1. PARTICIPANT

Name of the city ►

Population size ►

Implementation Department / Legal form ►

Full address ►

Website (if any) ►

Name of the person(s) entitled to enter into legally binding commitments on behalf of the participant (indicate name and position) ►

2. CONTACT DETAILS

Contact person ►

Position of the contact person ►

E-mail address ►

Phone number ►

3. BANK DETAILS

Name of the bank ►

Address of the bank ►

Account holder name ►

Full account number (including bank codes) ►

IBAN (or BIC Code) ►

4. PROPOSED ACTION

1. Project overview: Please provide a description of the project as follows:

Title ►

Objective(s) ►

Activities ►

Partner institutions (if any) ►

Participating organisations/institutions (if any) ►

Expected results ►

Measurement indicators or monitoring tools►

2. Appropriateness and relevance of the action in accordance with the Intercultural Cities programme

Please explain how the project will contribute to the aims and objectives of the Council of Europe Intercultural Cities programme and the Building Inclusive Societies Action Plan. Please note in particular that the grants will fund projects designed to implement anti-rumours strategies that contribute to the sustainable development of an environment suitable for positive intercultural coexistence as well as in the prevention of racism. ▼

The main goal of the anti-rumours methodology promoted by the Council of Europe is to counteract negative stereotypes, commonplace and false rumours, which abound regarding immigration and cultural diversity, making interaction and coexistence difficult and leading to discriminatory attitudes and racism.

3. Potential impact on educational policy and practice in the participation countries

Please describe how the project will impact the political commitment, people’s participation and perception, and social practices in the city, including possible ways of evaluating such impact (6 months after the project) ▼

4. Potential for awareness raising at national and/or international level

Please describe how the project will contribute to increased visibility and awareness of the benefits of carrying out anti-rumours campaigns and of improving public perception of migrants, and specify what visibility material is expected to be produced (ex. video and/or audio products, coverage on relevant websites, the use of social media, coverage in specialised magazines, other publications) ▼

5. Participation of NGOs, youth organisations/associations, parents associations in the project design and implementation (if any)

Please describe how non-governmental organisations (local, national or international), youth organisations/associations and parents associations will contribute to the project design and implementation.  In particular, you might wish to provide an indicative list of organisations, number of organisations, methodology for cooperation, your previous experience with respect to cooperation and potential for sustainability for such cooperation. ▼

6. Action plan (non-mandatory)

Briefly present your plan for the implementation of activities until 31 December 2016 ▼

Activity

Oct

2016

Nov

2016

Dec

2016

5.        OPERATIONAL CAPACITY OF THE PARTICIPANT (where appropriate)

Indicate below how the participant intends to implement the proposed action (where applicable, indicate the involvement of third parties including providers) ▼

6.        CO-FUNDING

Please explain your available resources and needed resources to implement the project. Indicate below how the participant intends to contribute to the project (either by way of its own resources or by contribution from third parties). Co-financing may take the form of financial or human resources, in-kind contribution or income generated by the action.

Remark concerning the budget table (appendix II):  The budget will not cover operating costs of local and national administration personnel assigned to the project, but only direct, eligible costs such as travel, hotel, special costs associated to meetings (venue, interpretation, stationery, secretariat, etc.). Exception may be made for contracting national experts (working languages Portuguese, English or French) to help planning and coordinating project activities and inasmuch as non-governmental entities (local, national or international) are called in to participate in the project, for expertise and research, with standard fees being accepted as part of the budget. ▼

7.        DECLARATION

I, the undersigned, authorized to represent the participant, hereby certify that the information contained in this application is correct and that the organisation has not received or applied for any other Council of Europe funding to carry out the action which is the subject of this grant application.

I certify on my honour that the organisation is not in one of the situations which would exclude it from taking part in a Council of Europe grant award procedure, and accordingly declare that the organisation:

a. has not been sentenced by final judgment on one or more of the following charges: participation in a criminal organisation, corruption, fraud, money laundering;

b. is not in a situation of bankruptcy, liquidation, termination of activity, insolvency or arrangement with creditors or any like situation arising from a procedure of the same kind, or is not subject to a procedure of the same kind;

c. has not received a judgment with res judicata force, finding an offence that affects its professional integrity or constitutes a serious professional misconduct;

d. does comply with its obligations as regards payment of social security contributions, taxes and dues, according to the statutory provisions of the country where it is established.

8.        SIGNATURE

Name / First name of the Signatory ►

Title of position in the organisation of the participant submitting the proposal ►

Place of signature ►

Date of signature ►

Signature and official stamp of the participant ►