Agreement No. 2016-XXXX

FINAL REPORT

(1 March – 31 December 2016)

Erasmus+Sport–Dialogue with relevant European stakeholders-National activities
WPI Action 5.15 - Tasks carried out by National Coordinating Bodies for the implementation of the European Week of Sport at national level

Agreement No. 2016-XXXX

Please insert the reference as indicated in your Grant Decision / Grant Agreement

DEADLINE FOR SUBMISSION:

within 60 days following the ending date for the action set out in the Grant Decision / Grant Agreement

Part A. Organisation
A.1. Organisation
PIC:
Full name:
Address:
Postcode: / Town:
Region: / AustriaBelgiumDenmarkFinlandFranceGermanyGreeceIcelandIrelandItalyLuxembourgNetherlandsNorwayPortugalSwedenUnited KingdomSpain / Country: / AustriaBelgiumDenmarkFinlandFranceGermanyGreeceIcelandIrelandItalyLuxembourgNetherlandsNorwayPortugalSwedenUnited KingdomSpain
Internet address: /
Telephone: / Fax:
A.2. Person authorised to enter into legally binding commitments on behalf of the organisation
(legal representative)
Name: / Mr/Ms / First name:
Position:
E-mail:
Telephone:
A.3. Person responsible for handling the final report (contact person)
Name: / Mr/Ms / First name:
Position:
E-mail:
Telephone: / Fax:
PART B. Structure and overall developments
Staff member(s)
Please list below the staff members, their role in the activities and the number of days they worked for the European Week of Sport activities at national level.
This should provide a brief oversight and can remain concise.
Please add rows as necessary.
Person's name / No. of days worked / Role in the activities
n° 1
n° 2
n° 3
Online activities - weblinks
Website:
Social media:
Summary of the activities
Please, give a brief summary of your activities in 2016 (approximately 200 words). Please note that this paragraph may be used for publication. Therefore be accurate and include the theme(s), the objectives, the type of the implemented activities, the methodology applied, the duration, the venue(s), the number of participants, the results achieved, and the amount of the EU grant. The summary should be written in English, French or German, regardless of which language you use to fill in the rest of this report. Please be concise and clear.
Please indicate and explain the reasons for possible changes between your initial application and the activities finally implemented, e.g. composition of participants, venue(s) of the activity(ies), work programme.
PART C. Activities
Project design and description of activities (implemented in 2016)
Please describe thedevelopment of activities, including the phases for preparation, implementation, monitoring, evaluation and dissemination. Please also explain where and how they were implemented, and describe the final products/ outputs developed.
Methodology
Please describe:

the quality and feasibility of the methodology used,
the consistency between project objectives, methodology, activities and budget,
the existence and quality of management arrangements (timelines, organisation, tasks and responsibilities),
and justify subcontracting (if you subcontracted).

Impact of the activities
Please describe the impact of the activities:

on participants and applicant organisation

during the project lifetime,
after the project lifetime,

outside the organisations and individuals directly participating in the project, at local, regional, national and/or European level.

Dissemination
Please describe:

the dissemination plan and measures taken to share the outcomes within and outside the participating organisations,
if relevant, the extent to which materials, documents and media produced were made freely available and promoted through open licences.

Quantitative information
Please provide some statistical information on the different stakeholders involved in the activities.
Please leave empty if not applicable.
Number of national events directly organised by the National Coordinating Body during period 10 September 2 October 2016
Number of national events realised during (labelling) period 10 September 2 October 2016
Number of national events focused on theme “Education”
Number of national events focused on theme “Workplaces”
Number of national events focused on theme “Outdoor”
Number of national events focused on theme “Clubs and Fitness”
Number of Sport clubs / Sport Federations/ Sport organisations involved in the activities
Number of people involved in the activities
Number of people benefiting indirectly from the activities
Number of participants in the national event directly organised by National Coordinating Body during period 10 September 2 October 2016
Number of tangible products realised / outputs realisedachieved
Summary table – activities implemented
Target audience
(e.g. Sport clubs; Sport Federations, young people, elder people, trainers, coaches, etc.) / Objective concerned
(as referred to in part 1 of the application) / Type of action
(e.g. sport event, training, publication, material, tool, media presence) / Place and duration
(if applicable) / Partners(please indicate who is the main organiser) / No. of participants / Comments

Checklist and signature
What documents to provide?
The final report must include the following documents.
Please use the templates available in the Beneficiaries spaceon the Agency website.
This technical reportform duly completed, dated and signed by the legal representative
Financial statementsand list of invoices duly completed, dated and signed by the legal representative
If EU grant is lower or equal than 60.000 as indicated in the Grant Decision (ART. 3) / Grant Agreement (Art. I.3)[1]Samples of the following supporting documents:
Budget item/heading / Sample to be annexed to the final report
Staff / 5% of all costs declared under this budget item
Examples of documents: employment contract (or equivalent document), payslips (or remuneration’s receipts), proof of payments (if applicable), time sheets or equivalent documents showing the manpower’s work effort (i.e. number of working days)
Subcontracting / The three highest value subcontracts
Examples of documents: quotes (if applicable), contracts, invoices and proofs of payments
Travel and subsistence / 25% of the highest costs declared under this budget item
Examples of documents: copy of tickets and boarding passes, hotel invoices (and proof of payments)
If EU grant is more than EUR 60.000 (but less than 750.000)as indicated in the Grant Decision (ART. 3) / Grant Agreement (Art. I.3), the Beneficiary is required to submit a “Report of Factual Findings on the Final Financial Report - Type I” produced by an approved auditor or in case of public bodies, by a competent and independent public officer. See template at:

Products developed during the project implementation – to be provided on a CD-ROM/USB-key only
Where to send the final report?
Original paper version:The paper version is the official version and must be duly signed by the legal representative. Please send it by registered post to:
Education, Audiovisual and Culture Executive Agency (EACEA)
Unit A6 "Erasmus+: Sport, Youth and EU Aid Volunteers"
Office: BOUR 04/030
Avenue du Bourget 1
B-1049 Brussels/Belgium
Electronic version:The electronic documents can be provided on a CD-ROM/USB-stick together with the paper version or can be sent by email to
Signature of the legal representative
I the undersigned hereby certify that all information and financial data contained in this final report are full, real, accurately recorded and eligible in accordance with the Grant Decision / Grant Agreement.
The beneficiary allows the European Commission and the Education, Audiovisual and Culture Executive Agency to make available and use all data provided in this report for the purposes of managing and evaluating the Erasmus+ Programme. All personal data collected for the purpose of this project shall be processed in accordance with Regulation (EC) N° 45/2001 of the European Parliament and of the Council on the protection of individuals with regard to the processing of personal data by the Community institutions and bodies.
Data subjects may, on written request, gain access to their personal data. They should address any questions regarding the processing of their personal data to the Education, Audiovisual and Culture Executive Agency. Data subjects may lodge a complaint against the processing of their personal data with the European Data Protection Supervisor at any time.
Beneficiary
Name, stamp (if available):
Legal representative
Name in capital letters:
Place and date: / Signature:

[1]See also restricted call Annex I, section “11.2-Calculation of the final grant amount – Supporting documents” p. 13-14.