Erasmus Short-term Mobility Application

This application/nomination form must be completed by a LCC faculty member on behalf of a student or group of students.

Name of Faculty member
Role

Role I am applying to send a group of students I am applying to nominate an individual student
How many LCC students are you hoping will attend this program?

How many LCC students are you hoping will attend this program? Just one 2-6 6-10 More than 10
Name of student(s)

If students have not been selected, please list those who have shown interest.
Do you as a faculty member plan to attend this program?

Do you as a faculty member plan to attend this program? No, the student(s) will go on their own Yes, I am requesting a faculty/staff mobility grant Yes I plan to attend, but am not requesting a faculty/staff grant
What is the title of the program?
What type of program are you applying for?

What type of program are you applying for? Blended Intensive Program (BIP) International Week (not BIP) Something Else
What is the hosting university or organization?
Please provide a description and link (if available) to the program.
Please comment on the relevence of this program and its strategic value to the department, LCC and/or individual students.
Start date of Program Start date of Program / MM / DD YYYY
End date of Program End date of Program / MM / DD YYYY
Is there anything you want to add?

For example, is there a minimum or maximum number of LCC students who can attend? Grant funding will be allocated based on internal policy. Staff or students can attend any Erasmus+ programs without a grant as a Zero-grant participant.