APPLICATION FORM,
PARTA-Projet summary
‘Ax Projet detficston
(call for proposals
Project reference number
[Date of registration
(rejctaconyn
ame af thelendbenehcary
vabnsationnoigal ngage
Wane of ie lead benefcary
(crgnaton nengshl
Thema objecine
Programme pricy
Pir expected esto which the
projects expected to conto
te of rae
ane 10127es Deciator fewchieraret
rps ace ot eden, rotesionisteution et) es
a :
Deron Secale inal
Cdbeeteat {ype ace of resene, yofession Isat et) Denes
Gel
AsPrjetsummy
Location of aeties FY cater
rryanme| renee | |
Onieteropanmenea | eve) [i
Weecae) cexnnes)
a] women
reauesed-E04)
ener bce
Famutate on genera obecive that our jes aang Tae na account i
ne ever cjecve shouldbe SMART spec, masuatle,ehevable realistic nd
le bounded,
jeaia)
Secitesbctves | gc mplementton, Tie into Ssount that beste shouldbe SMART lp
Formulate ax 3 spate obecives thal you projet ang reach by he end
Inesurble sch, rst and tne bounded).
eur)
lvteet Fox tants
ERGY ARTE
‘Project pares ovevew ovat ile
ere)
Projet benetcay name county [budget per benetany UR]
Page 20827PART - Project beneficiaries
8: Projectbeneteanes
Baraca rater [ieieay oe np
Name organisa Ergon feasting wing he ofoalvaraonon
-Abbrevaton ef eransaton|
Benecaryi(zalcose mambo | unaue denian
Wain ares ofbenecary fee ta
nap
Deparneni/nilasion
bares ofthe department fant sion caey
ones
egal satis ofthe orgnaton
Type fhe ogensnon
gitered oui the preramme oven
Droftmalng oaniaton|
‘Vat amber appa
WAT based national eisai forthe cota exlintowe
Deus plemented inthe projet?
‘iin are te oraneston hema
fompeences ard eperinces relevant fr
iapocable,dscrne tne xgaznon’s | [Poet te and reference number
leerenceinpertcinating nandfr [start ate and end date of te poe |
ymenapng cBCeU cotiranced projesor | [Pree panes
(orintrnatonsl gales (thn bee | [Poet obiectnes nd maa esas
projec budget an rant reeled by your orarsston
eae 30127TT |
I, Price
rowhatother projects doveuintend leroy
osritewihin the curant calor [Budget and gran requested
preposas? Ioienyes
PARTS Projet beneficiaries
a Projetbenefcares
Gerelaaryuniber Eeeieoy ae noe)
ere of engarontn wore orgs
amet organisation n éreoh Feasting org be ofeal verdaton
‘Area of npanaation
ereicary iO (sal Code numbed) [wig ener
‘snares of bentcary =
sweep
Terre
Deparmentoniiiion
des othe depareent ani ison] eaty
ena tatu ofthe ornetion
Type ofthe rgansaton
Repetere tide the programme aes
rt nakngoeanson|
[va abe iappeate)
ages ofIr sourorgantion eile to recor
aT eased on atalino he priate tow.
{etter implemented te project? |
Vick are re oats remabie
Kometences an exserances relevant fr
the proc?
[ Frowrenme
renstcale, dscrte te eganzaon's | [Poet te and clornce number
lrseenceinperiistingin andr |[Surtaateand end date ofthe proect
fmenagng aC EU conanced projector | [Project panes
lthernrnaonl project (2 ine per | [Project cjecbes anda rests
Project & mae pecs) roe bude ond rant rested by your obit
Proce
rowhst otherprojetsdoyoutendto|fPronty
frtcste within te crtnt calor | |Budget and rant requests
Proper? re ye
Tea anetey_ [ones bene]
Popesot27PART C - Project description
Ic. Project relevance andthe expected cross border impact
Desere the relevance ofthe project for the programme oreo in terms of common challenges on
snerintiesaadesied
‘Eid What the nena of rg roupe at wb aed bythe pro
Describe the relevance of your eject ints neds he tage grases tobe adesedMghight he
cases nd effets ofthe probit] Seni ond make clea ference oof deta whenever is posible
[Ex whats the aon proposed bythe roe tale he espace ODD.
bese the lition ropored to ace the nec ofthe org oouys
‘Cie Why i eo border cooperation nasded fo shew he propa OOjatver ad end? What ae He
Ione erm roe borer bene snunges bythe projec?
oe exon why the project ojectnesconot ie ein reached ating en on ratonavregiona/ocl
eet
Deserve whot long term crs torde nes ore envisaged fr te project portne/oretgoue/ poet
erayregamme res oft reject completn
te cose deserbe ear the ross bore levone othe works /infrstrctre enuisoged bythe project,
[cis Pleat select a coperaion cite al appl you projet tnd descibe Pow you wil fai er
cnt Development
sn Sang
ojojojo
Page 6029[C2 Project focus
[:21 Poet ntervention ge an econinten othe programme
[tet one of he programme expected results ond he coresrondig result ales o which our YORE:
Isoected to conte to
Gena coacve
Dezavan te cntbaon at The er gerera ceive wi BG ee Beane sa RCT
betcted
[che Programme tuts abe ase you eRe On TY Our
os Deseiton vate
1
[nar pre et nde nat assignee ae cant SEROTEC
[sarin maori chat rl nd ne und)
L
Project ante Deseton
age 70129Ey
eta an how he projet ets wi cob othe Programme Output Ineators ete
age 827ew ans a4 31
2-2 senwe sro woud 9|
mae dno
wyenorbosiny put
gpg jo sansa 4
Cor)
ease: panada aa] ss
ign pace a] PONS
nose sfocyauag
no suorspue> pee
mag sequonse a9
nea mags Aueap soreHpU uM
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awosgo eau au
onset aaeQo 995
acre a 2]
wonewonaossans ag 24
coxpargesssveopu fa a 201
eaaigoeua8 a
5m
iaewan e390
‘vomawers i801 9f0r4 779[6.3 Project context
{Ei Wow dos the aroje cone to he wile svat ond pa?
Pose derive the pj’ conuton to relevant stsees and pales in portly, tove concerning
the poet or popramme area
ate to which tatey
ora yatonl European the projet conte and describe what wa
ey We a
fore? a
egy es a
o
[EST rae he saris wih pat ocr EUand ater Pops ates he OR HART |
a
|
Page 10087(Ca Work plan per Group of activities (GA)
ano ate ain eutaus forthe projec athe end af the prepuaton tage
° Projet reparation
Satabiserrnvoverene
inate he moi ako nadonooa nutes ci oct ergonsations unions ealcmmaniy
antons ee) who may fence endo sppet he prj ondindeat haw ade they ave een
aerate mebenent
[Deseroton of ates whine GA
Gastar month | GAs month
Project management
Bereavement
A Response beneeaey
‘Desi aw he projet management wile care ou speech
share of reponse between beneficiaries and precedes forthe doyt-doy monogement and
‘ommuneation win he primes:
Selfmantang poring and evuaton proces:
‘toro the main ctoteholers Gueng roect molementatan
scribe whoarehe rescues robe oe dnl aig mgtenertaon
Inplemetaton tom lar eae rjc benefcan, inde the freon neers to impliment thee
‘Sore of the projec bath for he projec teamiaipocting projet implementation) ondaeeata”
teem ste)
sting resources ofc equiomer ee) (pe benefcion)
resouresto be purchased ond ren within the project,
Page 10827{deta te ats ina tinder prowetimplemenaton and atone oe aan by the prac Inthe
Jensequences or mitigate ther, spect
externa rls (stations comecea with heal regen national conten that an pose