agreement-Annex V.11-staff teaching final report form – version October 2011 Annex V.11ii Erasmus Programme Staff Mobility – Teaching Assignment FINAL REPORT FORM [Minimum requirements] (Message to teacher and staff member, e.g.: This report on your experiences will provide the EU Lifelong Learning Programme/Erasmus programme with valuable information which will benefit both future teachers and other higher education staff and contribute to the continued improvement of the programme. We are grateful for your co-operation in filling out the questionnaire. Signed) All personal data mentioned in this form will be processed in accordance with Regulation (EC) No 45/2001 of the European Parliament and of the Council of 18 December 2000 on the protection of individuals with regard to the processing of personal data by the Community institutions and bodies and on the free movement of such data. On request, you may be sent personal data and correct or complete them. You may lodge a complaint against the processing of personal data with the European Data Protection Supervisor at any time (Official Journal L 8, 12.1.2001) 0. Identification of the home institution Your home higher education institution: [to be prefilled by HEI] The home institution's Erasmus ID code: [to be prefilled by HEI] 1. Identification of the teaching staff member Your name (family, given): Your gender: M/F Your academic field/area of work: Your email address: 2. Mobility data Your host higher education institution, city, country: The host institution's Erasmus code (if known to you): Dates of mobility period abroad: dd/mm/20yy - dd/mm/20yy 1
  • 2. GfNA-II-C-ERA HEI mobility-grant agreement-Annex V.11-staff teaching final report form – version October 2011 3. Organisation of stay Mention features such as: - Preliminary contacts with the host institution (who, why has chosen it and how? Does the department concerned already have Erasmus cooperation activities? etc). - Preparation of the teaching period abroad (linguistic preparation, production of teaching material, etc) 4. Content of the activities Mention features such as: - Course typology and didactic methodology (lecture, seminar, workshop, etc.) - Details regarding the level of integration of the teaching abroad (co-teaching, involvement of more courses, etc.) - Other activities developed/implemented in the host institution (e.g.: monitoring of home Erasmus students, participation in test/exams, preparation of other cooperation activities/research/etc). Impact for future co-operation. 5. Evaluation of the mobility period Were the expected results defined in the teaching assignment met? Yes/No Did you get additional results? Yes/No If yes, please specify Remarks on positive elements and/or difficulties encountered Please evaluate the quality of the mobility period Scale: 1=poor/negative, 5=excellent - Judgement of the outcome of the mobility: 1–2–3–4–5 - Judgement of social/cultural benefits of the mobility: 1–2–3–4–5 - Overall evaluation of your Erasmus mobility: 1–2–3–4–5 Recommendations to disseminate and exploit the experience/results of your mobility in your department/HEI/ … Suggestions (ways in which the scheme could be improved etc.) Date: Signature: 2