INTERREG IVC Information Point East

INTERREG IVC Information Point East

Project Assistance Form & a Registration Form
for an Individual consultation

A: Registration details

East area applicants who consider becoming a Lead partner in an INTERREG IVC 4th call project and who would like to receive the programme’s feedback, are kindly requested to complete this form. In the last section of this form applicants also have a possibility to ask more detailed questions. The forms submitted to the Information Point East will be processed and written feedback will be provided. The relevant proposals will furthermore have the possibility to participate in individual consultations with IP East project advisers and will receive a confirmation of their request for an individual consultation via email.

Thank you for being as precise as possible!

1. Select the preferred date

Location of individual consultations / Individual Project Consultation date / Registration deadline
*Ljubljana, Slovenia / 13.01.2011 / 10.01.2011
*Brno, the Czech Republic / 13.01.2011 / 10.01.2011
*Warsaw, Poland / 20.01.2011 / 17.01.2011
*Bucharest, Romania / 25.01.2011 / 20.01.2011
*Sofia, Bulgaria / 27.01.2011 / 20.01.2011
Katowice, Poland / 08.02.2011 / 01.02.2011
Katowice, Poland / 22.02.2011 / 17.02.2011
*Vienna, Austria / 03.03.2011 / 25.02.2011
Katowice, Poland / 07, 08, 09, 10, 11 .03.2011 / 28.02.2011

*Individual consultations will be organised on the day of the National Information Day / Lead Applicant Seminar. In case of high demand, further Individual Consultations can also take place during the morning of the following day.

2. Contact details

First / last name:
Organisation:
Address:
Postcode / Town:
Country:
Email: / Tel:
Mobile phone: / Fax:

3. Accompanying persons

Please provide the contacts of the people accompanying you to this consultation (if applicable):

1.

First / last name:
Organisation:
Address:
Postcode / Town:
Country:
E-mail: / Tel:
Mobile phone: / Fax:

2.

First / last name:
Organisation:
Address:
Postcode / Town:
Country:
E-mail: / Tel:
Mobile phone: / Fax:

B: Description of 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:

Cf. section 1.4 of the programme manual

Please describe the main objectives of the project. (1,500 characters maximum):

Cf. section 1 of the programme manual

Please describe the partnership envisaged (i.e. nature and location)? When these partners are not national/ regional/ local public authorities, their relevance to INTERREG IVC, in particular their link to these authorities and their capacity to directly influence policies has to be clarified. For further information on the geographical coverage requirement, please, refer to the fourth call terms of reference (2,000 characters maximum):

Cf. section 2.3 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:

Please return the form to: