Call for Contact Points for the Erasmus+:

Youth in Action Programme in Kosovo - 2015

APPLICATION FORM

PART 1: Information regarding the applicant organisation, motivation and experience
Name of applicant organisation:
Name of legal representative of the organisation:
Name of the person in the organisation who would be in charge of the Contact Point:
His/her role in the organisation:
Main aim or purpose of the organisation:
Legal status of the organisation:
(non-profit, public body, NGO etc.)
The organisation is
 local
 regional
 national
 European/international
Does the organisation have branches in different locations? If yes, please specify.
Website address of the organisation:
Contact address
Street and number:
Post code: / Town:
Country: / Telephone:
E-mail 1:
E-mail 2 where you can be easily reached for all communication regarding this application (if different from above):
What are the current priority areas of activity of your organisation?
Why is your organisation interested in being a Contact Point for the Erasmus+ programme in the youth field?
Please describe the experience of your organisation with the Youth in Action / Erasmus+ programme.
  1. As a project organiser / beneficiary:
  1. As a multiplier for the Programme:

Knowledge and understanding of the Erasmus+: Youth in Action programme:
As Contact Point, your organisation will be asked to inform, advise and train others on how to develop and implement projects under the Erasmus+ programme, such as Youth Exchanges, European Voluntary Service projects or youth worker training and networking activities.
  1. How would you estimate your current understanding of theyouth part of the Erasmus+ programme?
  1. To carry out your tasks as Contact Point, what information about the Programme would you need most?

Organisational contacts and network
Do you have (regular) contact with other organisations, youth groups, or institutions in your region/country that you could use for your work as Contact Point?Please describe.
Please indicate the total amount of your organisation’s budget in 2014 and your main sources of income.
Donor / Amount
(approximate amount in €)
TOTAL / €
PART 2: Description of concrete project to be implemented as Contact Point for Erasmus+: Youth in Action in 2015
In the framework of this application,'project' is understood as the set of activitities to be carried out as Contact Point in 2015.
Types of activity covered by the project(please tick appropriate boxes below)
□Information session
□ Seminar
□ Training course / session / □ Fair
□ Information campaign
□ Coaching / □ Other (please indicate):
Project description
Please note: Activity dates must be between 1stMay and 20th December 2015.
Please describe:
  1. The theme(s) and objectives of the project
  2. The target group of your project and its specific activities
  3. The activities foreseen for the project implementation, including preparatory and evaluation activities
  4. Dates of the planned activity /activities
  5. How your partner organisations will be involved in the project (if applicable)
  6. The expected impact and outcomes of your project
  7. How the project will be evaluated and followed up

Partner organisations (name and address of other organisations or institutions that you will involve in your project, if applicable):
Project Budget
EXPENDITURE
Please complete separately for every activity and add or delete below as needed.
Expenditure - Amount (in €) / Amount requested from SALTO SEE Resource Centre (in €)
Title of activity 1:
Rental costs for meeting rooms, equipment etc.
Board and lodging
Consumable materials
Costs for trainers or other experts
Travel costs
Other costs
Total
Please add rows for as many activities as needed
TOTAL for all activities covered by the project
INCOME
Amount requested from SALTO SEE
Contribution made by applicant
Other contributions
TOTAL

I certify that the above statements are to the best of my knowledge correct and complete.

Place and date:

Name and signature of applicant:

Name and signature of the legal representative of the organisation:

Completed applications must be signed and sent as a scan (or by fax) to the SALTO SEE Resource Centre,, by Friday, 24th April 2015.