/ GRUNDTVIG
SENIOR VOLUNTEERING PROJECTS

LIFELONG LEARNING PROGRAMME

GRUNDTVIG

Progress report form 2012 for

Senior Volunteering Projects

(grant agreement period 1.8.2012 – 31.7.2014)

Please send this report to your National Agency, duly completed and signed by 1.5.2013as requested in Article IX.2 (Other special conditions) of your Grant Agreement. The report will be used by your National Agency for monitoring purposes.

general information

Grant agreement number
Title of the Project
Acronym (if applicable)
Name of your institution/ organisation
Role of your institution / organisation /  The coordinator
The partner

institution/organisation data

Please fill in this page if data has changed since your application.

Full Legal Name / [In national language and characters]
[In Latin characters - where originals are not in Latin characters]
Type of Organisation / [Table C – Type of organisation]
Legal Status /  Private /  Public / Size
Commercial Orientation /  Profit /  Non profit
Address / Street – Number
Postcode / City / Region
Country / Scope / [Table D– Geographical Scope]
Organisation's national ID (if applicable)
Organisation's website (if applicable) / Organisation's e-mail (if applicable)

contact person

Title / First name
Family name
Department
Position
Work Address / Street – Number (if different from above)
Postcode / City
Country
Telephone 1 / Telephone 2
Mobile / Fax
E-mail address

Part a - Project content

1. Please describe briefly the Projectactivities undertaken and the results achieved so far
2. What problems/obstacles have you met in the general implementation of theProject, if any? How have these problems been solved?

PART B - Volunteers

3. SENDING VOLUNTEERS

For each volunteer whom you have sent or intend to send, please provide the following elements

Volunteer sent / planned to send n° 1 (VS1)

Name of volunteer
Gender / ( ) F ( ) M
Special needs (please give a few details)
Date of birth
Nationality
Profile / background of the volunteer
Experience of volunteering / In home country ( ) yes ( ) no
International ( ) yes ( ) no
Recruitment process
Preparation process and plans for follow-up
Host organisation
Location
(Planned) starting date of the volunteering period / (dd/mm/yy)
(Planned) end date of the volunteering period / (dd/mm/yy)
Duration in weeks

Copy the table as many times as necessary i.e. one table per volunteer (Volunteer sent n° 2 (VS2), Volunteer sent n° 3 (VS3)…)

4. HOSTING VOLUNTEERS

Volunteering periods carried out between 1.8.2011 and 1.5.2012: for each volunteer hosted, please describe briefly the following elements:

Volunteer hosted / planned to host n° 1 (VH1)

Name of volunteer
Host organisation (if different from your organisation)
Location
Starting date of the volunteering period / (dd/mm/yy)
End date of the volunteering period / (dd/mm/yy)
Duration in weeks
Volunteering activities
Support / mentoring / tutoring system for this volunteer
Board and lodging arrangements
Linguistic arrangements
Recognition of learning experience

Copy the table as many times as necessary i.e. one table per volunteer (Volunteer hosted n° 2 (VH2), Volunteer hosted n° 3 (VH3)…)

Grantholder's declaration

Grantholder's declaration to be signed by the person legally authorised to sign on behalf of your institution/organisation and by the Project contact person in your institution/organisation:

"We, the undersigned, certify that the information contained in this Progress Report is correct to the best of our knowledge."
Date:
Place:
Name and position of the contact person:
Signature of the contact person: / Date:
Place:
Name and position of the Head of institution/organisation:
Signature of the Head of institution/organisation:
Stamp of the institution/organisation (if applicable)

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