Teaching staff application

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Information about Teaching staff application

Published on March 11, 2014

Author: giorgijamburia9

Source: slideshare.net

SELÇUK ÜNİVERSİTESİ (SELCUK UNIVERSITY) 2013 / 2014 AKADEMİK YILI – .................. DÖNEMİ (ACADEMIC YEAR) (TERM) ÖĞRETİM ELEMANI HAREKETLİLİK PROGRAMI ACADEMIC STAFF MOBILITY PROGRAMME KişiselBilgiler(Personal Information) Adı – Soyadı: Cinsiyeti: Name-Surname Gender Bölüm/Program Adı: Unvanı: Department-Programme name Title Adres: Address Tel: Telephone Faks : Fax GönderenÜniversiteHomeInstitution Yükseköğretim Kurumunun Adı: Name of Higher Education Institution MEVLANA Kodu: MEVLANA ID Code Dönem: Güz Dönemi Bahar Dönemi Yaz Okulu Term Fall Term Spring Term Summer School Hareketlilik Süresi: Mobility Period Planlanan Başlangıç Tarihi: Planned Start Date Planlanan Bitiş Tarihi : Planned End Date Bölüm Başkanı/ Koordinatörü Head of Department/Coordinator Adı – Soyadı: Name-Surname Adres : Address Tel.: Faks E-mail Telephone Fax E-mail İmza: Tarih: Signature Date Kurum Koordinatörü Institutional Coordinator Adı - Soyadı: Name-Surname İmza: Tarih: Signature Date

HAREKETLİLİĞİN KATMA DEĞERİ (Added-Value of the Mobility) (Hem gönderen hem kabul eden yükseköğretim kurumu hem de öğretim elemanı için) (Both for home, host institutions and academic staff) GidilecekÜniversiteHostInstitution Yükseköğretim Kurumunun Adı: Name of the Institution MEVLANA Kodu: MEVLANA ID Code Dönem: Güz Dönemi Bahar Dönemi Yaz Okulu Semester Fall Semester Spring Semester Summer School Hareketlilik Süresi: Mobility Period Planlanan Başlangıç Tarihi: Planned Start Date Planlanan Bitiş Tarihi : Planned End Date Bölüm Başkanı/ Koordinatörü Head of Department/Coordinator Adı – Soyadı: Name-Surname Adres : Address Tel.: Faks E-mail Telephone Fax E-mail İmza : Tarih: Signature Date Kurum Koordinatörü Institutional Coordinator Adı - Soyadı: Name-Surname İmza: Tarih Signature Date AkademikBilgiler (AcademicInformation) MEVLANA Faaliyet Alan Kodu : MEVLANA Field Code Faaliyetin Türü: Ders Verme Seminer Çalıştay Diğer : Type of activity Lecturing Seminar Workshop Other Derece: Ön lisans Lisans Yüksek Lisans Doktora Diğer Degree Associate degree BA MA Ph.D. Other Bu faaliyetten yararlanacak tahmini öğrenci ve varsa öğretim elemanı sayısı: Estimated number of potential student and academic staff beneficiaries if avaible

BEKLENEN SONUÇLAR (Expected Outcomes) (Hareketlilik sonucunda tüm taraflar için beklenen sonuçları belirtiniz) (Please specify the expected outcomes for all parties as a result of the mobility) DERS PROGRAMI Study Programme Dersin Adı Course Name Kredisi Credit Günü Day Saati TimeUlusal National AKTS ECTS Öğretim Elemanının İmzası: ………………… Signature of Academic Staff Gönderen Yükseköğretim Kurumunun Adı Name of the Home Institution Gidilecek Yükseköğretim Kurumunun Adı Name of the Host Institution Yetkili Kişi Adı (Dekan, Müdür, vb) Soyadı/Unvanı Name/Surname/Title of the Authorized Person (Dean, Director etc.) Yetkili Kişi Adı (Dekan, Müdür, vb) Soyadı/Unvanı Name/Surname/Title of the Authorized Person (Dean, Director etc.) İmza/Mühür Signature/Stamp İmza/Mühür Signature/Stamp Tarih Date _____/_____/______ Tarih Date _____/_____/______

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