Erasmus+ Staff Mobility - TEACHING application 2025-2026

Your personal details

Last name *

First name *

Mr/Ms/Mx *

Nationality *

Date of birth *

Email address 1 *

Email address 2

Employment information

Employee number *

Job title *

Faculty or Service Unit *

Institute / Department *

Seniority *

Staff category *

Is this your first Erasmus+ teaching
assignment in 2025/2026? *

Contact details receiving institution

Name receiving institution *

Erasmus code receiving institution *

City receiving institution *

Country receiving institution *

Name contact person *

Email address contact person *

Details Erasmus+ teaching assignment

Start date - excluding travel *

End date - excluding travel *

Additional day for travel needed directly BEFORE
the first day of the teaching assignment *

Yes

Additional day for travel needed directly AFTER
the last day of the teaching assignment *

Yes

Do you plan on travelling in a sustainable way? *

Yes

In case you travel in a sustainable way, you are eligible for a 'Green Travel Top Up' on your regular travel allowance.
Your individual support will be calculated automatically.

Green travel consist of travelling with (more) sustainable means of transport to your destination.
This includes travel by train, bus or carpooling. For more information, visit the Erasmus+ for Teaching Assignments webpage.

If yes, which main mode of transport will you use? *

Bicycle

Bus

Carpooling

Train

If no, which main mode of transport will you use? *

Car/motorcycle

Ship

Plane

Field of education code *

Level of teaching *

Main instruction language *

Total number of teaching hours *

Is this a teaching assignment in advanced digital skills? *

Yes

Is this a teaching assignment within the context of Una Europa? *

Yes

Is this teaching assignment part of a Blended Intensive Programme (BIP)? *

Yes

Upload the Mobility Agreement for Teaching

Mobility Agreement for Teaching *

Budget holder

You need confirmation of the budget holder of the SAP number (LUMC: kostenplaats and project code) that the teaching assignment has been authorised.
This is usually your supervisor / manager.
Upon completion of the teaching assignment, the budget holder will be requested to send an invoice for the Erasmus+ grant to the Scholarships Team.

After the mobility, the applicant will receive an email with information on how to request the reimbursement of the grant.

First name *

Last name *

Job title *

E-mail address *

SAP number (LUMC: kostenplaats and project
code) *

Declaration Applicant

The responsibility for providing a complete and signed application form lies with the applicant.

I declare that the budget holder of the SAP number (LUMC: kostenplaats and project code) has confirmed that the teaching assignment has been authorised. *

I declare that I have read and understood the conditions of the Erasmus+grant for teaching assignments, and that the information provided in this form is accurate. *

Deadline

This form needs to be submitted at least 1 month before the start of your Erasmus+ teaching assignment.

* = Input is required