part a – project overview - alpine-space.eu · web viewc.1.2 what is the project’s approach...
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Interreg Alpine Space
Working document:Application form template 4th callEuropean Territorial Cooperation
WARNING: please do not copy and paste text from Word to eMS fields: counting of characters differs.
The following application form (AF) template is based on the structure of the AF as available in the
e-monitoring system (eMS). It may allow preparing several sections of the AF off-line. This
document however does not contain the financial part but there is a possibility to extract the related
tables from the e-MS (excel sheets). For complementary information, the EoI/AF guidance is
available in the eMS as well as on the programme website.
This document is meant for project applicants’ internal use in a preparatory stage of AF drafting:
please do not copy and paste text from this Word file to eMS fields, as the amount of characters will differ.
Part A – Project overview
A.1 Project identification
Programme priority
Programme priority
specific objective
Project acronym
[maximum 15
characters]
Project title
[maximum 250
characters]
Project duration
Automatically
calculated
(maximum 33 months
for Call 4)
Start date
DD.MM.YYYY
For call 4: 2 October 2019
End date
DD.MM.YYYY
max. 30 June 2022
Version 3 as of 28.03.2019
WARNING: please do not copy and paste text from Word to eMS fields: counting of characters differs.
A.2 Project summaryPlease give a short overview of the project (in the style of a press release) …
[maximum 2000 characters]
Part B – Project partners and observers
B.1 Project partnersPartner number
Partner role in the project
Official name of the organisation
in original language
[255 characters]
Name of the organisation in
English
[255 characters]
Abbreviation of organisation
Department/unit/division in
English
[255 characters]
Address
NUTS code1
Main address
1 For non-EU MS a classification system comparable to the Nomenclature des unités territoriales statistiques is used.
WARNING: please do not copy and paste text from Word to eMS fields: counting of characters differs.
Legal and financial information
Type of partner
Legal status
Co-financing source
Co-financing rate
VAT number
Is your organisation is entitled to
recover VAT based on national
legislation for the activities
implemented in the project?
[255 characters]
In case no VAT number
available: Other national
identifying number
Legal representative and contact person
Legal representative
Contact person
Experience of partner
Which are the partner’s thematic
competences and experiences
relevant for the project?
What are the institutional role
and policy addressing capacity
of the partners?
[maximum 1000 characters]
Role in the project
What is the partner's role and
responsibility in the project?
WARNING: please do not copy and paste text from Word to eMS fields: counting of characters differs.
[maximum 255 characters]
Other international projects
If applicable, describe the
organisation’s experience in
participating in and/or managing
EU co-financed projects or other
international projects.
[maximum 255 characters]
B.2 ObserversObserver number
Official name of the observer
organisation in original language
[255 characters]
Name of the organisation in
English
[255 characters]
Associated to partner
Address
NUTS code2
Main address
Legal representative and contact person
2 For non-EU MS a classification system comparable to the Nomenclature des unités territoriales statistiques is used.
WARNING: please do not copy and paste text from Word to eMS fields: counting of characters differs.
Legal representative
Contact person
Interest in the project
[maximum 255 characters]
Role in the project
What is the benefit for the
organisation from participating in
the project?
[maximum 255 characters]
Part C – Project description
C.1 Project relevanceC.1.1 What are the common territorial challenges and/or joint assets that will be tackled by the project?
[maximum 1000 characters]
C.1.2 What is the project’s approach and why is transnational cooperation needed to address these
common challenges and/or joint assets? What is innovative about the project’s approach? How is this
reflected in the project activities?
[maximum 1000 characters]
C.2 Project focus
WARNING: please do not copy and paste text from Word to eMS fields: counting of characters differs.
C.2.1 Project objectives, expected result(s) and outputs
Programme priority specific objective (automatically indicated as selected in part A – “Project Overview”).
Programme result indicator the project will contribute to (field automatically filled in after the specific
objective is selected).
Project overall objective Project result(s)
What is the overall objective of the project? How
does it contribute to the programme’s objective?
[maximum 750 characters]
What is/are the project’s result(s) and how do they
contribute to the programme result indicator?
[maximum 750 characters]
Project specific objectives
Which are the specific objectives the project will be working towards?
Title of specific objective Please provide a short explanation on the link of the specific
objective with the project outputs.
[maximum 500 characters]
C.2.2 Project outputs
What will be the outputs the project will produce?
[maximum 1000 characters]
C.2.3 Target groups
Which are the direct target groups of the project?
[maximum 1000 characters]
WARNING: please do not copy and paste text from Word to eMS fields: counting of characters differs.
Target groups (under the tab “work plan”)
Target groups
(automatically inserted from work plan)
Please further specify the target groups
[maximum 255 characters]
Target value
C.3 Project contextC.3.1 Project context
How does the project contribute to the wider strategies and policies?
[maximum 1000 characters]
C.3.2 Macro-regional strategy contribution
Indicate how the project contributes to the EU Strategy for the Alpine Region (EUSALP)
[maximum 500 characters]
C.3.3 Synergies
What are the synergies with past or current EU and other projects or initiatives the project makes use of?
[maximum 1000 characters]
C.3.4 Knowledge
How does the project build on available knowledge?
[maximum 1000 characters]
WARNING: please do not copy and paste text from Word to eMS fields: counting of characters differs.
C.4 Horizontal principlesPlease indicate which type of contribution to horizontal principles applies to the project, and justify the choice.
Horizontal principles Type of contributionDescription of the contribution[maximum 255 characters]
Sustainable development
Equal opportunities and non-discrimination
Equality between men and women
C.5 Work plan per work packagesWork packagesPreparation
WP Nr Project preparation WP start date WP end date WP budget
Automatically filled in from the budget section
Partners’ involvement
Partners involvement selection
Summary description of activities carried out and contribution of each partner.[maximum 1000 characters]
- Preparation and submission of the application form and partnership agreement.
Management
WP Nr WP title WP start date WP end date WP budget
Automatically inserted from project’s start date
Automatically inserted from project’s end date
Automatically filled in from the budget section
Partners’ involvement
WP responsible partner Lead partner – automatically inserted from Part B - Partners
Partners involvement selection
WARNING: please do not copy and paste text from Word to eMS fields: counting of characters differs.
Provide an overview how the project management will be organised: general structure and procedures, share of responsibilities, if project management will be externalised.[maximum 2000 characters]
Please describe activities and deliverables within the work package.
Activity M.1
Activity title[maximum 120 characters]
Start date End date
Activity description[maximum 500 characters]
M 1.1 Deliverable title[maximum 120 characters]
Deliverable description[maximum 255 characters]
Target value
Activity M. N+
Activity title[maximum 120 characters]
Start date End date
Activity description[maximum 500 characters]
M.N+.1 Deliverable title[maximum 120 characters]
Deliverable description[maximum 255 characters]
Target value
Implementation
WP Nr WP title WP start date WP end date WP budget
T1 - 5 WP implementationAutomatically inserted from activities
Automatically inserted from activities
Automatically filled in from part D or E
Partners’ involvement
WP responsible partner
WARNING: please do not copy and paste text from Word to eMS fields: counting of characters differs.
Partners involvement selection
Objective of the work package and link with the other work packages [maximum 2000 characters]
Project output Describe your project output and its contribution to project specific objectives[maximum 255 characters]
Choose a programme output indicator to which the project output will contribute
Quantify your contribution
Delivery date
Output T.1(automatic numbering)
Output T.N+(automatic numbering)
Target group involvement
Who will use the outputs delivered in this work package?
How will you involve the target groups (and other stakeholders) in the development of the project outputs?[maximum 500 characters]
Durability and transferability of outputs delivered in this work package
How will the project outputs be further used once the project has been finalised? …[500 characters]
How will the project ensure that the project outputs are applicable and replicable by other organisations/regions/countries outside of the current partnership?...[500 characters]
Please describe activities and deliverables within the work package.
Activity T.1
Activity title [maximum 120 characters] Start date End date
WARNING: please do not copy and paste text from Word to eMS fields: counting of characters differs.
Activity description[maximum 500 characters]
D 3.1.1
Deliverable title[maximum 120 characters]
Deliverable description[maximum 255 characters]
Target value
Activity T.N+
Activity title[maximum 120 characters]
Start date(MM.YYYY)
End date(MM.YYYY)
Activity description[maximum 500 characters]
D T.N+.N+
Deliverable title[maximum 120 characters]
Deliverable description[maximum 255 characters]
Target value
Communication
WP Nr WP title WP start date WP end date WP budget
C Communication activitiesAutomatically inserted from activities
Automatically inserted from activities
Automatically filled in from the budget section
Partners’ involvement
WP responsible partner
Partners Involvement Selection
Please indicate main objectives of the work package, as well as its linkage to the other work packages and provide a short description of the main activities.Be aware that max. 5 activities can be listed per work package. [maximum 2000 characters]
Project specific objectives Communication objectivesWhat can communications do to reach a specific project objective?
Approach/TacticsWhat type of activities do you plan to reach your target groups? How do you plan to reach the communication
WARNING: please do not copy and paste text from Word to eMS fields: counting of characters differs.
objective?[maximum 500 characters]
Specific objective 1(Pre-filled from C.2.1)
Specific objective N+(Pre-filled from C.2.1)
Please describe activities and deliverables within the work package
Activity C.1
Activity title Start date(MM.YYYY)
End date(MM.YYYY)
Activity description [maximum 500 characters]
C 1.1
Deliverable title [maximum 120 characters]
Deliverable description[maximum 255 characters]
Target value
Activity C.N+
Activity title(drop-down list)
Start date(MM.YYYY)
End date(MM.YYYY)
Activity description[maximum 500 characters]
C N+.1
Deliverable title [maximum 120 characters]
Deliverable description[maximum 255 characters]
Target value
C.6 Activities outside of the Union part of the programme areaIf applicable, please list and estimate activities to be carried out outside the Union part of the programme area[maximum 255 characters]
Total budget of activities to be carried out outside the Union part of the programme area (indicative)
ERDF outside the Union part of the programme area (indicative)
WARNING: please do not copy and paste text from Word to eMS fields: counting of characters differs.
% of total ERDF (indicative) EURAutomatically calculated
C.7 Indicative time plan (automatically generated with data from section C.5)
Work packages and activities Year 1 Year 2 Year 3
WP 1 titleA 1.1 titleA 1.2 title D.1.2.1A 1.3 titleA 1.4 title D.1.4.1A 1.5 title O1.1WP 2 titleA 2.1 titleA 2.2 titleA 2.3 titleA 2.4 titleA 2.5 titleWP 3 titleEtc.