Phase 2 Application Form

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Phase 2 Application Form
Table of Contents
PART A – Project summary ..........................................................................................................................................................................2
A.1 Project identification ............................................................................................................................................................................ 2
A.2 Project summary .................................................................................................................................................................................. 2
PART B – Project Partners ...........................................................................................................................................................................3
B.1 Project Partners ................................................................................................................................................................................... 3
PART C – Project description .....................................................................................................................................................................29
C.1 Project relevance................................................................................................................................................................................ 29
C.1.1 Common territorial challenges ................................................................................................................................................... 29
C.1.2 Project challenges and approach ............................................................................................................................................... 29
C.1.3 Cross-border added-value .......................................................................................................................................................... 29
C.1.4 Value for money ......................................................................................................................................................................... 29
C.2 Project context ................................................................................................................................................................................... 30
C.2.1 Wider strategies and policies ..................................................................................................................................................... 30
C.2.2 Synergies .................................................................................................................................................................................... 30
C.3 Project focus....................................................................................................................................................................................... 30
C.3.1 Project objectives, expected results and main outputs ............................................................................................................. 30
C.3.2 Target groups ............................................................................................................................................................................. 31
C.3.3 Durability / sustainability of project outputs and results ........................................................................................................... 32
C.3.4 Transferability of project outputs .............................................................................................................................................. 32
C.4 Horizontal principles .......................................................................................................................................................................... 33
C.5 Work plan per work packages ............................................................................................................................................................ 33
C.6. Location of the activities ................................................................................................................................................................... 53
C.6.1 Location of all activities in the Programme Area ....................................................................................................................... 53
C.6.2 Activities outside the Programme Area...................................................................................................................................... 53
C.7 Indicative time plan ............................................................................................................................................................................ 54
PART E – Project annexes ..........................................................................................................................................................................57
Annexe 6: Classification of type of Partners and target groups ............................................................................................................... 58
1
PART A – Project summary
A.1 Project identification
Project acronym
Project title
Name of the Lead Partner organisation
Project number
Project duration
Start date
Nr of months
End date
Programme Priority
Programme Priority Specific Objective
A.2 Project summary
Please give a short overview of the project (in the style of a press release) and describe:
- the common challenge(s) of the Programme Area you are tackling in your project;
- the overall objective of the project and the expected change your project will make to the current
situation;
- the main outputs you will produce and who will benefit from them;
- the approach you plan to take and why is cross-border approach needed;
- the added value of the partnership;
- what is new/original about it?
(3000 characters – including spaces)
2
PART B – Project Partners
All this section should be filled out for each Projects Partner
B.1 Project Partners
Partner number
Partner role in the project – Lead Partner, Project Partner
Lead Partner =1
1
Name of organisation in
original language
Abbreviation of organisation
Main address
Region / postcode/ town / street
Legal representative
First name / Surname / Position
e-mail address / Telephone
Project Manager
First name / Surname / Position
e-mail address / Telephone
Department /unit / division
Address of the department(if
different of the main address)
Finance Manager
First name / Surname / Position
e-mail address / Telephone
Bank details
Apply only for the LP - Bank name
and address, account number,
IBAN, SWIFT, account holder
NUTS3 code
number and name of the region
where the
department/unit/division is
located
Type of organisation
public/private
Category of Partner
(See Annex 6 – Type of Partner and
target group classification)
Outside the Programme Area
YES / NO
3
LEAD PARTNER
VAT number
If available
Is your organisation entitled
to recover VAT based on
national legislation for the
activities implemented in
the project?
If partly explain how.
No/yes/partly
What are the organisation’s thematic expertise and experiences relevant for the project?
And what is the role of this Partner in the project?
(1500 characters – including spaces)
What is the benefit for the organisation from participating in the project?
(1500 characters – including spaces)
If applicable, describe the organisation’s experience in participating in and/or managing EU co-financed
projects or other international projects.
(1500 characters – including spaces)
Partner number
Partner role in the project – Lead Partner, Project Partner
Lead Partner =1
2
Name of organisation in
original language
Abbreviation of organisation
Main address
Region / postcode/ town / street
Legal representative
First name / Surname / Position
e-mail address / Telephone
Project Manager
First name / Surname / Position
e-mail address / Telephone
Department /unit / division
Address of the department(if
different of the main address)
Finance Manager
First name / Surname / Position
e-mail address / Telephone
4
PROJECT PARTNER
Bank details
Apply only for the LP - Bank name
and address, account number,
IBAN, SWIFT, account holder
NUTS3 code
number and name of the region
where the
department/unit/division is
located
Type of organisation
public/private
Category of Partner
(See Annex 6 – Type of Partner and
target group classification)
Outside the Programme Area
YES / NO
VAT number
If available
Is your organisation entitled
to recover VAT based on
national legislation for the
activities implemented in
the project?
If partly explain how.
No/yes/partly
What are the organisation’s thematic expertise and experiences relevant for the project?
And what is the role of this Partner in the project?
(1500 characters – including spaces)
What is the benefit for the organisation from participating in the project?
(1500 characters – including spaces)
If applicable, describe the organisation’s experience in participating in and/or managing EU co-financed
projects or other international projects.
(1500 characters – including spaces)
5
Partner number
Partner role in the project – Lead Partner, Project Partner
Lead Partner =1
3
Name of organisation in
original language
Abbreviation of organisation
Main address
Region / postcode/ town / street
Legal representative
First name / Surname / Position
e-mail address / Telephone
Project Manager
First name / Surname / Position
e-mail address / Telephone
Department /unit / division
Address of the department(if
different of the main address)
Finance Manager
First name / Surname / Position
e-mail address / Telephone
Bank details
Apply only for the LP - Bank name
and address, account number,
IBAN, SWIFT, account holder
NUTS3 code
number and name of the region
where the
department/unit/division is
located
Type of organisation
public/private
Category of Partner
(See Annex 6 – Type of Partner and
target group classification)
Outside the Programme Area
YES / NO
VAT number
If available
6
PROJECT PARTNER
Is your organisation entitled
to recover VAT based on
national legislation for the
activities implemented in
the project?
If partly explain how.
No/yes/partly
What are the organisation’s thematic expertise and experiences relevant for the project?
And what is the role of this Partner in the project?
(1500 characters – including spaces)
What is the benefit for the organisation from participating in the project?
(1500 characters – including spaces)
If applicable, describe the organisation’s experience in participating in and/or managing EU co-financed
projects or other international projects.
(1500 characters – including spaces)
Partner number
Partner role in the project – Lead Partner, Project Partner
Lead Partner =1
4
Name of organisation in
original language
Abbreviation of organisation
Main address
Region / postcode/ town / street
Legal representative
First name / Surname / Position
e-mail address / Telephone
Project Manager
First name / Surname / Position
e-mail address / Telephone
Department /unit / division
Address of the department(if
different of the main address)
Finance Manager
First name / Surname / Position
e-mail address / Telephone
Bank details
Apply only for the LP - Bank name
and address, account number,
IBAN, SWIFT, account holder
7
PROJECT PARTNER
NUTS3 code
number and name of the region
where the
department/unit/division is
located
Type of organisation
public/private
Category of Partner
(See Annex 6 – Type of Partner and
target group classification)
Outside the Programme Area
YES / NO
VAT number
If available
Is your organisation entitled
to recover VAT based on
national legislation for the
activities implemented in
the project?
If partly explain how.
No/yes/partly
What are the organisation’s thematic expertise and experiences relevant for the project?
And what is the role of this Partner in the project?
(1500 characters – including spaces)
What is the benefit for the organisation from participating in the project?
(1500 characters – including spaces)
If applicable, describe the organisation’s experience in participating in and/or managing EU co-financed
projects or other international projects.
(1500 characters – including spaces)
8
Partner number
Partner role in the project – Lead Partner, Project Partner
Lead Partner =1
5
Name of organisation in
original language
Abbreviation of organisation
Main address
Region / postcode/ town / street
Legal representative
First name / Surname / Position
e-mail address / Telephone
Project Manager
First name / Surname / Position
e-mail address / Telephone
Department /unit / division
Address of the department(if
different of the main address)
Finance Manager
First name / Surname / Position
e-mail address / Telephone
Bank details
Apply only for the LP - Bank name
and address, account number,
IBAN, SWIFT, account holder
NUTS3 code
number and name of the region
where the
department/unit/division is
located
Type of organisation
public/private
Category of Partner
(See Annex 6 – Type of Partner and
target group classification)
Outside the Programme Area
YES / NO
VAT number
If available
9
PROJECT PARTNER
Is your organisation entitled
to recover VAT based on
national legislation for the
activities implemented in
the project?
If partly explain how.
No/yes/partly
What are the organisation’s thematic expertise and experiences relevant for the project?
And what is the role of this Partner in the project?
(1500 characters – including spaces)
What is the benefit for the organisation from participating in the project?
(1500 characters – including spaces)
If applicable, describe the organisation’s experience in participating in and/or managing EU co-financed
projects or other international projects.
(1500 characters – including spaces)
Partner number
Partner role in the project – Lead Partner, Project Partner
Lead Partner =1
6
Name of organisation in
original language
Abbreviation of organisation
Main address
Region / postcode/ town / street
Legal representative
First name / Surname / Position
e-mail address / Telephone
Project Manager
First name / Surname / Position
e-mail address / Telephone
Department /unit / division
Address of the department(if
different of the main address)
Finance Manager
First name / Surname / Position
e-mail address / Telephone
Bank details
Apply only for the LP - Bank name
and address, account number,
IBAN, SWIFT, account holder
10
PROJECT PARTNER
NUTS3 code
number and name of the region
where the
department/unit/division is
located
Type of organisation
public/private
Category of Partner
(See Annex 6 – Type of Partner and
target group classification)
Outside the Programme Area
YES / NO
VAT number
If available
Is your organisation entitled
to recover VAT based on
national legislation for the
activities implemented in
the project?
If partly explain how.
No/yes/partly
What are the organisation’s thematic expertise and experiences relevant for the project?
And what is the role of this Partner in the project?
(1500 characters – including spaces)
What is the benefit for the organisation from participating in the project?
(1500 characters – including spaces)
If applicable, describe the organisation’s experience in participating in and/or managing EU co-financed
projects or other international projects.
(1500 characters – including spaces)
11
Partner number
Partner role in the project – Lead Partner, Project Partner
Lead Partner =1
7
Name of organisation in
original language
Abbreviation of organisation
Main address
Region / postcode/ town / street
Legal representative
First name / Surname / Position
e-mail address / Telephone
Project Manager
First name / Surname / Position
e-mail address / Telephone
Department /unit / division
Address of the department(if
different of the main address)
Finance Manager
First name / Surname / Position
e-mail address / Telephone
Bank details
Apply only for the LP - Bank name
and address, account number,
IBAN, SWIFT, account holder
NUTS3 code
number and name of the region
where the
department/unit/division is
located
Type of organisation
public/private
Category of Partner
(See Annex 6 – Type of Partner and
target group classification)
Outside the Programme Area
YES / NO
VAT number
If available
12
PROJECT PARTNER
Is your organisation entitled
to recover VAT based on
national legislation for the
activities implemented in
the project?
If partly explain how.
No/yes/partly
What are the organisation’s thematic expertise and experiences relevant for the project?
And what is the role of this Partner in the project?
(1500 characters – including spaces)
What is the benefit for the organisation from participating in the project?
(1500 characters – including spaces)
If applicable, describe the organisation’s experience in participating in and/or managing EU co-financed
projects or other international projects.
(1500 characters – including spaces)
Partner number
Partner role in the project – Lead Partner, Project Partner
Lead Partner =1
8
Name of organisation in
original language
Abbreviation of organisation
Main address
Region / postcode/ town / street
Legal representative
First name / Surname / Position
e-mail address / Telephone
Project Manager
First name / Surname / Position
e-mail address / Telephone
Department /unit / division
Address of the department(if
different of the main address)
Finance Manager
First name / Surname / Position
e-mail address / Telephone
Bank details
Apply only for the LP - Bank name
and address, account number,
IBAN, SWIFT, account holder
13
PROJECT PARTNER
NUTS3 code
number and name of the region
where the
department/unit/division is
located
Type of organisation
public/private
Category of Partner
(See Annex 6 – Type of Partner and
target group classification)
Outside the Programme Area
YES / NO
VAT number
If available
Is your organisation entitled
to recover VAT based on
national legislation for the
activities implemented in
the project?
If partly explain how.
No/yes/partly
What are the organisation’s thematic expertise and experiences relevant for the project?
And what is the role of this Partner in the project?
(1500 characters – including spaces)
What is the benefit for the organisation from participating in the project?
(1500 characters – including spaces)
If applicable, describe the organisation’s experience in participating in and/or managing EU co-financed
projects or other international projects.
(1500 characters – including spaces)
Partner number
Partner role in the project – Lead Partner, Project Partner
Lead Partner =1
9
Name of organisation in
original language
Abbreviation of organisation
Main address
Region / postcode/ town / street
Legal representative
14
PROJECT PARTNER
First name / Surname / Position
e-mail address / Telephone
Project Manager
First name / Surname / Position
e-mail address / Telephone
Department /unit / division
Address of the department(if
different of the main address)
Finance Manager
First name / Surname / Position
e-mail address / Telephone
Bank details
Apply only for the LP - Bank name
and address, account number,
IBAN, SWIFT, account holder
NUTS3 code
number and name of the region
where the
department/unit/division is
located
Type of organisation
public/private
Category of Partner
(See Annex 6 – Type of Partner and
target group classification)
Outside the Programme Area
YES / NO
VAT number
If available
Is your organisation entitled
to recover VAT based on
national legislation for the
activities implemented in
the project?
If partly explain how.
No/yes/partly
What are the organisation’s thematic expertise and experiences relevant for the project?
And what is the role of this Partner in the project?
(1500 characters – including spaces)
What is the benefit for the organisation from participating in the project?
(1500 characters – including spaces)
15
If applicable, describe the organisation’s experience in participating in and/or managing EU co-financed
projects or other international projects.
(1500 characters – including spaces)
Partner number
Partner role in the project – Lead Partner, Project Partner
Lead Partner =1
10
Name of organisation in
original language
Abbreviation of organisation
Main address
Region / postcode/ town / street
Legal representative
First name / Surname / Position
e-mail address / Telephone
Project Manager
First name / Surname / Position
e-mail address / Telephone
Department /unit / division
Address of the department(if
different of the main address)
Finance Manager
First name / Surname / Position
e-mail address / Telephone
Bank details
Apply only for the LP - Bank name
and address, account number,
IBAN, SWIFT, account holder
NUTS3 code
number and name of the region
where the
department/unit/division is
located
Type of organisation
public/private
Category of Partner
(See Annex 6 – Type of Partner and
target group classification)
Outside the Programme Area
16
PROJECT PARTNER
YES / NO
VAT number
If available
Is your organisation entitled
to recover VAT based on
national legislation for the
activities implemented in
the project?
If partly explain how.
No/yes/partly
What are the organisation’s thematic expertise and experiences relevant for the project?
And what is the role of this Partner in the project?
(1500 characters – including spaces)
What is the benefit for the organisation from participating in the project?
(1500 characters – including spaces)
If applicable, describe the organisation’s experience in participating in and/or managing EU co-financed
projects or other international projects.
(1500 characters – including spaces)
Partner number
Partner role in the project – Lead Partner, Project Partner
Lead Partner =1
11
Name of organisation in
original language
Abbreviation of organisation
Main address
Region / postcode/ town / street
Legal representative
First name / Surname / Position
e-mail address / Telephone
Project Manager
First name / Surname / Position
e-mail address / Telephone
Department /unit / division
Address of the department(if
different of the main address)
Finance Manager
First name / Surname / Position
e-mail address / Telephone
17
PROJECT PARTNER
Bank details
Apply only for the LP - Bank name
and address, account number,
IBAN, SWIFT, account holder
NUTS3 code
number and name of the region
where the
department/unit/division is
located
Type of organisation
public/private
Category of Partner
(See Annex 6 – Type of Partner and
target group classification)
Outside the Programme Area
YES / NO
VAT number
If available
Is your organisation entitled
to recover VAT based on
national legislation for the
activities implemented in
the project?
If partly explain how.
No/yes/partly
What are the organisation’s thematic expertise and experiences relevant for the project?
And what is the role of this Partner in the project?
(1500 characters – including spaces)
What is the benefit for the organisation from participating in the project?
(1500 characters – including spaces)
If applicable, describe the organisation’s experience in participating in and/or managing EU co-financed
projects or other international projects.
(1500 characters – including spaces)
18
Partner number
Partner role in the project – Lead Partner, Project Partner
Lead Partner =1
12
Name of organisation in
original language
Abbreviation of organisation
Main address
Region / postcode/ town / street
Legal representative
First name / Surname / Position
e-mail address / Telephone
Project Manager
First name / Surname / Position
e-mail address / Telephone
Department /unit / division
Address of the department(if
different of the main address)
Finance Manager
First name / Surname / Position
e-mail address / Telephone
Bank details
Apply only for the LP - Bank name
and address, account number,
IBAN, SWIFT, account holder
NUTS3 code
number and name of the region
where the
department/unit/division is
located
Type of organisation
public/private
Category of Partner
(See Annex 6 – Type of Partner and
target group classification)
Outside the Programme Area
YES / NO
VAT number
If available
19
PROJECT PARTNER
Is your organisation entitled
to recover VAT based on
national legislation for the
activities implemented in
the project?
If partly explain how.
No/yes/partly
What are the organisation’s thematic expertise and experiences relevant for the project?
And what is the role of this Partner in the project?
(1500 characters – including spaces)
What is the benefit for the organisation from participating in the project?
(1500 characters – including spaces)
If applicable, describe the organisation’s experience in participating in and/or managing EU co-financed
projects or other international projects.
(1500 characters – including spaces)
Partner number
Partner role in the project – Lead Partner, Project Partner
Lead Partner =1
13
Name of organisation in
original language
Abbreviation of organisation
Main address
Region / postcode/ town / street
Legal representative
First name / Surname / Position
e-mail address / Telephone
Project Manager
First name / Surname / Position
e-mail address / Telephone
Department /unit / division
Address of the department(if
different of the main address)
Finance Manager
First name / Surname / Position
e-mail address / Telephone
Bank details
Apply only for the LP - Bank name
and address, account number,
IBAN, SWIFT, account holder
20
PROJECT PARTNER
NUTS3 code
number and name of the region
where the
department/unit/division is
located
Type of organisation
public/private
Category of Partner
(See Annex 6 – Type of Partner and
target group classification)
Outside the Programme Area
YES / NO
VAT number
If available
Is your organisation entitled
to recover VAT based on
national legislation for the
activities implemented in
the project?
If partly explain how.
No/yes/partly
What are the organisation’s thematic expertise and experiences relevant for the project?
And what is the role of this Partner in the project?
(1500 characters – including spaces)
What is the benefit for the organisation from participating in the project?
(1500 characters – including spaces)
If applicable, describe the organisation’s experience in participating in and/or managing EU co-financed
projects or other international projects.
(1500 characters – including spaces)
21
Partner number
Partner role in the project – Lead Partner, Project Partner
Lead Partner =1
14
Name of organisation in
original language
Abbreviation of organisation
Main address
Region / postcode/ town / street
Legal representative
First name / Surname / Position
e-mail address / Telephone
Project Manager
First name / Surname / Position
e-mail address / Telephone
Department /unit / division
Address of the department(if
different of the main address)
Finance Manager
First name / Surname / Position
e-mail address / Telephone
Bank details
Apply only for the LP - Bank name
and address, account number,
IBAN, SWIFT, account holder
NUTS3 code
number and name of the region
where the
department/unit/division is
located
Type of organisation
public/private
Category of Partner
(See Annex 6 – Type of Partner and
target group classification)
Outside the Programme Area
YES / NO
VAT number
If available
22
PROJECT PARTNER
Is your organisation entitled
to recover VAT based on
national legislation for the
activities implemented in
the project?
If partly explain how.
No/yes/partly
What are the organisation’s thematic expertise and experiences relevant for the project?
And what is the role of this Partner in the project?
(1500 characters – including spaces)
What is the benefit for the organisation from participating in the project?
(1500 characters – including spaces)
If applicable, describe the organisation’s experience in participating in and/or managing EU co-financed
projects or other international projects.
(1500 characters – including spaces)
Partner number
Partner role in the project – Lead Partner, Project Partner
Lead Partner =1
15
Name of organisation in
original language
Abbreviation of organisation
Main address
Region / postcode/ town / street
Legal representative
First name / Surname / Position
e-mail address / Telephone
Project Manager
First name / Surname / Position
e-mail address / Telephone
Department /unit / division
Address of the department(if
different of the main address)
Finance Manager
First name / Surname / Position
e-mail address / Telephone
Bank details
Apply only for the LP - Bank name
and address, account number,
IBAN, SWIFT, account holder
23
PROJECT PARTNER
NUTS3 code
number and name of the region
where the
department/unit/division is
located
Type of organisation
public/private
Category of Partner
(See Annex 6 – Type of Partner and
target group classification)
Outside the Programme Area
YES / NO
VAT number
If available
Is your organisation entitled
to recover VAT based on
national legislation for the
activities implemented in
the project?
If partly explain how.
No/yes/partly
What are the organisation’s thematic expertise and experiences relevant for the project?
And what is the role of this Partner in the project?
(1500 characters – including spaces)
What is the benefit for the organisation from participating in the project?
(1500 characters – including spaces)
If applicable, describe the organisation’s experience in participating in and/or managing EU co-financed
projects or other international projects.
(1500 characters – including spaces)
Partner number
Partner role in the project – Lead Partner, Project Partner
Lead Partner =1
16
Name of organisation in
original language
Abbreviation of organisation
Main address
Region / postcode/ town / street
24
PROJECT PARTNER
Legal representative
First name / Surname / Position
e-mail address / Telephone
Project Manager
First name / Surname / Position
e-mail address / Telephone
Department /unit / division
Address of the department(if
different of the main address)
Finance Manager
First name / Surname / Position
e-mail address / Telephone
Bank details
Apply only for the LP - Bank name
and address, account number,
IBAN, SWIFT, account holder
NUTS3 code
number and name of the region
where the
department/unit/division is
located
Type of organisation
public/private
Category of Partner
(See Annex 6 – Type of Partner and
target group classification)
Outside the Programme Area
YES / NO
VAT number
If available
Is your organisation entitled
to recover VAT based on
national legislation for the
activities implemented in
the project?
If partly explain how.
No/yes/partly
What are the organisation’s thematic expertise and experiences relevant for the project?
And what is the role of this Partner in the project?
(1500 characters – including spaces)
What is the benefit for the organisation from participating in the project?
(1500 characters – including spaces)
25
If applicable, describe the organisation’s experience in participating in and/or managing EU co-financed
projects or other international projects.
(1500 characters – including spaces)
Partner number
Partner role in the project – Lead Partner, Project Partner
Lead Partner =1
17
Name of organisation in
original language
Abbreviation of organisation
Main address
Region / postcode/ town / street
Legal representative
First name / Surname / Position
e-mail address / Telephone
Project Manager
First name / Surname / Position
e-mail address / Telephone
Department /unit / division
Address of the department(if
different of the main address)
Finance Manager
First name / Surname / Position
e-mail address / Telephone
Bank details
Apply only for the LP - Bank name
and address, account number,
IBAN, SWIFT, account holder
NUTS3 code
number and name of the region
where the
department/unit/division is
located
Type of organisation
public/private
Category of Partner
(See Annex 6 – Type of Partner and
target group classification)
26
PROJECT PARTNER
Outside the Programme Area
YES / NO
VAT number
If available
Is your organisation entitled
to recover VAT based on
national legislation for the
activities implemented in
the project?
If partly explain how.
No/yes/partly
What are the organisation’s thematic expertise and experiences relevant for the project?
And what is the role of this Partner in the project?
(1500 characters – including spaces)
What is the benefit for the organisation from participating in the project?
(1500 characters – including spaces)
If applicable, describe the organisation’s experience in participating in and/or managing EU co-financed
projects or other international projects.
(1500 characters – including spaces)
Partner number
Partner role in the project – Lead Partner, Project Partner
Lead Partner =1
18
Name of organisation in
original language
Abbreviation of organisation
Main address
Region / postcode/ town / street
Legal representative
First name / Surname / Position
e-mail address / Telephone
Project Manager
First name / Surname / Position
e-mail address / Telephone
Department /unit / division
Address of the department(if
different of the main address)
Finance Manager
First name / Surname / Position
27
PROJECT PARTNER
e-mail address / Telephone
Bank details
Apply only for the LP - Bank name
and address, account number,
IBAN, SWIFT, account holder
NUTS3 code
number and name of the region
where the
department/unit/division is
located
Type of organisation
public/private
Category of Partner
(See Annex 6 – Type of Partner and
target group classification)
Outside the Programme Area
YES / NO
VAT number
If available
Is your organisation entitled
to recover VAT based on
national legislation for the
activities implemented in
the project?
If partly explain how.
No/yes/partly
What are the organisation’s thematic expertise and experiences relevant for the project?
And what is the role of this Partner in the project?
(1500 characters – including spaces)
What is the benefit for the organisation from participating in the project?
(1500 characters – including spaces)
If applicable, describe the organisation’s experience in participating in and/or managing EU co-financed
projects or other international projects.
(1500 characters – including spaces)
28
PART C – Project description
C.1 Project relevance
C.1.1 Common territorial challenges
What are the common territorial challenges that will be tackled by the project?
Please describe the relevance of your project for the Programme Area in terms of common challenges and opportunities
addressed.
(1500 characters – including spaces)
C.1.2 Project challenges and approach
How does the project tackle the identified common challenges and/or opportunities and what is new about the
approach the project takes?
Please describe new solutions that will be developed during the project and/or existing solutions that will be adopted and
implemented during the project lifetime and in what way the approach goes beyond existing practice in the sector/Programme
Area/participating countries.
(2500 characters – including spaces)
C.1.3 Cross-border added-value
Why is cross-border cooperation needed to achieve the project’s objectives and result?
Please explain why the project objectives cannot be efficiently reached acting only on a national/regional/local level and/or
describe what benefits the Project Partners/target groups/ project area/Programme Area gain in taking a cross-border
approach.
(1500 characters – including spaces)
C.1.4 Value for money
In order to demonstrate the leverage effect of the project, please describe its value for money in relation to its objectives
Please explain how the project will obtain the maximum benefit within the resources available to it, how the project ensure
the 3 Es (Economy, Efficiency and Effectiveness) are achieved.
(1500 characters – including spaces)
29
C.2 Project context
C.2.1 Wider strategies and policies
How does the project contribute to the wider strategies and policies?
Please describe the project’s contribution to the European, national and regional strategies and policies; in particular, those
concerning the project or Programme Area.
(1500 characters – including spaces)
C.2.2 Synergies
How does the project build on available knowledge?
What are the synergies with past or current projects, initiatives and funding programmes at regional, national,
EU or international level?
Please describe the experiences/lessons learned the project draws on, and other available knowledge the project capitalises
on.
(1500 characters – including spaces)
C.3 Project focus
C.3.1 Project objectives, expected results and main outputs
Programme Priority Specific Objective
Programme result
Enter the Programme Priority Specific
Objective your project will contribute to.
Enter the Programme result indicator your project will
contribute to.
Overall project objective
Project results
What is the overall objective of the project and
how does it link to the Programme Specific
Objective?
Specify the project aim and describe its
contribution to the Programme Priority Specific
Objective.
What are the project results and how do they link to the
Programme result indicator?
Specify one or more project result and describe their
contribution to the programme result indicator.
Insert project overall objective
30
Insert project results
Work Packages
Project outputs
What are the project main outputs and how do they link to your objectives?
Please list all project main outputs that were defined in the work plan under the corresponding
Programme output indicator. This table is of the information entered in the section C.5
Programme output
indicators
Project output
quantification
(target)
Project
output
number1
Project output
(title)2
WP n°
WP n°
WP n°
WP n°
WP n°
WP n°
WP n°
WP n°
C.3.2 Target groups
Target groups3
1
Please further specify the target groups (e.g.
bilingual primary schools, environmental experts,
etc.).
Target group type 1
Local public authority
Target group type 2
Regional public authority
Target group type 3
National public authority
Target value
Please indicate the size of the
target group you will reach.4
Should match with the information entered in C.5. Example Output 3.1
2 Should match with the information entered in C.5
3
See Annex 6
4
To avoid double counting of target groups, the quantification of the target groups reached had to be taken out of the work plan section.
31
Target group type 4
Sectoral agency
Target group type 5
Infrastructure and (public) service provider
Target group type 6
Interest groups including NGOs
Target group type 7
Higher education and research
Target group type 8
Education/training centre and school
Target group type 9
Enterprise, except SME
Target group type 10
SME
Target group type 11
Business support organisation
Target group type 12
International organisation, EEIG
Target group type 13
General public5
Target group type 14
Other6
C.3.3 Durability / sustainability of project outputs and results
How will the project ensure that project outputs and results have a lasting effect beyond project duration?
Please describe concrete measures (including institutional structures, financial resources etc.) taken during and
after project implementation to ensure and/or strengthen the durability of the project outputs and results. If
relevant, explain who will be responsible and/or who will be the owner of results and outputs.
(1500 characters – including spaces)
C.3.4 Transferability of project outputs
How will the project ensure that project outputs are
organisations/regions/countries outside of the current partnership?
applicable
and
replicable
by
other
Please describe to what extent it will be possible to transfer the outputs to other organisations/regions/countries outside of
the current partnership.
(1500 characters – including spaces)
5
6
Relevant only for target groups
Relevant only for target groups
32
C.4 Horizontal principles
Please indicate which type of contribution to horizontal principles applies to the project, and justify.
Horizontal principles
Sustainable development
Explain how your project takes into account sustainable development requirements i.e. actions taking into account environmental protection
requirements (including addressing soil, water and air pollution), resource efficiency, climate change mitigation and adaptation, disaster resilience
and risk prevention and management.
This section should be filled out for all projects and not simply those involved in environmental projects.
Consider the long-term impact of your project in economic, environmental and social terms.
(1500 characters – including spaces)
Equal opportunities and non-discrimination
Explain the measures taken during the implementation of the project to guarantee equal opportunities and non-discrimination between people
(1500 characters – including spaces)
Equality between men and women
Explain the measures taken during the implementation of the project to guarantee equality between men and women
(1500 characters – including spaces)
C.5 Work plan per work packages
WP Nr
0
WP title
Project preparation
Partners’ involvement
involved Partners
33
WP start
month
MM.YYYY
WP end
month
MM.YYYY
WP budget
Summary description of activities carried out and contribution of each Partner.
The project preparation phase is very important because it is the basis for a successful project. In this phase the project content will be defined,
so as the partnership and the involvement of each organisation.
A good project preparation will ensure that the project is implemented in the more efficient way.
(1500 characters – including spaces)
34
WP Nr
WP title
1
WP start month
MM.YYYY
WP end month
MM.YYYY
WP budget (€)
Project management
Partners’ involvement
WP responsible Partner
(Lead Partner)
Involved Partners
Describe how the management on the strategic and operational level will be carried out in the project, specifically:
-
structure, responsibilities and procedures for the day-to-day management and co-ordination;
name and background of the management team (project, finance & communication officer)
communication within the partnership;
reporting and evaluation procedures;
risk and quality management.
Please detail the procedure and planning for the selection of the FLC.
Explain also the arrangements planned for all Partners to attend training.
(1500 characters – including spaces)
Please describe activities and deliverables within the work package.
Each activity should lead to 1 deliverable
1st row : Activity title / Start month (MM.YYYY) / End month (MM.YYYY)
2nd row: Activity description and Partners involved (1500 characters – including spaces)
3rd row: Deliverable title and description / target value / Delivery month (MM.YYYY) (1500 characters – including
spaces)
Activity 1.1
D 1.1.1
Activity 1.2
D 1.2.1
35
Activity 1.3
D 1.3.1
Activity 1.4
D 1.4.1
Activity 1.5
D 1.5.1
36
WP Nr
WP title
2
WP start month
MM.YYYY
WP end month
MM.YYYY
WP budget (€)
Communication
Partners’ involvement
WP responsible Partner
Involved Partners
Describe how the communication will be carried out in the project, what is the communication strategy? (logo,
website, banner, press article, etc.)
Please see the Guidance Note 7 on “Project Communication”.
(1500 characters – including spaces)
Please describe activities and deliverables within the work package.
Each activity should lead to 1 deliverable
1st row : Activity title / Start month (MM.YYYY) / End month (MM.YYYY)
2nd row: Activity description and Partners involved (1500 characters – including spaces)
3rd row: Deliverable title and description / target value / Delivery month (MM.YYYY) (1500 characters – including
spaces)
Activity 2.1
D 2.1.1
Activity 2.2
D 2.2.1
Activity 2.3
37
D 2.3.1
Activity 2.4
D 2.4.1
Activity 2.5
D 2.5.1
Procurement
How are Partners going to meet organisational, national and EU procurement requirements?
(1000 characters – including spaces)
38
WP Nr
WP title
WP start month
MM.YYYY
WP end month
MM.YYYY
WP budget
3
Partners’ involvement
WP responsible Partner
Involved Partners
Summary description and objective of the work package including explanation of how will Partners be
involved (who will do what).
(1500 characters – including spaces)
Please describe project main outputs that will be delivered based on the activities carried out in this work
package. For each project main output a Programme output indicator should be chosen. Please note that they
need to have the same measurement unit.
Project main outputs7
Describe your project main
output
Quantify
Delivery
your
month
contribution
MM.YYYY
Title
Choose a
programme output
indicator to which
the project main
output will
contribute
Output 3.1
Output 3.2
Output 3.3
Target groups8 involvement
Who will use the main outputs delivered in this work package? (500 characters – including spaces)
7
Not every work package must/will have one or several project main outputs. A project main output is an output that contributes directly to the project
result and a deliverable is a side-product of the project that contributes to the project main output.
8
See Annex 6
39
How will you involve target groups (and other stakeholders) in the development of the project main outputs? (500
characters – including spaces)
Please describe activities and deliverables within the work package.
Each activity should lead to 1 deliverable
1st row : Activity title / Start month (MM.YYYY) / End month (MM.YYYY)
2nd row: Activity description and Partners involved (1500 characters – including spaces)
3rd row: Deliverable title and description / target value / Delivery month (MM.YYYY) (1500 characters – including
spaces)
Activity 3.1
D 3.1.1
Activity 3.2
D 3.2.1
Activity 3.3
D 3.3.1
Activity 3.4
D 3.4.1
Activity 3.5
40
D 3.5.1
Procurement
How are Partners going to meet organisational, national and EU procurement requirements?
(1000 characters – including spaces)
Is one or several activities linked to an investment?
YES/NO
If yes, please fill the Annex 4 _Description of the Project Investment (as many time as necessary-1 table per investment)
WP Nr
WP title
WP start month
MM.YYYY
WP end month
MM.YYYY
WP budget
4
Partners’ involvement
WP responsible Partner
Involved Partners
Summary description and objective of the work package including explanation of how will Partners be
involved (who will do what).
(1500 characters – including spaces)
Please describe project main outputs that will be delivered based on the activities carried out in this work
package. For each project main output a Programme output indicator should be chosen. Please note that they
need to have the same measurement unit.
Project main outputs9
Describe your project main
output
Quantify
Delivery
your
month
contribution
MM.YYYY
Title
9
Choose a
programme output
indicator to which
the project main
output will
contribute
Not every work package must/will have one or several project main outputs. A project main output is an output that contributes directly to the project
result and a deliverable is a side-product of the project that contributes to the project main output.
41
Output 4.1
Output 4.2
Output 4.3
Target groups involvement
Who will use the main outputs delivered in this work package? (500 characters – including spaces)
How will you involve target groups (and other stakeholders) in the development of the project main outputs? (500
characters – including spaces)
Please describe activities and deliverables within the work package.
Each activity should lead to 1 deliverable
1st row : Activity title / Start month (MM.YYYY) / End month (MM.YYYY)
2nd row: Activity description and Partners involved (1500 characters – including spaces)
3rd row: Deliverable title and description / target value / Delivery month (MM.YYYY) (1500 characters – including
spaces)
Activity 4.1
D 4.1.1
Activity 4.2
D 4.2.1
Activity 4.3
42
D 4.3.1
Activity 4.4
D 4.4.1
Activity 4.5
D 4.5.1
Procurement
How are Partners going to meet organisational, national and EU procurement requirements?
(1000 characters – including spaces)
Is one or several activities linked to an investment?
YES/NO
If yes, please fill the Annex 4 _Description of the Project Investment (as many time as necessary-1 table per investment)
WP Nr
WP title
WP start month
MM.YYYY
WP end month
MM.YYYY
WP budget
5
Partners’ involvement
WP responsible Partner
Involved Partners
Summary description and objective of the work package including explanation of how will Partners be
involved (who will do what).
(1500 characters – including spaces)
43
Please describe project main outputs that will be delivered based on the activities carried out in this work
package. For each project main output a Programme output indicator should be chosen. Please note that they
need to have the same measurement unit.
Project main outputs10
Describe your project main
output
Quantify
Delivery
your
month
contribution
MM.YYYY
Title
Choose a
programme output
indicator to which
the project main
output will
contribute
Output 5.1
Output 5.2
Output 5.3
Target groups involvement
Who will use the main outputs delivered in this work package? (500 characters – including spaces)
How will you involve target groups (and other stakeholders) in the development of the project main outputs? (500
characters – including spaces)
Please describe activities and deliverables within the work package.
Each activity should lead to 1 deliverable
1st row : Activity title / Start month (MM.YYYY) / End month (MM.YYYY)
2nd row: Activity description and Partners involved (1500 characters – including spaces)
3rd row: Deliverable title and description / target value / Delivery month (MM.YYYY) (1500 characters – including
spaces)
Activity 5.1
D 5.1.1
10
Not every work package must/will have one or several project main outputs. A project main output is an output that contributes directly to the project
result and a deliverable is a side-product of the project that contributes to the project main output.
44
Activity 5.2
D 5.2.1
Activity 5.3
D 5.3.1
Activity 5.4
D 5.4.1
Activity 5.5
D 5.5.1
Procurement
How are Partners going to meet organisational, national and EU procurement requirements?
(1000 characters – including spaces)
Is one or several activities linked to an investment?
YES/NO
If yes, please fill the Annex 4 _Description of the Project Investment (as many time as necessary-1 table per investment)
45
WP Nr
WP title
WP start month
MM.YYYY
WP end month
MM.YYYY
WP budget
6
Partners’ involvement
WP responsible Partner
Involved Partners
Summary description and objective of the work package including explanation of how will Partners be
involved (who will do what).
(1500 characters – including spaces)
Please describe project main outputs that will be delivered based on the activities carried out in this work
package. For each project main output a Programme output indicator should be chosen. Please note that they
need to have the same measurement unit.
Project main outputs11
Describe your project main
output
Quantify
Delivery
your
month
contribution
MM.YYYY
Title
Choose a
programme output
indicator to which
the project main
output will
contribute
Output 6.1
Output 6.2
Output 6.3
Target groups involvement
Who will use the main outputs delivered in this work package? (500 characters – including spaces)
11
Not every work package must/will have one or several project main outputs. A project main output is an output that contributes directly to the project
result and a deliverable is a side-product of the project that contributes to the project main output.
46
How will you involve target groups (and other stakeholders) in the development of the project main outputs? (500
characters – including spaces)
Please describe activities and deliverables within the work package.
Each activity should lead to 1 deliverable
1st row : Activity title / Start month (MM.YYYY) / End month (MM.YYYY)
2nd row: Activity description and Partners involved (1500 characters – including spaces)
3rd row: Deliverable title and description / target value / Delivery month (MM.YYYY) (1500 characters – including
spaces)
Activity 6.1
D 6.1.1
Activity 6.2
D 6.2.1
Activity 6.3
D 6.3.1
Activity 6.4
D 6.4.1
Activity 6.5
47
D 6.5.1
Procurement
How are Partners going to meet organisational, national and EU procurement requirements?
(1000 characters – including spaces)
Is one or several activities linked to an investment?
YES/NO
If yes, please fill the Annex 4 _Description of the Project Investment (as many time as necessary-1 table per investment)
WP Nr
WP title
WP start month
MM.YYYY
WP end month
MM.YYYY
WP budget
7
Partners’ involvement
WP responsible Partner
Involved Partners
Summary description and objective of the work package including explanation of how will Partners be
involved (who will do what).
(1500 characters – including spaces)
Please describe project main outputs that will be delivered based on the activities carried out in this work
package. For each project main output a Programme output indicator should be chosen. Please note that they
need to have the same measurement unit.
Project main outputs12
Describe your project main
output
Quantify
Delivery
your
month
contribution
MM.YYYY
Title
12
Choose a
programme output
indicator to which
the project main
output will
contribute
Not every work package must/will have one or several project main outputs. A project main output is an output that contributes directly to the project
result and a deliverable is a side-product of the project that contributes to the project main output.
48
Output 7.1
Output 7.2
Output 7.3
Target groups involvement
Who will use the main outputs delivered in this work package? (500 characters – including spaces)
How will you involve target groups (and other stakeholders) in the development of the project main outputs? (500
characters – including spaces)
Please describe activities and deliverables within the work package.
Each activity should lead to 1 deliverable
1st row : Activity title / Start month (MM.YYYY) / End month (MM.YYYY)
2nd row: Activity description and Partners involved (1500 characters – including spaces)
3rd row: Deliverable title and description / target value / Delivery month (MM.YYYY) (1500 characters – including
spaces)
Activity 7.1
D 7.1.1
Activity 7.2
D 7.2.1
Activity 7.3
49
D 7.3.1
Activity 7.4
D 7.4.1
Activity 7.5
D 7.5.1
Procurement
How are Partners going to meet organisational, national and EU procurement requirements?
(1000 characters – including spaces)
Is one or several activities linked to an investment?
YES/NO
If yes, please fill the Annex 4 _Description of the Project Investment (as many time as necessary-1 table per investment)
WP Nr
WP title
WP start month
MM.YYYY
WP end month
MM.YYYY
WP budget
8
Partners’ involvement
WP responsible Partner
Involved Partners
Summary description and objective of the work package including explanation of how will Partners be
involved (who will do what).
(1500 characters – including spaces)
Please describe project main outputs that will be delivered based on the activities carried out in this work
package. For each project main output a Programme output indicator should be chosen. Please note that they
need to have the same measurement unit.
50
Project main outputs13
Describe your project main
output
Quantify
Delivery
your
month
contribution
MM.YYYY
Title
Choose a
programme output
indicator to which
the project main
output will
contribute
Output 8.1
Output 8.2
Output 8.3
Target groups involvement
Who will use the main outputs delivered in this work package? (500 characters – including spaces)
How will you involve target groups (and other stakeholders) in the development of the project main outputs? (500
characters – including spaces)
Please describe activities and deliverables within the work package.
Each activity should lead to 1 deliverable
1st row : Activity title / Start month (MM.YYYY) / End month (MM.YYYY)
2nd row: Activity description and Partners involved (1500 characters – including spaces)
3rd row: Deliverable title and description / target value / Delivery month (MM.YYYY) (1500 characters – including
spaces)
Activity 8.1
D 8.1.1
Activity 8.2
13
Not every work package must/will have one or several project main outputs. A project main output is an output that contributes directly to the project
result and a deliverable is a side-product of the project that contributes to the project main output.
51
D 8.2.1
Activity 8.3
D 8.3.1
Activity 8.4
D 8.4.1
Activity 8.5
D 8.5.1
Procurement
How are Partners going to meet organisational, national and EU procurement requirements?
(1000 characters – including spaces)
Is one or several activities linked to an investment?
YES/NO
If yes, please fill the Annex 4 _Description of the Project Investment (as many time as necessary-1 table per investment)
52
C.6. Location of the activities
C.6.1 Location of all activities in the Programme Area
Please tick which areas are concerned by the activities of the project
Finistère
Cornwall and the Isles of Scilly
Côtes d’Armor
Devon
Ille-et-Vilaine
Dorset
Morbihan
Hampshire
Manche
West Sussex
Calvados
East Sussex
Orne
Kent
Seine Maritime
Essex
Eure
Suffolk
Oise
Norfolk
Somme
Wiltshire
Pas-de-Calais
Somerset
Other
Surrey
Cambridgeshire
Plymouth
Torbay
Bournemouth and Poole
Isle of Wight
Portsmouth
Southampton
Brighton and Hove
Medway
Thurrock
Southend-on-Sea
Peterborough
Swindon
Other
C.6.2 Activities outside the Programme Area
What is the added value of activities to be carried out outside Programme Area?
If applicable, please list the relevant activities and describe how they will benefit the Programme Area.
(500 characters – including spaces)
Total budget of activities to be carried out outside the Programme Area
(indicative) EUR
53
C.7 Indicative time plan
Year 1
Work
packages
and
deliverables
WP 1
D 1.1.1
D 1.2.1
D 1.3.1
D 1.4.1
D 1.5.1
WP 2
D 2.1.1
D 2.2.1
D 2.3.1
D 2.4.1
D 2.5.1
WP 3
D 3.1.1
D 3.2.1
54
1
2
3
Year 2
4
1
2
3
Year 3
4
1
2
3
Year 4
4
1
2
3
Year 5
4
1
2
3
4
D 3.3.1
D 3.4.1
D 3.5.1
WP 4
D 4.1.1
D 4.2.1
D 4.3.1
D 4.4.1
D 4.5.1
WP 5
D 5.1.1
D 5.2.1
D 5.3.1
D 5.4.1
D 5.5.1
WP 6
D 6.1.1
D 6.2.1
55
D 6.3.1
D 6.4.1
D 6.5.1
WP 7
D 7.1.1
D 7.2.1
D 7.3.1
D 7.4.1
D 7.5.1
WP 8
D 8.1.1
D 8.2.1
D 8.3.1
D 8.4.1
D 8.5.1
56
PART E – Project annexes
Please see below the list of all annexes that you must attach to this project Phase 2 application.
Annex 1 – Project Budget (Excel document)
Annex 2 – De Minimis self-declaration
Annex 3 – Letter of Engagement
Annex 4 – Description of the Project Investment
Annex 5 – Draft Partnership Agreement
Lead Partner confirmation and signature
By signing the Application Form the Lead Partner on behalf of all partners confirms that:
 the project neither in whole or in part has or will receive any other additional EU funds (except for the funds indicated
in this Application Form) during the whole duration of the project;
 the Project Partners listed in the Application Form are committed to take part in the project’s activities and financing;
 the project is in line with the relevant EU and national/regional legislation and policies of the regions and countries
involved;
 the Lead Partner and the Project Partners will act according to the provisions of the relevant national and EU
regulations, especially regarding structural funds, public procurement, state aid, equal opportunities and sustainable
development, as well as the specific provisions of the programme;
 the project respects equal opportunities and non-discrimination and has no harmful impact on the environment;
 the information in the Application Form and Annexes (Word and Excel documents) is accurate and true to the best
knowledge of the Lead Partner;
 the signing person is the duly authorised representative of the organisation i.e. the person authorised to commit the
relevant resources for the relevant period of time.
Signature
 Place and date
 Name of signing person
 Position of signing person
 Signature of Lead Partner
 Stamp of Lead Partner
57
Annex 6: Classification of type of Partners and target groups
Nr Main categories
Examples
Measurement unit
1
local public authority
municipality, etc.
2
regional public authority
regional council, etc.
3
national public authority
ministry, etc.
4
sectoral agency
5
infrastructure and (public) service
provider
6
interest groups including NGOs
7
higher education and research
8
education/training centre and
school
enterprise, except SME
local or regional development agency,
environmental agency, energy agency,
employment agency, etc.
public transport, utility company (water
supply, electricity supply, sewage, gas,
waste collection, etc.), airport, port,
railway, etc.
international organisation, trade union,
foundation, charity, voluntary association,
club, etc.
university faculty, college, research
institution, RTD facility, research cluster,
etc.
primary, secondary, pre-school, vocational
training, etc.
[number of
organisations]
[number of
organisations]
[number of
organisations]
[number of
organisations]
9
[number of
organisations]
[number of
enterprises]
[number of SME]
11 business support organisation
chamber of commerce, chamber of trade
and crafts, business incubator or
innovation centre, business clusters, etc.
[number of
organisations]
12 International organisation, EEIG
under national law, under international
law
[number of
organisations]
[number of people]
Relevant only for target groups
Relevant only for target groups
58
[number of
organisations]
micro, small, medium
14 Other15
15
[number of
organisations]
10 SME
13 General public14
14
[number of
organisations]
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