Third call for proposals

Project Assistance Form

This form needs to be completed to get feedback on your project idea from the INTERREG IVC Information Points. It is also possible to ask further questions in the last section of the form.

Please note that the third call for proposals is only open to Capitalisation Projects (see section 2.1 of the programme manual).

Please select a date for individual consultations:

25 January 26 January 27 January 28 January 29 January 2010

8 February 9 February 10 February 11 February 12 February 2010

15 February 16 February 17 February 18 February 19 February 2010

1/ Contact details of the applicant

First / last name:
Organisation:
Type of organisation: / Managing Authority (MA)
Intermediate Body (carrying out some or all tasks of the MA)
Other
Address:
Postcode / Town:
Country:
Email: / Tel:
Mobile phone: / Fax:

2/ Description of the project idea

Project acronym: / Lead Partner:
Please select one sub-theme you intend to apply for (cf. section 1.4 of the programme manual):
Priority 1 / Innovation, research and technology development
Entrepreneurship and SMEs
Information society
Employment, human capital and education
Priority 2 / Natural and technological risks (incl. climate change)
Water management
Waste prevention and management
Biodiversity and preservation of natural heritage (incl. air quality)
Energy and sustainable transport
Cultural heritage and landscape

Please describe the regional development issue addressed by your project. What is the field tackled? What regional development policies are concerned? Examples of good practices to be transferred can also be provided. (2,000 characters maximum):

Cf. section 1.4 of the programme manual

Please describe the main objectives of the project. Which regional Operational Programmes (or specific measures) will be targeted? (1,500 characters maximum):

Cf. section 2.1.2 of the programme manual

Please describe the partnership envisaged (i.e. nature and location)? How are managing authorities (or intermediate bodies) involved? What is the role of other institutions? (2,000 characters maximum):

Cf. section 2.1.2 of the programme manual

Please describe the main activities envisaged in the project (3,500 characters maximum):

Cf. sections 2.1 and 2.2 of the programme manual

If you would like to ask further questions, please list them below:

Capitalisation PAF.doc 1/2 09/10/2008

Capitalisation PAF.doc 1/2 09/10/2008

Please return the form to:

Capitalisation PAF.doc 1/2 09/10/2008