Collaboration grants application form

Collaboration grants application form
1. About your organisations and project managers

1.1 Organisation #1
Name of your organisation*
Official address of your organisation*

Street Address

House number

CityPostal Code

Country
Website of your organisation*
Organisation phone number*
Brief presentation of your organisation. Please include mission, vision, objectives and target groups of your organisation. (max. 300 words)*
Status of your organisation*
Registration document in PDF*

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Discipline 1*
If you selected "other" in the previous question, please specify:*
Discipline 2*
If you selected "other" in the previous question, please specify:*
Number of team members in the organisation*
What is your organisation’s experience in national and/or international collaboration projects? (max. 300 words)*

1.2 Project Manager #1
Name*

First NameLast Name
Your email*
example@example.com
Your mobile phone number*
Your personal profile: short bio, work experiences, what are your tasks, what are you working with? (max. 300 words)*
Please describe your role and responsibilities within the organisation (max. 150 words)*
Language skills: please indicate your level of English and of other languages you actively use.
Fluency in English*
Language 1: please specify the language *
Language 1 level*

1.3 Organisation #2
Name of your organisation*
Official address of your organisation*

Street Address

House number

CityPostal Code

Country
Website of your organisation*
Organisation's phone number*
Brief presentation of your organisation. Please include mission, vision, objectives and target groups of your organisation. (max. 300 words)*
Status of your organisation*
Registration document in PDF*

Cancelof
Discipline 1 *
If you selected "other" in the previous question, please specify:*
Discipline 2*
If you selected "other" in the previous question, please specify:*
Number of team members in the organisation*
What is your organisation’s experience in national and/or international collaboration projects? (max. 300 words)*

1.4 Project Manager #2
Name*

First NameLast Name
Your email*
example@example.com
Your mobile phone number*
Your personal profile: short bio, work experiences, what are your tasks, what are you working with ? (max. 300 words)*
Please describe your role and responsibilities within the organisation (max. 150 words)*
Language skills: Please indicate your level of English and of other languages you actively use.
Fluency in English*
Language 1: please specify the language *
Fluency in Language 1*

1.5 Organisation #3 (if applicable)
Applying in the partnership of 3 organisations?*

YesNo
Name of your organisation
Official address of your organisation

Street Address

House number

CityPostal Code

Country
Website of your organisation
Organisation's phone number
Brief presentation of your organisation. Please include mission, vision, objectives and target groups of your organisation. (max. 300 words)
Status of your organisation
Registration document in PDF

Cancelof
Discipline 1
If you selected "other" in the previous question, please specify:
Discipline 2
If you selected "other" in the previous question, please specify:
Number of team members in the organisation
What is your organisation’s experience in national and/or international collaboration projects? (max. 300 words)

1.6 Project Manager #3
Name

First NameLast Name
Your email
example@example.com
Your mobile phone number
Your personal profile: short bio, work experiences, what are your tasks, what are you working with ? (max. 300 words)
Please describe your role and responsibilities within the organisation (max. 150 words)
Language skills: Please indicate your level of English and of other languages you actively use.
Fluency in English
Language 1: please specify the language
Fluency in Language 1

2. Why do you want to collaborate?
Please describe why your organisations want to collaborate: what can you offer each other and how will that improve both your organisations' practices and strategies? (max. 300 words)*
What kind of challenges and opportunities might this collaboration address for your different organisations? Please list 2 or 3 challenges and opportunities. (max. 150 words)*
Please tell us very briefly how the idea of this collaboration came about. How did partner organisations get acquainted? E.g. through the community calls organised as part of “Culture Helps / Культура допомагає”, or another way. Did any of the partners collaborate before? If yes, tell us about this past collaboration. (max. 300 words)*
What are the mid- and long-term goals of your collaboration? What is your motivation and expectation of forming this new collaboration or deepening your existing one, beyond the Culture Helps Collaboration grant? (max. 300 words)*
How do project activities relate to the involved partners' long-term planning? (max. 300 words)*

3. Collaboration project's concept note
3.1 PROJECT TITLE (the title can be provisional)*
3.2 PROJECT CONCEPT: What is the concept of your idea/project and which topics and/or challenges does it respond to in the context of addressing the consequences of the russian war in Ukraine? Who do you target and how? If you plan to work with displaced families and children, please describe how you will engage this target audience. Which outputs and outcomes do you expect to achieve? (max. 500 words)*
3.3 Consistency with the topic of open call. Please elaborate on the activities you are planning to carry out during the collaboration project. How will these activities benefit your communities, participants and audience? (max. 500 words)*
3.4 PROVISIONAL BUDGET: Please fill in the simplified budget proposal of your project. *

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3.5 ACTIVITY PLAN: Please indicate the main provisional activities and when they are planned to take place. *
3.6 OTHER: What else would you like to add to this collaboration project proposal?*
3.7 How did you hear about the Culture Helps call?*

4. Final Information
In case our collaboration idea get selected, WE AGREE to:
- Take part in all activities of Culture Helps to their full extent, this includes: the offline network meeting in May 2024 (place to be announced), mentoring activities and online webinars dedicated to mental health awareness in culture.
- Discuss and decide on all relevant matters of our collaboration together and the collaboration activity implementation. We agree to implement the project, which is described in the application.
- By writing our names below, the participants and directors of all organisations commit themselves to the optimal implementation of the collaboration.
On behalf of the whole consortium*

Clear
Should be Empty:

1. About your organisations and project managers