Pompidou Group

Pompidou Group European Prevention Prize 2021

Youth Innovation in Drug Prevention

Application Form

E-mail: [email protected]

INSTRUCTIONS

Please complete this application in full and return it as text attachment to the above e-mail address.

The applications must reach the Secretariat NO LATER THAN 30 November 2020

Applications submitted by post or fax cannot be considered.

The application must be in English or French, the official working languages of the Pompidou Group.

Please stick to the word limits indicated in the boxes: the Jury will not appreciate it if you exceed these.

Only fill in this form if the Project is currently running or has recently finished.

The Pompidou Group’s European Prevention Prize is not a grant. It is an award for work done.

For any queries, please see the FAQs,

or contact us via e-mail: [email protected].

A. PROJECT DETAILS

A.1. Name/Title of the Project
A.2. If the Project is part of an organisation, please give the organisation’s name
A.3. Country or countries of activities
A.4. Number of young people (aged under 25) engaged in the Project
A.5. Number of adults (aged 25 or over) engaged in the Project
A.6. Project start date
A.7. Is your Project currently running? (tick one box)	Yes	No
A.8. Project end date (if any)?

B. CONTACT DETAILS OF THE PROJECT

B.1. Full Name of applicant
B.2. Address
Postal Code		B.3. Telephone	+
City		B.4. E-mail
Country
B.5. If your Project has a Website or a Webpage related to it, please provide the link.
http://www.
B.6. If your Project uses social networking sites, please provide the link(s).

B.7.(In case we need to contact you to discuss the Project:) name and surname of a person who knows the Project and is able to speak about it in English or French (this could be the applicant, or someone else).

B.8. Contact details of this person, if different to the above
Telephone	+
Mobile	+
E-mail

C. PROJECT DESCRIPTION

Please provide precise and concise descriptions, and keep strictly to the word limits in this section of the application form. You have the opportunity to provide more details in a later part of the application form (see C.10.).

C.1. Is the Project solely concerned with drug prevention, or does it have other aims/goals and objectives/intended outcomes? (Tick one box)
Solely concerned with drug prevention	Concerned with drug prevention and other issues

C.2. What do you want your project to achieve? Please state the goals and objectives or intended outcomes of the Project as they relate to drug prevention. (Maximum 100 words / 575 characters)

C.3. Provide a summary of the Project. Focus especially on the drug prevention aspects and on the participation of young people. This question is in three parts. Please answer all three parts in the three boxes. (Maximum 1,000 words / 5750 characters)

a) Please describe the history and organisation of the Project: its structures, and reasons for existence.

(about 100 words)

b) Please describe the Project’s activities: what does it do with the client group(s), and what techniques does it use in its work? (about 500 words)

c) Please describe the Project’s accomplishments: what has it achieved? (about 400 words)

(a) The history and organisation of the Project: its structures, and reasons for existence. (about 100 words)

(b) The Project’s activities: what does it do with the client group(s), and what techniques does it use in its work? (about 500 words)

C.4. Please summarise how adults (if any) participate in the Project, their roles and responsibilities.

(Maximum 500 words / 2875 characters)

C.5. Please summarise how young people are actively involved in the Project.

(Maximum 500 words / 2875 characters)

C.6. Are young people involved in:
Item & Definition	Yes or No	If YES, describe how (You must answer this question)
Strategy Young people are involved in helping to create plans and strategies	Yes No
Structures Young people are involved in decision-making processes	Yes No
Systems Systems are in place to ensure and enshrine young people’s involvement	Yes No
Staffing Paid staff and adult volunteers (if any) work alongside young people and respect their contribution	Yes No
Development of skills and knowledge The contribution that young people’s experience can make to improve the service is acknowledged and utilised	Yes No
Management Young people have a role in the management of the project and have the power to hold adult staff and volunteers to account	Yes No
Delivery Young people are involved in the delivery of services and activities	Yes No
Assessment Young people are involved in the monitoring and evaluation of project activities	Yes No
‘Hard to Reach’ The Project involves so-called ‘difficult-to-reach’ young people	Yes No
‘Service User Involvement’ The Project involves young people who are recipients of the service offered	Yes No

C.7. Does the Project address issues of social equality? If yes, how? (How does it aim to reach stigmatised groups, or ensure fair participation by groups traditionally excluded, such as young people with disabilities, minority ethnic groups, etc.) (Maximum 100 words / 575 characters)

C.8. What is special about your project? (Maximum 100 words / 575 characters)

C.9. How would your Project use the Prize of €5.000? (Maximum 150 words / 863 characters)

C.10. You must include at least one, and at most three, items to support your application. List them here (what you send must match this list). If the materials are in a language other than English or French, it is helpful to supply (in English or French) subtitles, a transcript, or a summary.
	Item/content	Format	Language	Reason for inclusion
1
2
3

You can send them by post or e-mail but e-mail attachments must be less than five megabytes in size. File transfer websites should not be used to share material because the links may expire; video material could be posted on YouTube or another video-sharing website. The length of any video material submitted should not exceed five minutes per video.

The postal address (NOT for the application form; for supporting material only) is:

Prevention Prize, Pompidou Group, Council of Europe, Strasbourg, CEDEX 67075, France.

D.1. How did you hear about the Pompidou Group European Drug Prevention Prize?