WESTERN BALKANS
ENTERPRISE DEVELOPMENT AND INNOVATION FACILITY
SOCIAL INNOVATION COMPETITION
CROATIA
2015
APPLICATION FORM
This competition is held under the “Social Innovation” project in Croatia,
implemented in partnership between the Ministry of Economy of the Republic of
Croatia and the OECD
This project is funded by
the European Union
SOCIAL INNOVATION COMPETITION CROATIA
Dear applicant,
To submit your application for the Social Innovation Competition in Croatia, please fill out this
Application Form and submit it by e-mail to Max Bulakovskiy, Max.BULAKOVSKIY@oecd.org. First stage
project proposals will be accepted by 15 September, 2015. Those who submit their proposals in the first
stage can benefit from comments and feedback provided by the OECD on how to improve their project
application.
The final deadline to submit project proposals is 13 December 2015. Submissions received after this
deadline will not be considered.
The overall competition timeline is the following:

2 July 2015 – launch of competition;

15 September 2015 – deadline to submit first stage project proposals;

October/ November – meetings with applicants to further develop project proposals and
facilitate partnerships between actors;

13 December 2015 – deadline to submit final project proposals;

1 December 2015 to 30 January – review of submitted proposals by Social Innovation
competition committee;

February 2016 – announcement of Social Innovation competition winners

February – April 2016 – provision of technical assistance to competition winners
Detailed competition guidelines will be available on the OECD website or can be requested by e-mail.
For further questions please contact:

OECD: Max Bulakovskiy, Max.BULAKOVSKIY@oecd.org
Please do not hesitate to contact us for any further questions.
Sincerely,
The Social Innovation Competition organising team
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This project is funded by
the European Union
APPLICATION FORM
1. Information regarding main applicant (project leader):
Information on Project Leader
Name of
organisation/institution:
Type of organisation
(government, research
institution, business):
Number of employees engaged
in research and development
Contact person:
E-mail:
Telephone:
Web page:
One sentence description of
institution:
Please briefly describe the role of
the project leader in the project
(developing the idea, testing,
implementing or other):
Please briefly list the relevant
previous experience of the
project leader:
If academia, please describe
previous experience in cooperation with the industry
2. Information regarding project partners (number of project partners is not limited):
Please fill out a table for each project partner:
Information on Partner 1
Name of
organisation/institution:
3
This project is funded by
the European Union
Type of organisation
(government, research
institution, business, NGO or
other):
Number of employees engaged
in research and development:
Contact person:
E-mail:
Telephone:
Web page:
One sentence description of
institution:
Please briefly describe the role in
the project (developing the idea,
testing, implementing or other):
Please briefly list the relevant
previous experience of the
project leader:
If academia, please describe
previous experience in cooperation with the industry:
Please fill out a table for each project partner:
Information on Partner 2
Name of
organisation/institution:
Type of organisation
(government, research
institution, business, NGO or
other):
Number of employees engaged
in research and development :
Contact person:
E-mail:
4
This project is funded by
the European Union
Telephone:
Web page:
One sentence description of
institution:
Please briefly describe the role in
the project (developing the idea,
testing, implementing or other):
Please briefly list the relevant
previous experience of the
project leader:
If academia, please describe
previous experience in cooperation with the industry
Please fill out a table for each project partner:
Information on Partner 3
Name of
organisation/institution:
Type of organisation
(government, research
institution, business, NGO or
other):
Number of employees engaged
in research and development :
Contact person:
E-mail:
Telephone:
Web page:
One sentence description of
institution:
Please briefly describe the role in
the project (developing the idea,
testing, implementing or other):
Please briefly list the relevant
5
This project is funded by
the European Union
previous experience of the
project leader:
If academia, please describe
previous experience in
cooperation with the industry
3. Information regarding partnership logic
Please indicate if you are
intending to implement the
project alone or in a partnership:
Triple-Helix project seeks to
foster Business-AcademiaGovernment co-operation. Could
you please describe in more
detail the roles of each partner in
the project development (for
example: support in
import/export/ labelling;
marketing;
implementation/testing)?:
Project Leader
Partner 1
Partner 2
Partner 3
Which partner is responsible for
the commercialisation of the
knowledge? :
4. Information regarding societal impact
Information on societal impact:
Which societal challenge(s) you
tackle?
Environment/ ecotourism
migration
social inclusion
demographic issues
poverty
education
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This project is funded by
the European Union
health-related issues
others
Do you have a way to evaluate
the societal impact you would
deliver?
If you do have a way to evaluate
your societal impact, how do you
measure it?
What is the societal impact of
your idea after 12 months/ 24 or
36 months?
5. Information regarding potential customers
Information on potential customers:
Please indicate potential
customers for the new
product/service:
Have you already contacted
potential customers/buyers to
test their interest? :
Which (customer) needs are
covered by the suggested social
innovation?
Will the customers be ready to
pay for this social innovation? If
so, how much they would be
willing to pay for it?
How many customers do you
anticipate in the first year of
project implementation? (Could
you please provide a justification
for this number):
Have you considered business
clients, or final consumers?
6. Information regarding the project
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This project is funded by
the European Union
Information on the project:
Project name:
Please chose one field which best
relates to your project
Energy and renewable
energy
Agriculture
Mining
Textile
Wood processing
ICT
Manufacturing
Other, specify:
Please describe your
product/service in one sentence:
What are the specificities of your
product? (e.g. Is it hardware,
software, service?)
Please describe your idea (social
innovation) in more detail (200
words max):
Are similar products/services
already present on the market?
Have you implemented a small
benchmarking study or search for
similar ides?
If yes, what distinguishes your
product/service from the others
available on the market?
Please indicate geographical
scope of the project (is it
addressed to national and/or
international markets?)
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This project is funded by
the European Union
7. Information regarding innovation
Please explain why your idea is
innovative (if you are basing your
idea on an existing concept,
explain how the application is
innovative in its context or
location). Is it a produce/process/
marketing/management
innovation? (100 words max):
Please explain which (market)
needs are covered by the
suggested social innovation?
Please explain if there is any R &
D that you develop by involving
your project?
In case you create any new
product and any new service that
requires IP:
Is there a need for IP
registration? How is the IP
shared among the partners?
8. Information regarding project implementation and sustainability
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This project is funded by
the European Union
Describe current state of
development of the idea (just an
idea, prototype exists but further
testing is needed, the innovation
has been tested by not
implemented yet or other):
Please explain how your idea can
achieve financial Sustainability
and in which time frame
(200 words max):
Information on the project:
Idea development
Prototype
Pilot
Under implementation
Scaling-up
Other, specify:
Could you estimate the
investment needed for the
realization of the idea?
What is the estimated total cost
of the project? (Please include
both fixed and variable costs):
Could you estimate the
anticipated price and product’s
volume in the next three years?
(What is the estimated annual
revenue of selling the
product/service?):
What specific skills are needed
for the project to succeed?
(What skills are offered by the
project leader, and what are
contributed by the partners?):
Do you have a clear idea on
which type of assistance
(expertise) you need to further
develop your idea? If yes, please
explain (technical expert,
business development expert,
legal expert):
9. Information regarding marketing approach
Which activities did you
undertake to prove there is a
demand for your
product/service? (e.g. market
research, test trading etc.)
Could you describe the marketing
strategy of the project (For
example: the distribution
channels, promotion strategy)?
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This project is funded by
the European Union
How will you start selling the
product/service?
Would existing partners support
marketing efforts? Could you
cover marketing expenses
independently?
Do you need any special
certification to distribute the
product/provide the service? If
so, do you know how to get it?
10. Information regarding feasibility of the project.
Has similar project or idea been
already implemented
somewhere?
Are there any regulations that
need to be fulfilled in order to
implement the project?
Could you please indicate if the
partnership model is finalised?:
Through which channels do you
plan to reach customers?
Through which channels the
customers want to be reached?
What are the next steps?
11. Other:
Please feel free to include any additional information which you feel may help better explain your idea,
team, project timeline or current state of the project (feel free to include any graphs or pictures that can
support your application):
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