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]