Agenzia Nazionale Erasmus+ Isfol Versione 2016 rev. 0 del 04/01/2016 AZIONE CHIAVE 1 MOBILITÀ INDIVIDUALE AI FINI DELL APPRDIMTO Ambito Istruzione e Formazione Professionale (VET) Indicazioni per la compilazione dell e-form KA116 CALL 2016
Agenzia Nazionale Erasmus+ Isfol Versione 2016 rev. 0 del 04/01/2016 PREMESSA Obiettivo principale di questo strumento è fornire un supporto tecnico agli organismi titolari di Carta della Mobilità nella compilazione dell e- Form KA116 - KA1 - Learning Mobility of individuals - VET Learner e Staff mobility with VET mobility charter del Programma Erasmus+. Si tratta di uno strumento soggetto ad aggiornamenti periodici ed è quindi importante verificare che la versione che si sta utilizzando sia quella in vigore. Si ricorda che le indicazioni fornite di seguito non sostituiscono in alcun modo i documenti ufficiali reperibili sul sito www.erasmusplus.it http://www.erasmusplus.it/erasmusplus/documenti-ufficiali-2/ dei quali è indispensabile prendere visione per una corretta compilazione dell E-form. In particolare si rimanda a: ERASMUS+ Technical guidelines for completing application e-forms (versione in vigore) http://www.erasmusplus.it/moduli-2/ 1
A. General Information Erasmus+ This application form consists of the following main sections: - Context: this section asks for general information about the type of project proposal you want to submit and about the Agency that will receive, assess and select your proposal; - Participating organisation(s): this section asks for information about the applicant organisation and sending-side consortium members only, and not the hosting-side partners; - Activities' Details: this section is a table that asks for details of the different mobility activities that you intend to implement; - Budget: this section asks for full details of the project, including travel, individual support, organisational support, linguistic support, special needs support and exceptional costs; - Project Summary: this section asks for a summary of the project in your national language and English and should mention developments planned under the VET Mobility Charter; - Check List/Data Protection Notice/Declaration of Honour: in these sections, the applicant is made aware of important conditions linked to the submission of the grant request; - Annexes: in this section, the applicant needs to attach additional documents that are mandatory for the completion of the application. - Submission: in this section, the applicant will be able to confirm the information provided and to submit the form online. For more information on how to fill in this application form, you can read the Technical Guidelines for e-forms. For more information on the award criteria please refer to the Programme Guide. B. Context Programme Key Action Action Action Type Erasmus+ Learning Mobility of Individuals Mobility of learners and staff Call 2016 Round Round 1 Deadline for Submission (dd-mm-yyyy hh:nn:ss - Brussels, Belgium Time) 02-02-2016 12:00:00 Language used to fill in the form B.1. Project Identification Project Title Project Acronym Project Start Date (dd-mm-yyyy) Project Total Duration (Months) Project End Date (dd-mm-yyyy) Page 1 of 26
Erasmus+ Applicant Organisation Full Legal Name (Latin characters) Form hash code B.2. National Agency of the Applicant Organisation A4300134FE2E0CBF Identification For further details about the available Erasmus+ National Agencies, please consult the following page: http://ec.europa.eu/education/erasmus-plus/national-agencies_en.htm Page 2 of 26
Erasmus+ C. Participating organisation(s) C.1. Applicant Organisation PIC Full legal name (National Language) Full legal name (Latin characters) Acronym National ID (if applicable) Department (if applicable) Address Country Region P.O. Box Post Code CEDEX City Website Email Telephone 1 Telephone 2 Fax C.1.1. Profile Type of Organisation Is your organisation a public body? Is your organisation a non-profit? Total number of staff Total number of learners Page 3 of 26
C.1.2. Consortium Erasmus+ Are you applying on behalf of a consortium? Yes C.1.2.1. Consortium Member PIC Full legal name (National Language) Full legal name (Latin characters) Acronym National ID (if applicable) Department (if applicable) Address Country Region P.O. Box Post Code CEDEX City Website Email Telephone 1 Telephone 2 Fax C.1.2.1.1. Profile Type of Organisation Is the organisation a public body? Is the organisation a non-profit? Total number of staff Page 4 of 26
Erasmus+ Total number of learners C.1.2.2. Consortium Member PIC Full legal name (National Language) Full legal name (Latin characters) Acronym National ID (if applicable) Department (if applicable) Address Country Region P.O. Box Post Code CEDEX City Website Email Telephone 1 Telephone 2 Fax C.1.2.2.1. Profile Type of Organisation Is the organisation a public body? Is the organisation a non-profit? Total number of staff Total number of learners Page 5 of 26
Erasmus+ C.1.3. Accreditation Have you received any type of accreditation before submitting this application? Accreditation Type Accreditation Reference Vocational Education and Training Mobility Charter (ERAPLUS-VET- C.1.4. Legal Representative Title Gender First Name Family Name Department Position Email Telephone 1 If the address is different from the one of the organisation, please tick this box C.1.5. Contact Person Title Gender First Name Family Name Department Position Email Telephone 1 OLS Contact Person? If the address is different from the one of the organisation, please tick this box Page 6 of 26
C.2. Partner Organisation Erasmus+ PIC Full legal name (National Language) Full legal name (Latin characters) Acronym National ID (if applicable) Department (if applicable) Address Country Region P.O. Box Post Code CEDEX City Website Email Telephone 1 Telephone 2 Fax C.2.1. Profile Type of Organisation Is the partner organisation a public body? Is the partner organisation a non-profit? Total number of staff Total number of learners C.2.2. Background and Experience Please briefly present the partner organisation. Page 7 of 26
Erasmus+ What are the activities and experience of the organisation in the areas relevant for this application? Please give information on the key staff/persons involved in this application and on the competences and previous experience that they will bring to the project. C.2.3. Legal Representative Title Gender First Name Family Name Department Position Email Telephone 1 If the address is different from the one of the organisation, please tick this box C.2.4. Contact Person Title Gender First Name Family Name Department Page 8 of 26
Erasmus+ Position Email Telephone 1 If the address is different from the one of the organisation, please tick this box Page 9 of 26
C.3. Partner Organisation Erasmus+ PIC Full legal name (National Language) Full legal name (Latin characters) Acronym National ID (if applicable) Department (if applicable) Address Country Region P.O. Box Post Code CEDEX City Website Email Telephone 1 Telephone 2 Fax C.3.1. Profile Type of Organisation Is the partner organisation a public body? Is the partner organisation a non-profit? Total number of staff Total number of learners C.3.2. Background and Experience Please briefly present the partner organisation. Page 10 of 26
Erasmus+ What are the activities and experience of the organisation in the areas relevant for this application? Please give information on the key staff/persons involved in this application and on the competences and previous experience that they will bring to the project. C.3.3. Legal Representative Title Gender First Name Family Name Department Position Email Telephone 1 If the address is different from the one of the organisation, please tick this box C.3.4. Contact Person Title Gender First Name Family Name Department Page 11 of 26
Erasmus+ Position Email Telephone 1 If the address is different from the one of the organisation, please tick this box Page 12 of 26
Erasmus+ D. Main Activities D.1. Activities' Details Please enter the different mobility activities you intend to implement in your project. Activity No. Activity Type A1 Flow No. Country of Origin Country of Destination Distance Band Duration (full months) Duration (extra days) Total Duration Excluding Travel (days) Travel Days Total Duration Including Travel (days) No. of Participants Participants with Special Needs (out of total number of Participants) Accompanying Persons (out of total number of Participants) 1 Total Activity No. A2 Activity Type Flow No. Country of Origin Country of Destination Distance Band Duration (full months) Duration (extra days) Total Duration Excluding Travel (days) Travel Days Total Duration Including Travel (days) No. of Participants Participants with Special Needs (out of total number of Participants) Accompanying Persons (out of total number of Participants) 1 Total Page 13 of 26
Activity No. Activity Type Is this a long-term activity? Erasmus+ Flow No. Country of Origin Country of Destination Distance Band VET learners traineeships in vocational institutes abroad Duration (full months) Duration (extra days) Total Duration Excluding Travel (days) Travel Days Total Duration Including Travel (days) 1 1 0 30 2 32 No. of Participants Participants with Special Needs (out of total number of Participants) No. of apprentices (out of total number of Participants) Participants with Fewer Opportunitie s (out of total number of Participants) A3 Accompanying Persons (out of total number of Participants) Total 30 2 32 Page 14 of 26
Erasmus+ D.1.1. Summary of Activities and Participants Activity Type No. of Activities No. of Participants VET learners traineeships in vocational institutes abroad 1 0 Participants with Fewer Opportunities (out of total number of Participants) Total 1 0 0 Page 15 of 26
E. Budget Erasmus+ For further information please consult the Programme Guide for the overview of funding rules. Please note that all amounts must be expressed in Euros. E.1. Travel Activity No. Activity Type Flow No. Country of Origin Country of Destination Distance Band No. of Participants (including accompanying persons) Travel Grant per Participant Total Travel Grant Requested A1 1 A2 1 A3 VET learners traineeships in vocational institu 1 Total E.2. Individual Support Participants (Excluding Accompanying Persons) Accompanying Persons Activity No. Activity Type Flow No. Country of Destination Duration per Participant (days) No. of Participants (Excluding Accompanying Persons) Grant per Participant Duration per Accompanying Person (days) A3 VET learners traineeships in vocational insti 1 32 32 No. of Accompanying Persons Grant per Accompanying Person Total Grant Requested Total E.3. Organisational Support Page 16 of 26
Erasmus+ No. of Participants (excluding accompanying persons) Total Grant Requested E.4. Linguistic Support E.4.1. Linguistic Assessment Online linguistic assessment is obligatory for all VET Learners using either English, French, Italian, Spanish, German, Dutch, Swedish, Czech, Danish, Greek, Polish or Portuguese as a foreign language during mobility activities from 1 to 12 months. Number of participants that will do their mobility using English, French, Italian, Spanish, German, Dutch, Swedish, Czech, Danish, Greek, Polish or Portuguese. E.4.2. Language Course You can apply for support for language learning for your VET Learners. Support for language learning is available for VET Learner activities lasting from 1 to 12 months, either through access to language courses through the online linguistic support (OLS), or through a grant for languages/levels that are not available through the online tool. Language Group Group 1 (German, English, Spanish, French, Italian, Dutch) Group 2 (Other languages not included in group 1) E.5. Special needs' Support No. of Participants for language learning Grant per Participant Total Grant Requested Total Total 0.00 Activity No. Activity Type No. of Participants With Special Needs Description of Costs Total Grant Requested Total E.6. Exceptional Costs Page 17 of 26
Erasmus+ Activity No. Activity Type No. of Participants Description of Costs Total Grant Requested Total Please provide any further comments you may have concerning the above entered budget. Page 18 of 26
F. Project Summary Erasmus+ Please give an overview of the main activities and developments that you foresee whilst implementing your internationalisation strategy. Also give an overview of developments and changes of scope of the mobility flows themselves. If applicable, explain the need for accompanying persons. Please provide a translation in English. Page 19 of 26
Erasmus+ F.1. Summary of participating organisations Name of the Organisation Country of the Organisation Type of Organisation Total number of participating organisations excluding consortium members where applicable 3 Page 20 of 26
F.2. Budget Summary Erasmus+ The sum of previous sections representing the total grant requested for this application. Activity No. Activity Type Travel Individual Support Special Needs Support Exceptional Costs Total A1 0.00 0.00 A2 0.00 0.00 A3 VET learners traineeships in vocational institutes abroad 0.00 0.00 0.00 Total 0.00 0.00 0.00 Organisational Support Linguistic Support 0.00 F.2.1. Project Total Grant Grant Calculated 0.00 Page 21 of 26
G. Checklist Erasmus+ Before submitting online your application form to the National Agency, please make sure that it fulfils the eligibility criteria listed in the Programme Guide and check that: you have used the official Key-Action 1 application form. all relevant fields in the application form have been completed. you have chosen the correct National Agency of the country in which your organisation is established. the application form has been completed using one of the official languages of the Erasmus+ Programme Countries. you have annexed all the relevant documents: the Declaration of Honour signed by the legal representative mentioned in the application. the mandates of each member of the national mobility consortium (if applicable) signed by both parties. the mandates of each partner to the applicant signed by both parties. all participating organisations have uploaded the documents to give proof of their legal status in the participants portal (for more details, see the section "Selection Criteria" in Part C of the Programme Guide). for grants exceeding 60 000 EUR, you have uploaded the documents to give proof of your financial capacity in the participants portal (for more details, see the section "Selection Criteria" in Part C of the Programme Guide). Not applicable in the case of public bodies or international organisations. you are complying with the deadline published in the Programme Guide. you have saved or printed the copy of the completed form for yourself. Page 22 of 26
H. Data Protection Notice Erasmus+ PROTECTION OF PERSONAL DATA The application form will be processed electronically. All personal data (such as names, addresses, CVs, etc.) will be processed in pursuant to Regulation (EC) No 45/2001 on the protection of individuals with regard to the processing of personal data by the Community institutions and bodies and on the free movement of such data. Any personal data requested will only be used for the intended purpose, i.e.: - In the case of grant application forms: the evaluation of your application in accordance with the specifications of the call for proposals, the management of the administrative and financial aspects of the project if selected and the dissemination of results through appropriate Erasmus+ IT tools. For the latter, as regards the details of the contact persons, an unambiguous consent will be requested. - In the case of application for accreditation forms: the evaluation of your application in accordance with the specifications of the call for proposals, - In the case of report forms: statistical and financial (if applicable) follow-up of the projects. For the exact description of the collected personal data, the purpose of the collection and the description of the processing, please refer to the Specific Privacy Statement (see link below) associated with this form. http://ec.europa.eu/programmes/erasmus-plus/documents/epluslink-eforms-privacy_en.htm Page 23 of 26
I. Declaration of Honour Erasmus+ By participating in this call for proposals, the Charter beneficiary is acknowledging that it is still fulfilling the conditions of nonexclusion as in the Declaration of Honour that was previously signed when initially applying for the Charter. Place: Date (dd-mm-yyyy): Name of the applicant organisation: Name of legal representative: Signature: National ID number of the signing person (if requested by the National Agency): Stamp of the applicant organisation (if applicable): Page 24 of 26
J. Annexes Erasmus+ Please note that all documents mentioned in section "Checklist" need to be attached here before you submit your application online. File Name File Size (kb) Total Size Page 25 of 26
K. Submission Erasmus+ Before submitting the form electronically, please validate it. Please note that only the final version of your form should be submitted electronically. K.1. Data Validation Validation of compulsory fields and rules K.2. Standard Submission Procedure Online submission (requires internet connection) K.3. Alternative Submission Procedure If you cannot submit your form online you can still do it by sending an email to your National Agency within the 2 hours following the official deadline. The email must contain the complete electronic form and any file attachments you wish to send. You must also attach a snapshot of section "Submission Summary" indicating that this electronic form could not be submitted online. Your National Agency will analyse your situation and provide you with further instructions. K.4. Submission Summary This form has not been submitted yet. K.5. Form Printing Print the entire form Page 26 of 26