PRIJAVNI OBRAZAC

PRIJAVNI OBRAZAC Osposobljavanje i umrežavanje

SADRŽAJ PRIJAVNOG OBRASCA Part I – PROJEKT Part II – PRIJAVITELJ PROJEKTA Part III – PARTNERI Part IV – SUDIONICI Part V – OPIS PROJEKTA Part VI – IZRAČUN TROŠKOVA Part VII – BANKOVNI DETALJI Part VIII – POTPIS ZAKONSKOG ZASTUPNIKA Part IX – DEKLARACIJA ČASTI

Part I. Project identification and summary Project number To be filled in by the Executive Agency or the National Agency Post mark/Date of receipt Name of the applicant Please indicate the name and acronym of the applicant. Title of the project Please give a short title to the project. Type of project leading to the development of further projects under the Youth in Action Programme promoting exchanges, cooperation and training in the field of youth work Type of A ctivity Please tick the box corresponding to the A ctivity for which you are submitting this application. For more information, please consult Annex 1 of the Call for proposals . Type of A ctivity : 1. Job shadowing 5. Partnership - Building a ctivity (tick one box only) 2. Feasibility visit 6. Seminar 3. Evaluation meeting 7. Training course 4. Study visit Duration of the project 1 Please indicate the total duration of the project from preparation to evaluation and also the start and end dates of the A ctiviti y . 2 Start date of the project : End date of the project : / / / / (date when the first costs incur) (date when the last costs incur) / / / / The A ctivit y start s : The A ctivit y end s : Total duration of the Activity (in days), excluding travel days: Venue: Part I PROJEKT PROJEKT AKTIVNOST

Part I. Proj ect identification and summary (cont.) Relevance to the g eneral objectives of the Youth in Action Programme Please tick relevant box(es). The project: p romotes young people’s active citizenship in general and their European citi zenship in particular ; d evelops solidarity and promote tolerance among young people, in particular in order to foster social cohesion in the European Union ; f osters mutual understanding between young people in differ ent countries ; c ontributes to developing the quality of support systems for youth activities and the capabilities of civil society organisations in the youth field ; p romotes European cooperation in the youth field. Relevance to the priorities of the Youth in Action Programme Please tick relevant box(es). Permanent thematic priorities Annual priorities European Citizenship If so, please specify : Partici pation of young people Cultural diversity Inclusion of young people with fewer opportunities 2010. Europska godina borbe protiv siromaštva i društvene isključenosti

Main themes for the Activity Please tick not more than 2 boxes. European awareness Minorities Social inclusion Urban/Rural development Inter - religious dialogue Youth policies Anti - discrimination Media and communica tions/Youth information Art and culture Education through sport and outdoor activities Gender equality Health Disability Environment Non - discrimination based on sexual Roma communities orientation Other - If so, please specify: Summary of the project Please give a short description of your project (approximately 10 - 15 lines ). Please note that if your project is approved, this paragraph may be used for publication. Therefore be accurate and include the venue, the type of project, the theme, the objectives, the duration in days, the countries involved, the number of participan ts, the implemented activities and the methods applied . This summary should be completed in English, French or German, regardless of which language you use to fill in the rest of this application. Please be concise and clear. Najviše 2 teme! Mora biti na engleskom, njemačkom ili francuskom!

Part II. Applicant A. Details of the applicant Name Street address Postcode City Region Country Email Website Telephone Telefax Person authorised to sign the contract on behalf of the applicant (legal representative) Family name (Ms /Mr ) First name Position/function Person in charge of the project (contact person) Family name (Ms /Mr ) First name Position/function Email Telephone Telefax Part II PRIJAVITELJ PROJEKTA Zakonski zastupnik (potpisuje ugovor) Voditelj projekta (kontakt osoba za projekt)

B. Profile of the applicant Type and status N on profit/non governmental Public body Informal group of young people organisation Body active at European level Other – please specify: in the youth field (ENGO) Activity level L ocal Regional National European/International Please give a short description of your organisation/group (regular activities, member of, etc.) and describe your competencies and motivation to comple te the proposed project . Has your organisation/group already received a EU grant? No Yes - specify funding received or applied for in the last financial year :

Part III. P artner p romoter (s) A. Detai ls of the partner Name Street address Postcode City Region Country Email Website Telephone Telefax Person in charge of the project (contact person) Family name (Ms /Mr ) First name Position/function Email Telephone Telefax B. Profile of the partner Type and status N on profit/non governmental Public body I nformal group of young people organisation Body active at European level in Other – please specify: the field of youth (ENGO) Activity level Local Regional National European/ International Member organisation of the applicant Please give a short description of your organisation/group (regular activities, member of, etc.) : C . Preliminary agreement of the partner I, the undersigned, on behalf of (repeat the name of the partner ) confirm our participation in each sta ge of the project (repeat the title of the project as stated in Part I): I declare having reached an agreement with all the promoters involved in the project with regard to the share of EU grant my orga nisation/ group is entitled to receive in order to imp lement the project. Furthermore, I confirm my undertaking to ensure visibility of the European Union support for the project and to ensure dissemination and exploitation of its results. Name in capital letters: Place: Signature: Date: Part III PARTNERI Po jedan za svakog partnera Potpisani original!

Part IV. Participants in the project If more space is needed, please add rows. A. Information on the PARTICIPANTS directly involved in the project Please list below the number of participants from each country, excluding experts, support staff , etc. Distribution by gender Number of Country of residence Promoter Profile of participants participants M F Subtotal B. Information on the EXPERTS (speakers, trainers, facilitators, etc.) directly involved in the project 3 Country of residence Promoter Role of expert(s) Number of experts Subtotal 3 Please specify the role of the experts in the A ctivity (whether speakers, trainers, facilitators, etc.) . C. Information on the SUPPORT STAFF d irectly involved in the project Please list below the number of support staff from each country. Number of Country of residence Promoter support staff Subtotal 4 TOTAL (participants, experts, support staff, etc.) 4 Eligible to tal number of participants 1) Job shadowing: up to 2 participants, 2) Feasibility Visits: up to 2 participants per promoter , 3) All other activities: up to 3 0 participants . Part IV SUDIONICI

Part V. Project description The points below are intended to serve a s a guide for your description of the proposed activities. The information that is requested will be very important in the selection process, and later for the running of the project. For further information, please consult Annex 1 to the Call for proposal s. If more space is needed, please extend boxes. Objectives and priorities: Please explain the context, the origin and the objectives of your project and in which way it meets the objectives and the priorities of the Youth in Action Programme. Project's design : Please indicate: · how you found the other promoter(s), how you established an efficient partnership, and how the partner(s) will cooperate and be involved in the project, · the activities foreseen throughout the project for its impleme ntation, including preparatory and evaluation activities. Please attach an estimated daily timetable of the planned Activity. Part V OPIS PROJEKTA Priložiti dnevni raspored aktivnosti na posebnom listu

Project's content and methodology: Please describe: · the theme(s) of the project, · how the main theme reflects the int erests and needs of participants, · the working methods, · how the planned activities and working methods will contribute to the process of non - formal learning and to the promotion of social and personal development of participants involved in the project , · how the participants will be actively involved in each stage of the project. Intercultural dimension: Please indicate if and how your project reflects the following characteristics: · the project increase s participants ' positive awareness of ot her cultures , · the project support s dialogue and intercultural encounters with other participants from different backgrounds and cultures , · the project help s to prevent and combat prejudice, racism and all attitudes leading to exclusion , · the project develop s sense of tolerance and understanding of diversity .

European dimension: Please indicate if and how your project reflects the following characteristics; tick box(es) and then describe: the project fosters participants’ sens e of European citizenship and helps them to understand their role as part of the present and future of Europe; the project reflects a common concern for European society, such as racism, xenophobia and anti - semitism, drug abuse … ; the project’s theme is linked to EU topics , such as EU enlargement, the roles and activities of the European institutions, the EU's action in matters affecting young people ; the project debates the founding principles of t he EU, i.e. principles of liberty, democracy, respect for human rights and fundamental freedoms, and the rule of law. Impact , multiplying effect and follow - up : Please explain the expected impact on participants and the local communities invol ved in the project and w hich measures are foreseen to attain this impact . In a long term perspective, please describe how you plan to achieve a multiplying effect and sustainable impact . Please also explain how you plan to follow up this Training and Netwo rking (e.g. new projects within the framework of the Youth in Action Programme, continuous contact with the promoter(s), etc.)?

Visibility: Apart from the compulsory use of the Programme Logo please describe : · how you will ensure the visibilit y of the project; · how your project will provide clear promotional added value for the Youth in Action Programme. Dissemination and exploitation of results : Please give a detailed description of standard measures planned in view to disseminate and exploit the results of the project. Have you planned additional measures assuring dissemination and exploitation of project's results? Yes No If so, please describe them .

Part VI IZRAČUN TROŠKOVA 1218€ 2052€ 2150€ 2100€ 7520€ Sudionici će sami snositi 30% putnih troškova 522 € 522€

4 sudionika + trener iz SLO traženi iznos za troškove putovanja 4 sudionika + 2 organizatora

Part VII BANKOVNI DETALJI

Part VIII POTPIS ZAKONSKOG ZASTUPNIKA

Part IX DEKLARACIJA ČASTI

Check list Before returning this application form to the Executive Agency or to the National Agency, please check the following: v The application form must be accompanied by: official letter an from the applicant and all the other documents referred to in the application form. v The application must include the following documents: application form the present , duly completed and signed in original by the person authorised to enter into legally binding commitments on behalf of the applicant ( signatures required in Parts VI II Preliminary agreements and IX of this form), together with the of all partner promoters , duly completed and signed in original . Please note that Preliminary a greements can be provided in the form of fax (when submitting the application) on the condition that they are complemented by orginals that must be received by the NA before the Evaluation C ommittee takes place. v exceeding € 25 000 : Additional m andatory documents for grant requests In accordance with the provisions of the Financial Regulation applicable to the general budget of the European Communities, all applicant promoters – with the exception of public bodies and informal groups of young people – to EU funding exceed ing € 25 000 must submit, together with their application form, the following financial documents: profit and loss accounts the of the applicant, and balance sheet the for the last financial year for which the accounts have been closed. The objective is to permit an assessment of the financial capacity of the applicant promoters. Please note there is no specific form to submit the information outlined above. v 1 0 N ational level only Additional mandatory documents for projects submitted at : o nly for non - gouvernmental organisations: an extract from the official gazette/trade register, and certificate of liability to VAT (if, as in certain countries, the trade register number and VAT number are identical, only one of these documents is required); only for public bodies: a legal resolution or decision or other official document established in respect of the public body ; o nly for informal groups of young people : identity card or a copy of the group representative's passport . 1 0 Th ese documents do not have to be provided if the applicant has already submitted them in occasion of a previous application under the Youth in Action Programme; on the condition that no changes ha ve been occurred in the meantime. CHECK LIST

Popratni dokumenti • Službeno pismo • Dnevni raspored aktivnosti • Part III svih partnera • Profit and loss acounts i balance sheet for the last financial year (ako je traženi grant veći od 25 000 €) • Udruga: izvadak iz registra udruga • Javno tijelo: • Neformalna skupina mladih: kopija osobne iskaznice ili putovnice jednog od članova grupe

Akcija 4.3 Osposobljavanje i umrežavanjei Akcija 1.3 Demokratski projekti mladih Program MLADI NA DJELU Prosinac 2009.

Program Mladi na djelu je… • Najveći program Europske unije u području neformalnog obrazovanja koji je namijenjen: • mladima u dobi od 15 do 28 godina (ili od 13 do 30 godina) • organizacijama mladih • osobama koje rade s mladima AKCIJE: 1.1 - Razmjene mladih 1.2 - Inicijative mladih 1.3 - Demokratski projekti mladih 2 - EVS 4.3 - Osposobljavanje i umrežavanje pruža financijsku potporu projektima za mlade PRIJAVE AMPEU: 1. veljače 2010. 1. travnja 2010. 1. lipnja 2010.

Ciljevi i prioriteti programa Mladi na djelu • Stalni prioriteti: • europsko građanstvo • aktivno sudjelovanje • mladih u životu zajednice • kulturnu različitost • uključivanje mladih s • manje mogućnosti • - promicanje aktivnog građanstva mladih • - razvijanje solidarnosti i promicanje • tolerancije među mladima • poticanje uzajamnog razumijevanja • među mladima iz različitih zemalja • - razvijanje kvalitetnih sustava potpore • aktivnostima i organizacijama mladih • promicanje europske suradnje u sektoru • mladih • Ciljevi: • aktivno građanstvo • solidarnost i toleranciju • uzajamna razumijevanja među • mladima iz različitih zemalja • razvijanje kvalitetnih sustava • potpore aktivnostima i • organizacijama mladih • europsku suradnju • 2009. Europska godina • kreativnosti i inovacije • Europska godina borbe • protiv siromaštva i • društvene isključenosti

Akcija 4.3. OSPOSOBLJAVANJE I UMREŽAVANJE

Što je osposobljavanje i umrežavanje? Osposobljavanje svih aktivnih u radu s mladima Razmjenu iskustava, znanja i dobre prakse Organizaciju aktivnosti koje mogu dovesti do uspostavljanja kvalitetnih dugoročnih partnerstava i/ili projekata Partnerstva i umrežavanje osoba koje rade s mladima

Koje aktivnosti postoje unutar akcije 4.3? Stažiranje / Job Shadowing Posjet izvedivosti / Feasibility Visit Evaluacijski sastanak / Evaluation Meeting Studijski posjet / Study Visit Izgradnja partnerstva / Partnership-Building Activity Seminar Trening / Training Course Umrežavanje / Networking

Tko može prijaviti projekt osposobljavanja i umrežavanja? Nevladina organizacija Tijelo/institucija aktivno na europskoj razini Lokalno ili regionalno javno tijelo Neformalna skupina mladih

Koji su kriteriji?

Koja su pravila financiranja?

Primjer projekta AnSanctoir Trening održan u Irskoj 2008. 9 zemalja: Irska, Bugarska, Njemačka, Španjolska, Mađarska, Austrija, Poljska, Rumunjska, Turska Tema: korištenje kazališta kao metode za poboljšavanje međukulturnog učenja Ciljna grupa: osobe aktivne u radu s mladima i koje imaju malo ili su bez iskustva s programom Mladi na djelu Metodologija: kazališne radionice, diskusije Rezultat: priručnik, radionica i nastup za javnost

Primjer izračuna = 23,627 €

Akcija 1.3. DEMOKRATSKI PROJEKTI MLADIH

Aktivno sudjelovanje mladih u demokratskom životu svoje lokalne, regionalne ili nacionalne zajednice ili na međunarodnoj razini. Projekti koji: Promoviraju uključenost mladih u strukture; Razvoj dijaloga između tijela vlasti i mladih;; Facilitiranje dijaloga između tijela vlasti i mladih koji nisu članovi udruga Kreiranje struktura ili strategija za približavanje mladih i osoba koje donose odluke/političara Identificiranje i prevladavanje prepreka sudjelovanju mladih u demokratskom životu Što su Demokratski projekti mladih?

Koji su kriteriji? MORAJU imatinacionalnuitransnacionalnudimenziju MORAJU se baziratinapartnerstvunajmanjedvijezemlje MORAJU uključivatibarem 2 nacionalnapartnerai 2 međunarodna (po 2 iz svake zemlje) Najmanje 16 sudionika Godine: 13-30 Trajanje projekta: 6-18 mjeseci (priprema, aktivnost, evaluacija i promišljanje nastavka) Teme: prioriteti MnD / budućnost Europe / Politički prioriteti u području rada s mladima

Primjeri • "FUTURE CITY!" - In this fictious city young people are able to make their own decisions and are actively involved in the democratic process. • "Take action! : a European ABC to youth participation!" - This project aims to reinforce the bonds between the three main actors of the youth field: young people, civil society and public bodies. • Under construction - They aimed at making youngsters growing up in the outskirts of Lisbon and Utrecht more aware of democratic processes. http://www.salto-youth.net/YDProjects/

75% troškova do max 50,000€ putni troškovi smještaj, hrana organizacija događaja publikacije prijevodi širenje i korištenje rezultata 7% ukupnog iznosa za indirektne troškove Koja su pravila financiranja?

Kontakt Hvala na pozornosti! davor.pavicic@mobilnost.hr 01 / 50 05 635 www.mobilnost.hr Pitanja?

PRIJAVNI OBRAZAC