EUROPEAN COMMISSION DG Employment, Social Affairs and Equal Opportunities Equality between Men and Women, Action against Discrimination, Civil Society Equality between Men and Women Restricted Call for Proposals for the improvement of Gender Mainstreaming in National Policies and Programmes APPLICATION FORM VP/2007/010 Budget Heading 04 04 01 05 VP/2007/010 Commission européenne, B-1049 Bruxelles / Europese Commissie, B-1049 Brussel - Belgium. Tel: (32-2) 299 11 11. E-mail : empl-info@cec.eu.int
A: General Information A.1: Applicant organisation A.1.1 Name of Organisation A.1.2 Abbreviation A.1.3 Legal status A.1.4 Type of organisation A.1.5 Address 1 A.1.6 Address 2 A.1.7 Postal code A.1.8 City A.1.9 Country A.1.10 Telephone applicant organisation A.1.11 Fax applicant organisation A.1.12 E-mail A.1.13 Registration number A.1.14 VAT number A.1.15 Web Site A.2: Legal representative A.2.1 Title, Surname, Forename A.2.1.1 Title Page 2 of 24
A.2.1.2 Surname A.2.1.3 Forename A.2.2 Sex A.2.3 Language A.2.4 Function A.2.5 Function (if different from above) A.2.6 Telephone (Legal représentative) A.2.7 Fax (Legal représentative) A.2.8 E-mail (Legal représentative) A.3: Person responsible for project A.3.1 Title A.3.2 Surname A.3.3 Forename A.3.4 Sex A.3.5 Language A.3.6 Function A.3.7 Function (if different from above) A.3.8 Telephone (Person responsible of the project) A.3.9 Fax (Person responsible of the project) A.3.10 E-mail (Person responsible of the project) A.4: Previous grants and / or Current grants Page 3 of 24
A.4.1 Previous grants Directorate general responsible for the budget line Contract N Year Title Amount ( ) A.4.2 Current grants Directorate general responsible for the budget line Name of the programme or the initiative concerned, title of the action and n of contract/agreement Obtained A.4.3 Language for correspondance Page 4 of 24
B: Structures, activities and resources of the organisation B.1 Main objectives and activities of the applicant organisation B.2 Administrative structure of your organisation, including associated organisations and networks Page 5 of 24
B.3 Permanent staff employed by your organisation, part-time and full-time by category B.4 Your organisation's usual sources of finance B.5 Experience of similar projects Page 6 of 24
C: Project Summary C.1 Title of project C.2 Duration of activities C.2.1 start C.2.2 enddate C.2.3 C.3 Summary of the project's main characteristics (maximum 10 lines) D: Project Description Page 7 of 24
D.1 Background / state of the art : The issues and/or situation to be addressed, identification of the needs Page 8 of 24
D.2 Objectives : which are the main objectives to be achieved by the project? Which are the expected results? how these address the aims of the Gender equality section of PROGRESS and of this call? Page 9 of 24
D.3 Strategy /implementation : the rationale of the approach and the strategy to be used; the target group(s) concerned et les critères de choix des participants aux différentes activités; project actors / eventual partnership description. the project activities to be performed, the developped tools in the project framework Page 10 of 24
D.5 Monitoring and evaluation : Specify how actions will be evaluated and their added value in relation with gender equality objectives: type of monitoring carried out, evaluation criteria, internal or external evaluator. Page 11 of 24
D.6 Dissemination of the results : Describe how you intend to publish/disseminate information on the project, its activities, outputs and results (e.g. printed publications, conferences, websites, etc.). Page 12 of 24
E: Annex E.1 True declaration on articles 93 & 94 of the Financial Regulation : This declaration must be downloaded (only if the applicant is not a Public Authority) <a href='http://ec.europa.eu/employment_social/calls/2007/vp_2007_010/declaration_en.doc' target='_blank'>here</a> and written on the official letterhead paper of the organisation. Please send your declaration by post both signed and dated with all other requested documents. E.2 Bank Identification form : Please first click <a href='http://ec.europa.eu/budget/execution/ftiers_en.htm' target='_blank'>here</a> to download annex Bank Identification form. First save it on your computer, then fill it in and print it. All annexes should be also sent in paper version, duly signed and dated, by post. E.3 Legal entity form : Please first click <a href='http://ec.europa.eu/budget/execution/legal_entities_en.htm' target='_blank'>here</a> to download annex Legal Entity form. First save it on your computer, then fill it in and print it. All annexes should be also sent in paper version, duly signed and dated, by post. F: Signature of the legal representative (Warning : Failure to signing this document by the legal representative, will entail the Commission to automatically reject the application) F.1 Name : Please indicate your name only on the paper version F.2 Date and place : Please insert date and place only on the paper version F.3 Signature (on the paper copy) : Page 13 of 24
Budget If applicable, expected value of the subcontracting plans for external expertise Eligible Direct Costs (D) Heading 1 - Staff costs Management Administration Secretariat Accounting Other staff Heading 2 - Travel and subsistence allowances Travel Subsistence allowances (accommodation, meals, etc.) Heading 3 - Costs of services Information dissemination Translations Reproductions and publications Specific evaluation Interpretations External expertise Other services Heading 4 - Administration costs Depreciation for purchase of equipment Hire of rooms Hire of interpreting booths Audits Financial services Other administrative costs Total Eligible Direct Costs (D) Page 14 of 24
Eligible Indirect Costs (I) Heading 5 - Overheads Overheads Total Eligible Indirect Costs (I) Total Costs Total Eligible Costs = D + I TOTAL COST OF THE ACTION REVENUE INCOME Beneficiary's contribution in cash (C) Revenue generated by the Action (R) Community Grant (S) Total Income = C + R + S TOTAL REVENUE OF THE ACTION Page 15 of 24
Heading 1 - Staff costs Management/Coordination (transnational and national) Name Name of organisation and function within the organisation Status Daily Salary cost Number of days Total Total cost of Management/Coordination Administration/Implementation of the project Name Name of organisation and function within the organisation Status Daily Salary cost Number of days Total Total cost of Administration/Implementation of the project Secretarial costs Name Name of organisation and function within the organisation Status Daily Salary cost Number of days Total Total cost of Secretarial costs Page 16 of 24
Accounting Name Name of organisation and function within the organisation Status Daily Salary cost Number of days Total Total cost of Accounting Other staff Name Name of organisation and function within the organisation Status Daily Salary cost Number of days Total Total cost of Other staff Total staff costs Page 17 of 24
Heading 2 - Travel and subsistence allowances Travel and subsistence allowance Purpose of the travel Place of the event Average Number of travel cost people per person Travel sub-total Daily Cost Number of per person people Number of days Subsisten ce sub-total Total Travel Total Subsistence Total Total Page 18 of 24
Heading 3 - Cost of services Information dissemination Nature of costs Quantity Unit cost Total Total information dissemination Translations Description of documents to be translated Languages from... to... Total number of languages (the document is translated to) Cost per page (1 Number of pages page=1500 characters without blanks) Total Total translations Reproductions and publications Document Number of pages Unit cost Total Total reproductions and publications Specific evaluation Evaluator Cost Total Page 19 of 24
Total specific evaluation Interpretation Meeting Languages Number of interpreters Number of days Daily cost per interpreter Total Total interpretation External expertise Task Number of days Daily cost Total Total external expertise Other Services Reference of enclosed specification Amount Total Total other services Page 20 of 24
Heading 4 - Administration costs Depreciation for purchase of equipment Type of equipment Estimated depreciation cost Total depreciation Hire of rooms Meeting Number of days Unit cost per day Number of rooms Total Total hire of rooms Hire of interpreting booths Meeting Languages Number of booths Number of days Unit cost per day Total Total Hire of interpreting booths Audits Auditor Cost Total Total audits Page 21 of 24
Financial costs Nature of costs Quantity Unit cost Total Total financial costs Other administrative costs Description Cost Total Other Administrative costs Page 22 of 24
Heading 5 - Overheads Amount Page 23 of 24
Heading 6 - Income Beneficiary's contribution in cash: Own contribution Partner's contribution Total beneficiary's contribution in cash (C) Revenue generated by the Action (R) Community Grant (S) Total Income (T) (where T = C + R + S) TOTAL REVENUE OF THE ACTION (T) (T = Total Eligible Costs = D + I) Page 24 of 24