EUROPEAN STRUCTURAL FUNDS 2014-2020 STRATEGIC INTERVENTION APPLICATION Page 1 of 11 Application Guidance Guidance In completing an application, Applicants should refer to the detail within the SI Application guidance. This guidance sets out precisely what information is required to be provided in each section of the application. European Structural Funds Regulations Copies of the Regulations governing the overall use of European Structural Funds for the 2014 -2020 Programme are available on-line using the following link: http://eur-lex.europa.eu/JOHtml.do?uri=OJ:L:2013:347:SOM:EN:HTML Page 2 of 11 PART 1: LEAD PARTNER INFORMATION Lead Partner Name Click Chief Executive Name Correspondence Address Strategic Intervention Manager Name Strategic Intervention Manager Email Address Strategic Intervention Manager Telephone Number here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. PART 2: STRATEGIC INTERVENTION DETAILS Title Thematic Objective Investment Priorities Programme Programme Area Physical Start Date Physical End Date Financial End Date Click here to enter text. Choose an item. Choose an item. Choose an item. Choose an item. Click here to enter a date. Click here to enter a date. Click here to enter a date. PART 3: FINANCIAL INFORMATION H&I (£) Total Eligible Costs (£) Total Match Funding (£) (Private/Public) Total Grant (£) Intervention Rate Requested (%) Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. LUPS (£) Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Total (£) Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Expenditure Profile Year 2014 2015 2016 2017 2018 2019 Total H&I Expenditure (£) Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. LUPS Expenditure (£) Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Total Expenditure (£) Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Page 3 of 11 PART 4: RATIONALE Brief Overview of Proposed Activity Click here to enter text. Justification for Intervention Click here to enter text. Aims, Objectives and Proposed Activity Click here to enter text. Page 4 of 11 Need for Grant Click here to enter text. Added Value Click here to enter text. Page 5 of 11 Target Indicators and Milestones Justification of target selection Please complete Outputs and Results Annex Click here to enter text. Details of Any Supporting Documentation Click here to enter text. PART 5: HORIZONTAL THEMES Outline the main horizontal themes focus within the Strategic Intervention (including reference to Equal Opportunities, Environmental Sustainability and Social Inclusion). Click here to enter text. Page 6 of 11 Outline how horizontal themes will be embedded within the Strategic Intervention and each Operation: Click here to enter text. Who within the Strategic Intervention is responsible for ensuring that horizontal themes are addressed (within the Strategic Intervention and Operations)? Job description to be provided Click here to enter text. Provide details of the proposed system for monitoring and evaluating horizontal themes. Click here to enter text. Page 7 of 11 PART 6: MANAGEMENT STRUCTURE Management Structure and Reporting (Programme Compliance) Click here to enter text. Delivery Methodology Click here to enter text. Page 8 of 11 Method of Selecting Operations Click here to enter text. Performance Compliance Click here to enter text. Financial Compliance Click here to enter text. Page 9 of 11 PART 7: REGULATORY (LEGAL) COMPLIANCE Outline how the Strategic Intervention will ensure compliance (both within the Strategic Intervention and each Operation) with the following: Procurement: Click here to enter text. State Aid: Click here to enter text. Publicity: Click here to enter text. Data Retention Requirements: Click here to enter text. Equality Impact Assessment: Click here to enter text. Page 10 of 11 Environmental Impact Assessment: Click here to enter text. PART 8: DECLARATION Name Click here to enter text. Position in Organisation Click here to enter text. Signature Date Page 11 of 11