(Please copy or photocopy onto
departmental headed paper)

Tutor Form

I, the undersigned Prof./Dr.	,
lecturer in 	,
at the University of 	
declare my intention to fulfil the role of tutor within the LEONARDO DA VINCI mobility programme for the duration of the placement of the grantee	.

As tutor, the undersigned may be contacted at the following location:
tel:	
fax:	
University address:	

Date 		

Signature:	

The role of tutor consists in representing the sending organisation (the university of the grantee) through signing the training contract between SINTESI (contractor), the host organisation and the trainee.  The tutor may be contacted by SINTESI or by the grantee if necessary for assistance, advice or explanations regarding the placement.