INTELLECTUAL OUTPUT 2 English version | Page 177

3. T HE PARTNER ORGANISATIONS OF THE E UROPASS M OBILITY EXPERIENCE (N o ) ARE
S ENDING PARTNER (organisation initiating the mobility experience in the country of origin)
(11) (*)
Name, type (if relevant faculty/department) and address
Vocational College of Greenfields
Dept of Biomechanics
213 Bell Str.
123546 Sheffield
United Kingdom
Stamp and/or signature
(12) (*)
[ Stamp ]
(13) Surname(s) and first name(s) of reference person/mentor
(if relevant of ECTS departmental coordinator)
O WARDS Jules (14) Title/position
Senior teacher
(15) Telephone
(44-113) 343 12 34 (16) E-mail
[e-mail]
H OST PARTNER (organisation receiving the holder of the Europass Mobility document in the host country)
(17) (*)
Name, type (if relevant faculty/department) and address
Palermo Multimedia Ltd
213 Via Giovanni
I-123546 Palermo
(19) (*) Surname(s) and first name(s) of reference person/mentor
(if relevant of ECTS departmental coordinator)
G IULIANO Marco
(21) Telephone
39 (91) 12 34 56
Stamp and/or signature
(18) (*)
[ Stamp ]
(20) Title/position
Head of technical development
(22) E-mail
[e-mail]
NB : This table is not valid without the stamps of the two partner organisations and/or the signatures of the two reference persons/mentors.
Headings marked with an asterisk are mandatory.
4. D ESCRIPTION OF THE E UROPASS M OBILITY EXPERIENCE (N o )
(23) Objective of the Europass Mobility experience
To acquire a first work experience in an international environment
(24) Initiative during which the Europass Mobility experience is completed, if applicable
Upper secondary vocational qualification - Electrician (mandatory placement)
(25) Qualification (certificate, diploma or degree) to which the education or training leads, if any
National Craft Certificate: Electrician
Community or mobility programme involved, if any
(26)
(27)
(*)
Duration of the Europass Mobility experience
From 01
09
1004
dd
mm
yyyy
(28) (*)
To
31 11 2004
dd mm yyyy
NB : Headings marked with an asterisk are mandatory.
Europass Mobility - © European Communities 2004
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