ERASMUS + International Credit Mobility 
Declaration of Interest
I, the undersigned:

Name:___________________________________________________________________
Surname:_________________________________________________________________
Date and place of birth:_____________________________________________________
Citizenship:_______________________________________________________________
Address:_________________________________________________________________
(Cell) phone number:_______________________________________________________
Email address:____________________________________________________________
Department:_______________________________________________________________
Subject Area:_____________________________________________________________
Position: __________________________________________________________________

I declare that I wish to participate in the Erasmus + mobility for the 
□ Spring semester 2023

At present I indicate the following Institution:
___________________________________

My motivations for applying are the following:
_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 

My linguistic competences are as follows*:
Language	Level
written	Level
speaking	Level
understanding	Certification 
(if any)	

					
*Level of foreign language competences: a description of the European Language Levels (CEFR) is available at: https://europass.cedefop.europa.eu/en/resources/european-language-levels-cefr

I understand that if my pre-candidature is selected, I will be asked to prepare a complete Staff Mobility for Teaching/ Training Mobility Agreement.

Signature:_______________________________________

Date:___________________________________________