Project idea form Idea version date.......................

Project Title and AcronymPlease provide the working title of the proposal.Countries involved:With partners from which Member States are you planning to cooperate (indicative information)?

Programme and Programme measurePlease indicate the objective of the Programme under which the proposal is planned / could be submitted.

NB. Check the project idea relevance

Indicative project duration:Please indicate the approx. implementation period in months.

......months

Indicative project budget:

......EUR

Please indicate the approx. total budget in EUR.

Background of the projectDescribe the initial situation, challenge or opportunity - why is the project needed- which issue does the project address?Overall and specific objective

Describe the main outcome of your project (impact, changes)-specific objective- and how it contributes to the selected Programme specific objective (overall objective of the project)Output of the project

Define your project main outputs (list up to 4), and describe how they contribute to the selected Programme output indicator(s).

Main activitiesDescribe the main activities /methodology which shall lead to the anticipated change / impact?

Cross-border cooperationDescribe why you need cross-border cooperation to achieve your objectives and how the element of cooperation will be reflected in the project.

Required partners: What kind of partners / associated organisations do you search to compose an appropriate consortium?

Partner / associated organisations found:What kind of partners / associated organisations already joined partnership?

Lead partnerWhich organisation is to become the Lead Partner?

List of other CBC your organization participated in (if there are any)List of projects in which you participated as LP (if there are any)Service applied for:

Providing information on application procedureTailoring project ideasHelp to find partnersDevelop parts of applications- BudgetDevelop parts of applications- Description of the activitiesDevelop complete application

Contact details:Please provide contact details of your organisation and relevant staff for contact

Name:Organization: Address:Phone:Email:

Nominated Expert (for Umbrella’s partnership) (optional)

Data Protection Policy

Entrusting of personal data indicated it the Project idea form is voluntary, however by sending this form you give UMBRELLA’s partnership the consent to process the personal data in order to offer support directing you to the most suitable project’s offer for your organization. Therefore:

You agree that the personal data provided in the form are processed for the purpose of the project consultation.

You are aware of the right to ask for modification, delete or limit personal data processing at any time. For all matters related to the personal data, you can contact Umbrella’s Project Manager: Valentina Scandola (at valentina.scandola@euroregionbaltic.eu) or Project’s Coordinator: Sebastian Magier (at sebastian.magier@euroregionbaltic.eu)

By submitting the form you also agree that the personal data provided together with the project idea are shared within UMBRELLA project’s partnership in order to enable the support services to project development.

Data will be transferred to Programme bodies and third parties (e.g. potential project partners) only with the prior approval from the project idea owner.

“I agree for my personal data, provided in this application, to be processed by Umbrella’s partners for project purpose according to the EU General Data Protection Regulation (GDPR) (https://www.eugdpr.org/ )