Application Form

Part A and Part B

DISCLAIMER
This document is presented for informational purposes only,
it serves only as an example.
An application (including annexes and supporting documents)
must be drafted and submitted online via the Portal.
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Table of Contents
APPLICATION FORM A / 3
1. General information / 3
2. Declarations / 4
3. Participants / 4
3.1 Organisational data / 4
4. Work packages, deliverables and timing / 6
4.1 Work packages, activities, and deliverables / 6
4.2 Timetable / 8
5. Theory of change (TOC) / 8
6. Budget / 9

APPLICATION FORM B / 10
1. Relevance / 10
1.1 Background and general objectives / 10
1.2 Needs analysis and specific objectives / 10
1.3 Complementarity with other actions and innovation – European added value / 10
2. Quality / 11
2.1 Concept and methodology / 11
2.2 Consortium (Steering Committee) set-up, management / 11
2.3 Project teams, staff and experts / 11
2.4 Project quality assurance and monitoring and evaluation strategy / 12
2.5 Cost effectiveness and financial management / 12
2.6 Risk management / 12
2.7 Ethics and EU values / 13
3. Impact / 13
3.1 Impact and ambition / 13
3.2 Communication, dissemination, and visibility / 14
3.3 Sustainability and continuation / 14
Annexes / 14

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APPLICATION FORM A
1. GENERAL INFORMATION

Call number Auto-fill

Call title Auto-fill

Type of Strand Select from a list (if applicable)

Application number Auto-fill

Max 200 characters (with spaces).

Must be understandable for non-specialists in your field.
Application title
Note that for technical reasons, the characters < > “ & are not accepted in the
application title.

Application acronym Enter the abbreviation of the application title

Duration in months Auto-fill

Requested amount, € Auto-fill

A summary of the project should provide the reader with a clear understanding
of the objectives of the project, how they will be achieved, and their relevance to
the Call. This summary will be used as a short description of the project in the
assessment process and in communications to the Project Selection Committee
Summary of the project and other interested parties. It must therefore be short and precise and should not
contain confidential information. Use plain typed text, avoiding formulas and other
special characters.
Max 2000 characters (with spaces).

Has this application (or

a very similar one) been
submitted in the past 2
Select Yes or No
years in response to a call
for proposals under any
other EU programme(s)?

Please give the application

reference or contract Max 400 characters (with spaces).
number

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2. DECLARATIONS

1. We declare to have the explicit consent of all applicants on their participation and on the
content of this application.* 
2. We confirm that the information contained in this application is correct and complete and
that none of the project activities have started before the application was submitted (unless 
explicitly authorised in the Call Conditions).

3. We declare:
- to be fully compliant with the eligibility criteria set out in the Call Conditions;
- not to be subject to any exclusion grounds under the EU Financial Regulation 2018/1046; 
- to have the financial and operational capacity to carry out the proposed project.
- to pay the wage for the long-term unemployed person in accordance with the requirements set out in
the Call Conditions
Double funding
! Please note that there is a strict prohibition of double funding from the EU budget.

4. We confirm that to our best knowledge neither the project as a whole nor any parts of it have
benefitted from any other EU grant. 
5. We confirm that to our best knowledge neither the project as a whole nor any parts of it are (nor
will be) submitted for any other EU grant. 

* The coordinator is only responsible for the information relating to their own legal entity. Each applicant remains
responsible for the information declared for their legal entities. If the application is retained for EU funding, they will all
be required to sign a Declaration of Honour.
False statements or incorrect information may lead to administrative sanctions under the EU Financial Regulation.

3. PARTICIPANTS

List of participating legal entities in the project. Please enter the data of all legal entities participating in the project.

3.1 Organisational data

Legal name

Role Select from a list Select from a list Select from a list Select from a list
(Coordinator, (Coordinator, (Coordinator, (Coordinator,
Beneficiary, Beneficiary, Beneficiary, Beneficiary,
Associated Associated Associated Associated
Partner) Partner) Partner) Partner)

Acronym

Legal status Select from a list Select from a list Select from a list Select from a list

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PIC (participant
identification code)
Enter the 9-digit code, if
your legal entity is already
validated by the Central
Validation Service and has
a Participant Identification
Code (PIC), as it has
previously registered for other
EU programmes.

Entity registration number

VAT number (if applicable)

VAT recoverable Select from list Select from list Select from list Select from list

Address of the legal entity

Street

City

Postcode

Region (if applicable)

Country

E-Mail

Website

Main project contact person

Full name and position

Phone

E-Mail

Legal representative (who will sign the Grant Agreement; only for the Coordinator)

Full name and position

Phone

E-Mail

The Granting Authority should be notified in writing in case of any change in the addresses, phone numbers or e-mail.
The Granting Authority shall not be held responsible in case if it cannot contact an applicant.

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4. WORK PACKAGES, DELIVERABLES AND TIMING

4.1. Work packages, activities, and deliverables

Work Package (WP)

All project activities should be grouped in a logical, consistent, and structured way into separate WP. WP means a
major sub-division of the project, a step leading to the achievement of the project overall goals. All WP shall present a
clear, logical link to the project objectives and to the other WP.
The number of WP should be proportionate to the scale and complexity of the project. You should give enough detail
in each WP to justify the proposed resources to be allocated and also quantified information so that progress can be
monitored. Resources assigned to WP should be in line with their objectives and deliverables. Please do not include
costs in this section. Cost estimations per WP and the Coordinator and/or a Beneficiary should be provided in a
Detailed Budget Table (Annex 1 to the Call Conditions).
Please note that the lump sum for a WP will be paid only when the entire WP has been completed. WP should be
designed in a way that enables the Granting Authority to identify clearly whether the activities have been completed
and deliverables achieved.
For proper managing cash flow, it is recommended WP with a long duration (e.g., for coordination/management or
dissemination) to split along the reporting periods into several WP of a shorter duration.
For each WP, please enter a Lead Beneficiary (i.e., the Coordinator or a Beneficiary, excluding Associated Partners), an
objective (-s), list the activities and indicate deliverables that belong to it.

WP 001: Enter WP name

Start month Auto-fill End month Auto-fill Duration (in month) Select from a list

Duration (In month) Auto-fill

Objectives Enter the specific objectives to which this WP is linked. Max 200 characters (with spaces).

Deliverables
Deliverables are project outputs which show progress of the project.
Deliverable type:
R – Document, report
DEC – Websites, patent filings, videos, etc.
DATA – Data sets, microdata, etc.
DMP – Data Management Plan
OTHER
Dissemination level:
Public – fully open
Sensitive – limited under the conditions of the Grant Agreement (Article 12)

Due Date
Deliverable Dissemination
Deliverable Type* Quantity (month Description
No level**
number)

Enter the Enter a

deliverables to Enter the description of the
be achieved Select quantity of the deliverable Select
Auto-fill, D1.1 Auto-fill
Max 200 from a list deliverable you Max 500 from a list
characters will achieve characters (with
(with spaces) spaces)

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Enter the Enter a

deliverables to Enter the description of the
be achieved Select quantity of the deliverable Select
Auto-fill, D1.2 Auto-fill
Max 200 from a list deliverable you Max 500 from a list
characters will achieve characters (with
(with spaces) spaces)

Activities
Please describe in detail the work envisaged under the WP broken into planned activities, specify their necessity and
the role of the Lead Beneficiary and other participants. The description of the activity should make it clear what is
planned.
Make sure that the project activities include all essential elements indicated in the Section 2.5 of the Call Conditions.
Please note that if travel costs are included into the Detailed Budget Table (Annex 1 to the Call Conditions), the travel
information (number of travels, participants, destination, travel duration) should be specified in the section “Activity
description”.
Specify the duration of each activity, start and end months.
The leader of the activity should be listed under ‘Lead participant’. If the activity is carried out by several participants,
please list them under ‘Participants’ (multiple choice option is available).
Please note that the Coordinator remains fully responsible for the coordination/ management activities. These
activities are core activities and may not be subcontracted.

Activity Activity Activity Start End Lead

Participants
No name description month month participant

Enter a
Enter activity
description of
name Enter the Enter the
Auto-fill, the activity Select Select
Max 150 month of start month of end
A1.1. Max 2500 from a list from a list
characters of activity of activity
characters (with
(with spaces)
spaces)

Enter a
Enter activity
description of
name Enter the Enter the
Auto-fill, the activity Select Select
Max 150 month of start month of end
A1.2. Max 2500 from a list from a list
characters of activity of activity
characters (with
(with spaces)
spaces)

Enter a
Enter activity
description of
name Enter the Enter the
Auto-fill, the activity Select Select
Max 150 month of start month of end
A1.3. Max 2500 from a list from a list
characters of activity of activity
characters (with
(with spaces)
spaces)

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4.2. Timetable

The entire table fills up automatically.

Timeline
Activity Name
Work Package

Start month
Activity No

End month

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24

5. THEORY OF CHANGE (TOC)

Write the problem statement (main problem you want to solve) that resulted from
Problem Statement your problem analysis (current condition, who is affected).
Max 1500 characters (with spaces).

Explain the objective of the social innovation planned in the project.

Social Innovation Goal
Max 1200 characters (with spaces).

If the project foresees participants (target group), please indicate the number of
Planned number of target them.
group (if applicable)
Max 100 characters (with spaces).

Detail the expected impacts that you achieve through your intervention(s) and
describe how you plan to measure it. Explain why the innovative approach applied
Expected impacts and their in the project will impact the target group, the participating legal entities and the
measurement employment situation in region and highlight an added value of the project in the
specific context in which it is proposed to be scaled up or replicated.
Max 2000 characters (with spaces).

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Long-term outcomes
Activities Outputs/Deliverables Short-term outcomes
(impact)

Tangible results (outputs Outcomes expected of Outcomes you hope to

indicators) you produce your intervention(s). observe beyond your
through your activities. intervention timeframe.
Example of changes in:
Examples: - Learning Changes in:
- number of targeted - Awareness Knowledge - the target group
beneficiaries - Attitudes - the participating legal
Auto-fill - number of attendants % of - Skills entities
completion - skills development
- Opinions
- % increase in learning system
- Aspirations
outcomes Max 1000 characters
- etc. - Motivations
(with spaces).
Max 1000 characters Max 1000 characters
(with spaces). (with spaces).

6. BUDGET

This section shall be filled in after you have finalised a Detailed Budget Table (Annex 1 to the Call Conditions).
Information provided in this section shall correspond to the information provided in the Detailed Budget Table.
Copy the amounts from the Detailed Budget Table excel sheet BE-WP Overview to this section. Please note that
numbers shall be identical.

Participant Maximum grant

Role WP 001 WP 002 WP 003
acronym amount, €

Auto-fill Auto-fill Enter amount Enter amount Enter amount Auto-fill

Auto-fill Auto-fill Enter amount Enter amount Enter amount Auto-fill

Auto-fill Auto-fill Enter amount Enter amount Enter amount Auto-fill

Auto-fill Auto-fill Enter amount Enter amount Enter amount Auto-fill

Total: Auto-fill Auto-fill Auto-fill Auto-fill

Information on project revenues:

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APPLICATION FORM B
1. RELEVANCE
1.1 Background and general objectives

Background and Describe the background and rationale of the project.

general objectives
How does the project address the aim of the Call?
How will project activities contribute to the improvement of the status quo (difference
between starting point/state of play and the situation after the completion of the project?)
How does the project contribute to the expected outcomes of the Call?
Max 3000 characters (with spaces).

1.2 Needs analysis and specific objectives

Needs analysis and Provide a needs assessment.

specific objectives

robust analysis clearly demonstrating the need for the project (therefore, avoid references
to generic statements and information about the problems and needs of the target group).
Specify what needs will be addressed and how they have been identified.
Which target groups will be supported/assisted by/in the project? Why have you chosen to
focus on them?
If the target group has specific needs, describe measures for the adoption to the needs.
Briefly describe the specific objectives of the project which are based on a sound needs
analysis in line with the aim of the Call. The objectives should be clear, measurable,
appropriate
indicators for measuring achievement (quantitative and qualitative) including

Max 3000 characters (with spaces).

1.3 Complementarity with other actions and innovation – European added value

Complementarity Explain how the activities are complementary to other activities carried out by other
with other actions organisations in the field and what results have already been achieved. Please provide a
and innovation web link to the previous similar activities if available.
Describe the innovative approach you will scale up in the project. When and where has
the method been carried out, what results have been achieved? Provide a web link to the
previous experimentation if available. Explain why the new approach has been chosen and
how it complements the previous activities. Please elaborate on innovation and novelty of

project; impact/interest for a number of EU countries; possibility to use the results in other

Max 3000 characters (with spaces).

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2. QUALITY
2.1 Concept and methodology

Concept and Outline the concept and methodology behind the project.
methodology
The concept should present the general approach to how you will solve the challenge
addressed by your project. Explain how you are going to reach your project’s objectives
Describe how the activities of the project will be organised. Reveal how essential elements
listed in Section 2.5 of the Call Conditions are integrated and blend in the project framework
and how they pool resources and competences to achieve the planned results.
Explain why the chosen methodology is the most suitable for achieving project’s objectives,
solving problem(s) and meeting needs specified in the project.
Note: Concept and methodology are two different yet complementary things. The
methodology derives from the concept, so start with the concept description. The concept
is more abstract than the methodology. The methodology is a more practical and precise
description of your experiments and activities. It shall not be perceived only as a list of
activities but rather the aggregation of the instruments and approaches that will be used
and created to carry out project activities and achieve planned results.
Max 2500 characters (with spaces).

2.2 Consortium (Steering Committee) set-up, management

Consortium Describe the participants (beneficiaries and associated partners, if any) and explain how
(Steering Committee) they will contribute to mutual learning, joint work and implementation of the project. In
cooperation and what way does each of the participants contribute to the project and how mutual learning
division of roles (if will be organized? Show that each of them has a valid role and adequate resources to fulfil
applicable) that role.

Explain the management structure and decision-making mechanism within the Consortia/
project teams. Describe how the regular and effective communication will be ensured.
Indicate the methods for planning and control.
Max 2500 characters (with spaces).

2.3 Project teams, staff and experts

Describe the project teams and how they will work together to implement the project.
Present the participating institutions and their experience/expertise in the field.
Please include expertise and experience of managing long term unemployment projects.
List the staff included in the Detailed Budget Table (budget category A) by function/profile (e.g., project manager, financial
manager, junior/senior expert, junior/senior advisor, trainers/, operational personnel, technical personnel, administrative
personnel, communication personnel etc.) and briefly describe their tasks and experience/expertise.

Name and Role/ tasks Professional

Presentation of the
Participant function profile and
Participant
Specify only one expertise
team member
per field

Select from Max 1000 characters Max 500 characters Max 500 characters
a list (with spaces). (with spaces). (with spaces).

Select from Max 1000 characters Max 500 characters Max 500 characters
a list (with spaces). (with spaces). (with spaces).

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2.4 Project quality assurance and monitoring and evaluation strategy

Project quality Describe the measures planned to ensure that the project implementation is of high
assurance and quality and completed in time.
monitoring and
Describe the evaluation methods and indicators (quantitative and qualitative) to monitor
evaluation strategy
and verify the outreach and coverage of the activities and results (including unit of
measurement, baseline and target values). The indicators proposed to measure progress
should be relevant, realistic and measurable.
Max 3000 characters (with spaces).

2.5 Cost effectiveness and financial management

Cost effectiveness Describe the measures adopted to ensure that the proposed objectives and deliverables
and financial (outputs) will be achieved in the most cost-effective way.
management
Indicate the arrangements adopted for the financial management of the project and, in
particular, how the financial resources will be allocated and managed (do NOT compare and
justify the costs of each WP but provide a brief summarized justification of a project budget
as a whole.)
Max 2500 characters (with spaces).

2.6 Risk management

Critical risks and risk management strategy

Describe critical risks, uncertainties or difficulties related to the implementation of your project, and your measures/
strategy for addressing them. Indicate for each risk (in the description) the impact and the likelihood that the risk will
materialize (high, medium, low), even after taking account the mitigating measures.
Note: Uncertainties and unexpected events occur in all organisations, even if very well-run. The risk analysis will help
you to predict issues that could delay or hinder project activities. A good risk management strategy is essential for
good project management. The strategy should also incorporate risk mitigation measures that redress any gender
inequalities and multiple discriminatory effects in project implementation.

Risk mitigation Probability of

Risk No Risk Description Work package
measures risk occurrence

Describe the
Describe proposed risk
the risk mitigation
Select Select
Auto-fill Max 500 measures
from a list from a list
characters (with Max 500
spaces). characters (with
spaces).

Describe the
Describe proposed risk
the risk mitigation
Select Select
Auto-fill Max 500 measures
from a list from a list
characters (with Max 500
spaces). characters (with
spaces).

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2.7. Ethics and EU values

Ethics and EU values

measures you intend to take to solve/avoid them. Describe how you will ensure gender

and contribute to the equal empowerment of women and men, girls and boys, in all their

achieving gender equality and combating multiple and intersecting discrimination. In the
delivery of project activities gender mainstreaming shall be ensured by systematically

incorporating remedial action that redresses any gender inequalities and discriminatory
effects in implementation of planned activities. The activities shall also seek to reduce

Explain how you intend to address privacy/data protection issues related to data
collection, analysis and dissemination.
Max 2500 characters (with spaces).

3. IMPACT
3.1 Impact and ambition

Impact and ambition Define the short (outcomes), and long-term (impact) effects of the project.

project and what would change for them? In what way will the gap identified be reduced?

Does the project trigger change in the area targeted by the project. If so, describe the
degree of ambition (progress beyond the status quo) and indicators you will use to
measure the extent of change.
Describe methods for collecting, assessing, and presenting evidence of the effectiveness of
the innovative approach in question. The methods shall include provisional input, output,
and outcome indicators for monitoring the activities and their impact on the target group,
“Theory of
change.” The expected impact should be proportionate to the scope and size
of the project. Disclose how the impact measurement would be used for the participating

Max 3000 characters (with spaces).

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3.2 Communication, dissemination, and visibility

Communication,
dissemination, and
visibility of funding
target groups, relevant stakeholders, policymakers, and the general public and explain the

Describe how the visibility of EU funding will be ensured.

Communication and dissemination activities should also contribute to the promotion of
gender equality and non-discrimination. Communication materials should use gender
inclusive language and positive visual representations. E.g.: When developing videos or
leaflets ensure that women and men, in all their diversity, are equally represented in a
non-stereotypical fashion and portrayed in active empowered roles. In addition, consider
using communication channels that they are accessible to general audience, in particular
to persons with disabilities, or people from marginalised groups.
Max 3000 characters (with spaces).

3.3 Sustainability and continuation

Sustainability, long- Describe the follow-up of the project after the EU funding ends. Explain how the objectives,
term impact, and activities, and efforts to achieve the desired outcomes will continue beyond the grant
continuation period and whether and how the innovative approach could be implemented on a larger
scale, including possible funding either under the shared management strand of the ESF+
or other funding sources.
Max 3000 characters (with spaces).

ANNEXES

No Title of the annex Attached

1. Detailed Budget Table 

2. Declaration of the Professional Competences



3. List of Previous Projects 

4. Declaration of Honour for the Beneficiaries 

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