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COM/2012/REGIO/EN/W/0006 Programme “Lifelong Learning Programme” COMENIUS Application form Comenius Regio Partnerships Contest 2012 Numer dokumentu: COM/2012/REGIO/EN/W/0006 Basic Data Programme Lifelong Learning Programme Sub-Programme COMENIUS Call for Proposals LLP Call for Proposals 2012 Action COMENIUS REGIO PARTNERSHIPS Deadline 21.02.2012 National Agency of the coordinating region PL1 - Poland Project title Health Education Concerning Addictions Prevention Project acronym Working language of the partnership EN - English Number of participating regions 2 Total number of local partners (both regions) 6 Name of the applicant institution in the coordinating region Gmina Tarnobrzeg Name of the applicant institution in the partner region Ayuntamiento de Picanya Comenius Strona 1 z 34 Comenius Regio Partnerships

Programme “Lifelong Learning Programme” COMENIUS Application form Comenius … · 2012. 12. 11. · the project will have to sign a letter of intent in which they express their

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Programme “Lifelong Learning Programme”COMENIUS

Application formComenius Regio Partnerships

Contest 2012Numer dokumentu: COM/2012/REGIO/EN/W/0006

Basic Data

ProgrammeLifelong Learning Programme

Sub-ProgrammeCOMENIUS

Call for ProposalsLLP Call for Proposals 2012

ActionCOMENIUS REGIO PARTNERSHIPS

Deadline21.02.2012

National Agency of the coordinating regionPL1 - Poland

Project titleHealth Education Concerning Addictions Prevention

Project acronym

Working language of the partnershipEN - English

Number of participating regions2

Total number of local partners (both regions)6

Name of the applicant institution in the coordinating regionGmina Tarnobrzeg

Name of the applicant institution in the partner regionAyuntamiento de Picanya

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General information

Before completing this form, please read the relevant sections in the Lifelong Learning Programme Guide and the 2012Call for Proposals published by the European Commission. Please consult also the website of your National Agency, whichcontains additional information on closing dates and National Agency addresses to which the application must be sent. A linkto the European Call for Proposals, the Programme Guide and further information such as Frequently Asked Questions canbe found on the Lifelong Learning Programme website:http://ec.europa.eu/education/comenius/doc854_en.htm

Comenius Regio Partnerships consist of two partner regions , one of which acts as a coordinator"for the project. The roleof the coordinating region (Partner region 1) is purely administrative; both partner regions have the same rights and obligationswith the partnership. In each partner region, the relevant authority is asked to involve at least one school and one otherorganisation in the project. The other organisation should make a significant contribution to the aims of the project. Only theauthority has to sign and submit the grant application on behalf of its region. It manages the project in its region. cite_note-1

This application form should be completed by the relevant authority in the coordinating region (Partner reg ion 1) of theproposed Comenius Regio Partnership, in close cooperation with the partner region (Partner region 2). It shall give full details ofthe Partnership including the details of all partners (regional/ local authorities and regional/ local partners), all planned mobilitiesand the grant requests for both partner regions. The coordinating region (Partner region 1) must send a copy of the completedform to the relevant authority in the partner region (Partner region 2). The authorities in both partner regions complete andsign the declaration and fill the information on the cover page of their individual copies. They submit their copy to their NationalAgencies by 21 February 2012 (date as postmark) attaching letters of intent from each of the organisations participat ingin their region . The partner region must not change any of the information contained in the form completed by the coordinatingregion; all copies must be identical except for the Declaration. Please note that the form should be completed well in advancebefore the deadline so that both participating regions are able to post its copy of the application on time.

In a case if beneficiary wants to indicate contribution to a budget of a project higher, than required minimum, please tick. Attention:ticking implicates, that rules concerning checking correctness of a construction the budget will be turned off.

Please note that each National Agency may request applicants to submit additional information in support of a Partnershipapplication. Each partner region should check the details of the applicat ion procedure on the website of its NationalAgency before submitting the form.

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CHECKLISTBefore submitting the application, please make sure that it fulfils the requirements listed below.

• Polish beneficiaries (coordinators as well as partners) submit application form, in working language of the project,electronically after registration on the website online.frse.org.pl.

• The application has been submitted by the applicant institution on the 21 February 2012 at the latest (postmark date).

• The application has been submitted using the correct application form.

• The application has been submitted according to the instructions published by the National Agency.

• The form is not hand written (except for the Declaration).

• The form has been completed in full.

• The form has been completed using one of the official languages of the EU.

• Part E (Requested funding) includes the Partnership type or the grant amount requested by the applicant institution formobilities.

• Part E (Requested funding) includes a budget for additional project costs or states that no grant for additional projectcosts is requested.

• The partnership consists of two regions, each one located in one of the countries participating in the Lifelong Learningprogramme.

• At least one participating region is located in a Member State of the European Union at the starting date of the Partnership.

• Each applicant institution is eligible to receive funding from this National Agency to participate in a Comenius RegioPartnership.

• In each partner region, at least one school and one other organisation will be involved in activities (in addition to theapplying local or regional authority).

• At least one of the schools involved in the Comenius Regio Partnerships in each applicant region is eligible in ComeniusSchool Partnerships.

• The form has been signed by the legal representative of the applicant institution or a person duly authorised by the legalrepresentative. Please note that in both regions (the coordinating region and the partner region) the applicant institutionis the local or regional authority with a role in school education.

• Letters of intent from all organisations participating in the respective partner region have been attached to the signedcopy submitted to the National Agency.

• Each participating institution has fulfilled its contractual obligations in relation to any earlier grants received from theNational Agencies concerned. (exclusion criterion)

• The application includes a grant request in euros.

1. cite_ref-1At application stage only the relevant authority signs the application form. The regional/ local partners involved inthe project will have to sign a letter of intent in which they express their intention to participate in the project.

Part A & B - Organisation

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A. Applicant and other organisation data

A.1 – OrganisationLegal NameGmina Tarnobrzeg (Tarnobrzeg Municipality)

Role in the ProjectPARTNER REGION 1 –LOCAL/REGION AUTHORITIESWITHA ROLE IN EDUCATION

- in Latin charactersGmina Tarnobrzeg (Tarnobrzeg Municipality)

Acronym – if applicable:

REGON:830409092

NIP:8672079199

Official addressKosciuszki 32

Postal code39-400

TownTarnobrzeg

CountryPoland

RegionPL 32-Podkarpackie

Websitehttp:// [email protected]

National AgencyPL1 - Poland

A.2 – Legal representativeNameMastalerz

First NameNorbert

PositionMayor of town

Official address ( - if not the same as above -)Kosciuszki 32

Postal code39-400

TownTarnobrzeg

CountryPoland

RegionPL 32-Podkarpackie

Telephone 148158226570

Telephone 2

[email protected]

Fax48158225281

A.3 - Contact personNameKura s

First namePaulina

PositionSubinspektor of Education

Official address (- if not the same as above -)Kosciuszki 32

Postal code39-400

TownTarnobrzeg

CountryPoland

RegionPL 32-Podkarpackie

Telephone 148158226570

Telephone 2

[email protected]

Fax

B. Organisation and activities

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B.1 StructureType of organisation:non-profit

Legal status of organisation:public

Geographical scope (region, municipality, etc)local

Organisation typePUB-LOC – Public authority (local)

Number of studentsmore than 5000

Number of employees251 - 500

B.2 Objectives and activities of the organisationPlease provide a short presentation of the organisation in relation to the thematic area covered by the project

Local public authority of Tarnobrzeg is an educational supervisor of all Tarnobrzegs schools and other educational institutionsresponsible for effective management and on time work of all of them. It initiates or supports all undertaken in the towncultural, educational, prophylactic and pedagogic actions. As the institution which is leading education has a lot of experiencein managing and coordinating different types of projects both regional and international.

Please describe the role of your organisation in the project

Institution is responsible for effective and on time realization of the project. It coordinates all project tasks and takes financialresponsibility for the project. One of the main task of it is presenting Polish educational system and innovations in managementto the partner. Institution also supports all the local partners in a project enabling them to use town properties and the projectspromotion.

B.3 Other European Union grantsDetails of projects in which your organisation has participated with the financial support of the European Union and which wererelated to education and training

Year Programme Agreement number Project title

2007 Comenius 07-POL-01-CO06-00378-3 Flying birds

2007 Comenius 07-POL-01-CO06-01073-2 Roots

2007 Comenius 07-POL01-CO06-01000-2 Detectives of history

2008 Comenius 2008-1-PL1-COM06-00948 1 Numbers and natural disasters- Water, Air, Energy

2008 Comenius 2008-1-PL1-COM06-00937 1 A joy of reading, a joy of creating

2008 Comenius 2008-1-AT1-COM06-00007 9 Open doors to Europe

2008 Leonardo da Vinci 07/LdV/M07/k/IVT/266 Transnational training in car machanic and electric- electronicsector

2009 Leonardo da Vinci 09-LdV-M09/k/06564/VETPRO/154

International process of teaching as a factor of teacher’sproffessional qualifications growth

2009 Comenius 2009-1-PL1-COM06-05282 1 With riversde - how to understand water and protect theenvironment

2009 Comenius 2009-1-PL1-COM06-05214 1 Creative computer science, creative teachers, creativestudents

2009 Comenius 2009-1-IT2-COM06-06287 4 European Jobs from the Past

2009 Leonardo da Vinci 09-LdV/M09/k/06199/IVT/096 Education in the scope of mechanics and car electronicengineering as Your European chance

2009 Comenius Regio 2009-1-PL1-COM13-05143 1 Better together than apart- How to build bridges instead ofwalls

2009 Young people inaction

11/300/2009 European Citizenship for Democracy

2010 Comenius 2010-1-ES1-COM06-20844 5 Plant a Future

2010 Comenius 2010-1-PL1-COM06-11399 1 Energy- Society- Environment

2010 Comenius 2010-1-CY1-COM06-00929 8 COME as you are BE (with) the others in EUrope

2010 Leonardo da Vinci 2010-1-PL1-LEO03-10252 Competent European teacher as a signpost of contemporarygraduate of vocational school

2010 Comenius Regio 2010-1-PL1-COM13-11553 1 Art and Sport as driving force of school development

2011 Comenius Regio 2011-1-TR-COM13-27443 2 Methods of Preventing Student’s Failure

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Year Programme Agreement number Project title

2011 Comenius 2011-1-TR1-COM06-24049 6 Europe’s Hidden History: Local Contributions to Our CommonHeritage

2011 Comenius 2011-1-ES1-COM06-34478 8 Global Entrepreneur’s Information Centre Promoting ourRegions

2011 Comenius 2011-1-IT2-COM06-24937 3 History tells us our story

2011 Comenius 2011-1-DE3-COM06-18883 4 Schools Communicating Understanding for BusinessAwareness

2011 Comenius 2011-1-TR1-COM06-23951 5 Different nations, one goal, Togetherness

2011 Young people inaction

11/140/2011 Differences Make Us the Same

A. Applicant and other organisation data

A.1 – OrganisationLegal NameGimnazjum nr 2 w Tarnobrzegu

Role in the ProjectPARTNER REGION 1 –SCHOOL/KINDERGARTEN

- in Latin charactersGimnazjum nr 2 w Tarnobrzegu

Acronym – if applicable:

REGON:831201637

NIP:8671919898

Official addressKopernika 18

Postal code39-400

TownTarnobrzeg

CountryPoland

RegionPL 32-Podkarpackie

Websitehttp://www.dwojka.tbg.net.pl

National AgencyPL1 - Poland

A.2 – Legal representativeNameKokoszka

First NameGrzegorz

PositionPrincipal of school

Official address ( - if not the same as above -)Kopernika 18

Postal code39-400

TownTarnobrzeg

CountryPoland

RegionPL 32- Podkarpackie

Telephone 148158233855

Telephone 248158231156

[email protected]

Fax48158231156

A.3 - Contact personNameAdas

First nameIwona

Positionschool pedagogist

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Official address (- if not the same as above -)Kopernika 18

Postal code39-400

TownTarnobrzeg

CountryPoland

RegionPL 32-Podkarpackie

Telephone 148158233855

Telephone 2784074050

[email protected]

Fax

B. Organisation and activities

B.1 StructureType of organisation:non-profit

Legal status of organisation:public

Geographical scope (region, municipality, etc)local

Organisation typeEDU-SCHSec – General secondary school

Number of students251 - 500

Number of employees51 - 250

B.2 Objectives and activities of the organisationPlease provide a short presentation of the organisation in relation to the thematic area covered by the project

In our school, Gimnazjum number 2, there are 271 students. Our school is very deeply concerned in universal development ofthe teenagers. From 2001, we are the active participant of “ School Promoting Health” programe.One of its aims is connected with promotion of healthy life style. What is more, we pay our attention to such behavior which aregood for health, which are the alternative for pathology: alcoholism and drug abuse.Now, we are trying to achieve the National Certificate of School promoting healthy life style. That is why, we take part inmany activities of this kind. We put into practice preventive actions. From 2004 we have had sport classes, which are led inaccordance with the guidelines of The Ministry of Sport and Recreation ( signed in 2002 concerning the formation of sportclasses). One of the classes is the sport class which is deeply oriented into football under the patronage of the mayor ofTarnobrzeg. Apart from that, we have taken part in educational- preventive program, ‘Keep fit’ which the crucial aim is topropagate the healthy life style and the physical activity.We are convinced that the teenagers from 13 to 16 years old are very susceptible to risky behaviors. It is wildely known thatteenagers search for different kind of drug substances. It is the time in their lives when they start “ the adventure with drugs”which has the horrible consequences for the rest of their lives. That is why, we decided to carry on our activities in Regio project.

Please describe the role of your organisation in the project

Gimnazjum number 2 is the school which cooperates with the partner from Spain. Our aim is to work out the details of projectand the supervision of its successful realization according to the schedule. We will be responsible for the partners’ visits in ourcountry, conferences, seminars and workshops. We will also focus on the promotion of the project in local media. We will firmlycooperate with the partners. We will manage the Internet page of the project up to date, also the implementation of the projecttasks. We will carry out the final products of the project. We will plan and do the evaluation of the project.

B.3 Other European Union grantsDetails of projects in which your organisation has participated with the financial support of the European Union and which wererelated to education and training

Year Programme Agreement number Project title

2008 ComeniusMultilateralPartnership

2008-1-PL1-COM06-00948 1 Numbers and natural disasters – Water, Air, Energy

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A. Applicant and other organisation data

A.1 – OrganisationLegal NameStowarzyszenie Profilaktyczne „Brzeg” (Association „Brze g”)

Role in the ProjectPARTNER REGION 1 – OTHERORGANISATION

- in Latin charactersStowarzyszenie Profilaktyczne „Brzeg” (Association „Brze g”)

Acronym – if applicable:

REGON:831355027

NIP:8672037054

Official addressKossaka 1

Postal code39-400

TownTarnobrzeg

CountryPoland

RegionPL 32-Podkarpackie

Websitehttp://www.spbrzeg.tbg.net.pl

National AgencyPL1 - Poland

A.2 – Legal representativeNameNagaba-Wójcik

First NameMaria

PositionChairwoman of Association

Official address ( - if not the same as above -)Kossaka 1

Postal code39-400

TownTarnobrzeg

CountryPoland

RegionPL 32-Podkarpackie

Telephone 1602317699

Telephone 2

[email protected]

Fax

A.3 - Contact personNameNagaba-Wójcik

First nameMaria

PositionChairwoman of Association

Official address (- if not the same as above -)Kossaka1

Postal code39-400

TownTarnobrzeg

CountryPoland

RegionPL 32-Podkarpackie

Telephone 1602317699

Telephone 2

[email protected]

Fax

B. Organisation and activities

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B.1 StructureType of organisation:non-profit

Legal status of organisation:public

Geographical scope (region, municipality, etc)national

Organisation typeNFP-ASC – Non-profit association

Number of students0

Number of employees0

B.2 Objectives and activities of the organisationPlease provide a short presentation of the organisation in relation to the thematic area covered by the project

The main aim of The Association is connected with carrying out the preventive and psychoeducational activities, especiallydifferent psychopreventive workshops for children and teenager, their support (psychological, pedagogy, preventive classes).Another aim is connected with team and individual therapy, the diagnosis of different social pathologies, parents support inthe course of children education, psychological support for unemployed teenagers, integration and cooperation with otherinstitutions.Preventive Association “ Brim” was found in 2003. From this time, it has carried out a range of activities for childrenand teenagers concerning the addiction and educational matters. The members of the association are the pedagogues,psychologists, teachers with the preventive skills and also the coaches of Polish Psychological Association.The Preventive Association “ Brim” did not use any finance from the European Union, however it took part in some other localprojects such as:-2004- “ The prevention at school and at home”- the project partially financed byThe Marshal Council of Podkarpackie Province”-2005- Risky teenagers behaviours, “ My child and drugs”- the project carried out with the financial support of The Town Councilof Tarnobrzeg-2006-Counteraction of aggression and violence “ Live healthy without drugs”-the project partially financed by the Town Council of Tarnobrzeg-2007- The preventive program for children and teenagers: The Brim-I know, I can,I resolve”- the project partially financed by the Town Council of Tarnobrzeg-2008- The association cooperated with MOPR in Tarnobrzeg while the completion of the project entitled “ The time for activityin Tarnobrzeg Commune”. The association carried out different activities connected for example with raising the social andvocational competence ( different kind of dysfunction, group and individual therapy)-Preventive Project- “ I do not take, I am free, I am happy”

Please describe the role of your organisation in the project

The Association is responsible for the help and the supervision of school in all the project activities. It will also be the co-organizer of conferences and seminars in your town. Its aim will be collecting and studying the data connected with addictionproblems. The Association will carry out the workshops and meetings for parents and teachers concerning the addictionmatters. All these activities will lead to fulfillment of mentioned results.

B.3 Other European Union grantsDetails of projects in which your organisation has participated with the financial support of the European Union and which wererelated to education and training

A. Applicant and other organisation data

A.1 – OrganisationLegal NameAyuntamiento de Picanya

Role in the ProjectPARTNER REGION 2 –LOCAL/REGION AUTHORITIESWITHA ROLE IN EDUCATION

- in Latin charactersAyuntamiento de Picanya

Acronym – if applicable:

REGON: NIP:

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Official addressPlaza Espanya, 1

Postal code46210

TownPicanya

CountrySpain

RegionValencia

Websitehttp://www.picanya.org

National AgencyES1 - Spain

A.2 – Legal representativeNameAlmenar I Navarro

First NameJosep

PositionMayor

Official address ( - if not the same as above -)

Postal code46210

TownPicanya

CountrySpain

RegionValencia

Telephone 1961 594 460

Telephone 2

[email protected]

Fax

A.3 - Contact personNameJiménez

First nameEmilia

PositionCounsellor

Official address (- if not the same as above -)

Postal code Town

Country Region

Telephone 1961 594 460

Telephone 2

[email protected]

Fax

B. Organisation and activities

B.1 StructureType of organisation:non-profit

Legal status of organisation:public

Geographical scope (region, municipality, etc)local

Organisation typePUB-LOC – Public authority (local)

Number of students501 - 2000

Number of employees21 - 50

B.2 Objectives and activities of the organisationPlease provide a short presentation of the organisation in relation to the thematic area covered by the project

Local public authority in Picanya is responsible for the coordination of public schools in the municipality. It is the head of the

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Municipal School Council. It is also responsible for the local police. In that respect it is aware of the dangers of addictionsamong teenage inhabitants of the municipality and responsible for their prevention and the resolution of problems caused bythem.

Please describe the role of your organisation in the project

Institution is responsible for effective and on time realization of the project. It coordinates all project tasks and takes financialresponsibility for the project. Institution also supports all the local partners in a project enabling them to use town propertiesand the projects promotion. It will coordinate activities and help in the dissemination of results.

B.3 Other European Union grantsDetails of projects in which your organisation has participated with the financial support of the European Union and which wererelated to education and training

A. Applicant and other organisation data

A.1 – OrganisationLegal NameIES Enric Valor

Role in the ProjectPARTNER REGION 2 –SCHOOL/KINDERGARTEN

- in Latin charactersIES Enric Valor

Acronym – if applicable:

REGON: NIP:

Official addressCL La Senyera, 35

Postal code46210

TownPicanya

CountrySpain

RegionValencia

Websitehttp://iesenricvalor.edu.gva.es

National AgencyES1 - Spain

A.2 – Legal representativeNameGil Fornés

First NameJosep Vicent

PositionHeadmaster

Official address ( - if not the same as above -)

Postal code46210

TownPicanya

CountrySpain

RegionValencia

Telephone 1961 591 010

Telephone 2

[email protected]

Fax961 591 934

A.3 - Contact personNameGarcía Bonifaz

First nameJavier

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PositionTeacher

Official address (- if not the same as above -)

Postal code Town

Country Region

Telephone 1963579804

Telephone 2689411715

[email protected]

Fax

B. Organisation and activities

B.1 StructureType of organisation:non-profit

Legal status of organisation:public

Geographical scope (region, municipality, etc)local

Organisation typeEDU-SCHSec – General secondary school

Number of students501 - 2000

Number of employees51 - 250

B.2 Objectives and activities of the organisationPlease provide a short presentation of the organisation in relation to the thematic area covered by the project

It is the only public secondary school in the municipality. Most teenagers in the municipality study at our school and we carryout workshops and research concerning healthy habits and problems with addictions among our students. Lately our studentshave taken part in a workshop on the dangers of social networks. Our school is very active in promoting healthy lifestyles, aswell as environmentalist attitudes.There is always a campaign going on in our school to make our students aware of the world we live in. That includes campaignsto collect food for people in need, lessons to learn about recycling and workshops on the pros and cons of the use of newtechnologies.For all that, we want to broaden our objectives by teaching them about the dangers of addictions and the benefits of keeping ahealthy body by leading a healthy life. It is in that respect that we consider this Comenius Regio project the perfect frameworkfor doing so.

Please describe the role of your organisation in the project

Our students are the main goal of the project. All activities will have them as the main beneficiaries and objects of research.One of our concerns is that our youth follow lead healthy lifestyles. The activities will be carried out in our school and theparticipants will be our students. We will work in coordination with the Town Council and help in the dissemination of results.We will be responsible for the partners’ visits in our country, conferences, seminars and workshops. We will also focus on thepromotion of the project in local media.

B.3 Other European Union grantsDetails of projects in which your organisation has participated with the financial support of the European Union and which wererelated to education and training

A. Applicant and other organisation data

A.1 – OrganisationLegal NameInstituto Multidisciplinar para el desarrollo económico y social

Role in the ProjectPARTNER REGION 2 – OTHERORGANISATION

- in Latin charactersInstituto Multidisciplinar para el desarrollo económico y social

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Acronym – if applicable:IMPADES

REGON: NIP:

Official addressCamí Nou, n o 49, pta. 6 a

Postal code46910

TownBenétusser

CountrySpain

RegionValencia

Websitehttp://www.impades.com

National AgencyES1 - Spain

A.2 – Legal representativeNameCampillos Pastrana

First NameIgnasi

PositionPresident

Official address ( - if not the same as above -)

Postal code Town

Country Region

Telephone 1961172151

Telephone 2626414827

[email protected]

Fax

A.3 - Contact personNameCampillos Pastrana

First nameIgnasi

PositionPresident

Official address (- if not the same as above -)

Postal code Town

Country Region

Telephone 1961172151

Telephone 2626414827

[email protected]

Fax

B. Organisation and activities

B.1 StructureType of organisation:non-profit

Legal status of organisation:Private

Geographical scope (region, municipality, etc)regional

Organisation typeNFP-ASC – Non-profit association

Number of students0

Number of employees1 - 20

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B.2 Objectives and activities of the organisationPlease provide a short presentation of the organisation in relation to the thematic area covered by the project

IMPADES is a non-profit organization created in 2009 to promote social development. IMPADES want to improve life’s qualityfor children, teenagers and adults. We develop programmes aiming at improving life’s quality and preventing risky behaviours.IMPADES works in job counselling, socio-educational activities with children and teenagers, with the aim of promoting a healthyeducation. We believe in volunteering, teamwork, associationism and support among different organizations.

Please describe the role of your organisation in the project

IMPADES will be responsible for carrying out the workshops for teachers and students related to the project. We have gotexperience in the preparation of workshops with teenagers about risky behaviours, related to social networks and addictions.From our experience we will show how to avoid dangers and what the risks of addictions are. We will work in coordination withthe Town Council and IES Enric Valor, not only to carry out workshops, but also in counselling them about the rest of initiativesinvolved in the project.

B.3 Other European Union grantsDetails of projects in which your organisation has participated with the financial support of the European Union and which wererelated to education and training

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8. Declaration

To be signed by the person legally authorised to enter into legally binding commitments on behalf of the applicant institution.This Declaration must be separately completed and signed by each applicant institution in its copy of the application.

I, the undersigned,

Request from my National Agency a grant for my organisation as set out in section E of this application form.

Declare that:

• * All information contained in this application, is correct to the best of my knowledge.

• * The organisation I represent has the adequate legal capacity to participate in the call for proposals.

EITHER

The organisation I represent has financial and operational capacity to complete the proposed action or work programme

OR

The organisation I represent is considered to be a "public body"in the terms defined within the Call and can provide proof, ifrequested of this status, namely: It provides learning opportunities and

• * Either (a) at least 50% of its annual revenues over the last two years have been received from public sources;

• * Or (b) it is controlled by public bodies or their representatives

I am authorised by my organisation to sign Community grant agreements on its behalf.

Certify that:

The organisation I represent:

• * is not bankrupt, being wound up, or having its affairs administered by the courts, has not entered into an arrangementwith creditors, has not suspended business activities, is not the subject of proceedings concerning those matters, nor isit in any analogous situation arising from a similar procedure provided for in national legislation or regulations;

• * has not been convicted of an offence concerning its professional conduct by a judgment which has the force of ‘resjudicata’;

• * has not been guilty of grave professional misconduct proven by any means which the National Agency can justify ;

• * has fulfilled its obligations relating to the payment of social security contributions or the payment of taxes in accordancewith the legal provisions of the country in which it is established or those of the country where the grant agreement is tobe performed;

• * has not been the subject of a judgment which has the force of ‘res judicata’ for fraud, corruption, involvement in acriminal organisation or any other illegal activity detrimental to the Communities’ financial interests;

• * it is not currently subject to an administrative penalty referred to in Article 96(1) of the Financial Regulation (CouncilRegulation 1605/2002 of 25/06/02, as amended).

Acknowledge that:

The organisation I represent will not be awarded a grant if it finds itself, at the time of the grant award procedure, in contradictionwith any of the statements certified above, or in the following situations:

• * subject to a conflict of interest (for family, personal or political reason or through national, economic or any other interestshared with an organisation or an individual directly or indirectly involved in the grant award procedure);

• * guilty of misrepresentation in supplying the information required by the National Agency as a condition of participationin the grant award procedure or has failed to supply this information.

In the event of this application being approved, the National Agency has the right to publish the name and address of thisorganisation, the subject of the grant and the amount awarded and the rate of funding.

I acknowledge that administrative and financial penalties m ay be imposed on the organisation I represent if it is guiltyof misrepresentation or is found to have seriously failed to meet its contractual obligations under a previous contractor grant award procedure.

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PROTECTION OF PERSONAL DATA

The grant application will be processed by computer. All personal data (such as names, addresses, CVs, etc.) will beprocessed in accordance with Regulation (EC) No 45/2001 of the European Parliament and of the Council of 18 December2000 on the protection of individuals with regard to the processing of personal data by the Community institutions and bodiesand on the free movement of such data. Information provided by the applicants necessary in order to assess their grantapplication will be processed solely for that purpose by the department responsible for the programme concerned. On theapplicant’s request, personal data may be sent to the applicant to be corrected or completed. Any question relating to thesedata, should be addressed to the appropriate National Agency to which the form must be submitted. Beneficiaries maylodge a complaint against the processing of their personal data with the European Data Protection Supervisor at anytime.(http://www.edps.europa.eu/00_home.htm).

................................................................................................ ................................................................................................

Place: Date:

................................................................................................ ................................................................................................

Name of the applicant organisation: Position within the organisation:

................................................................................................ ................................................................................................

Signature: Stamp of the organisation:

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C. Description of proposed partnership

Please note that this section must be completed jointly by both partner regions and must be identical in each copy submitted toeach the National Agency

C.1 Summary

Abstract of the project in own language: (max. 200 words)Projekt zatytułowany „Edukacja zdrowotna w zakresie profilaktyki uzaleznien” bedzie realizowany przez dwa regionyreprezentowane przez Gmine Tarnobrzeg (Polska) i Ayuntamiento de Picanya (Hiszpania) przy współpracy szkół: Gimnazjumnr 2 w Tarnobrzegu i IES Enric Valor de Picanya oraz Stowarzyszeniem Profilaktycznym „Brzeg” w Tarnobrzegu wraz z InstitutoMultidisciplinar para el desarrollo económico y social w Benétusser. Wspólnie okreslimy przyczyny uzaleznien wsród młodziezygimnazjalnej i ich zapobieganie poprzez badania, ankiety. Realizujac projekt skupimy sie na działaniach, które beda polegacna systematycznym prowadzeniu w srodowisku szkoły edukacji prozdrowotnej, promocji zdrowia i zdrowego stylu zycia wsróddzieci i młodziezy, rodziców oraz nauczycieli. Nawiazemy scisła współprace z rodzicami w zakresie działan wychowawczych izapobiegawczych, prozdrowotnych oraz interwencyjnych. Podejmujac działania profilaktyczne w naszych szkołach bedziemykorzystali z doswiadczenia i wiedzy lokalnych organizacji zajmujacych sie tym problemem. Rezultatem współpracy europejskiejbedzie wypracowanie i wprowadzenie metod zapobiegania uzaleznieniom wsród młodziezy szkolnej co przyczyni sie dozmniejszenia skali tego zjawiska. Dodatkowo celem projektu bedzie ustanowienie długoterminowej edukacyjnej współpracyi wymiany najlepszych praktyk pomiedzy uczestnikami.

Abstract of the project in English: (max. 200 words) This par t might be used for publicationThe project „ Health Education Concerning Addictions Prevention” will be done by two regions represented by TarnobrzegCommunity ( Poland ) and Ayuntamiento de Picanya( Spain) with the cooperation of Gimnazjum number 2 in Tarnobrzeg andIES Enric Valor de Picanya, the Association „Brzeg” in Tarnobrzeg and Instituto Multidisciplinar para el desarrollo económico ysocial in Benétusser.We will concern the reasons of different addictions among teenagers and also the prevention treatment with the usage of surveyand researches. We will focus on different kind of activities which aim will be connected with health education, health promotionand healthy lifestyle among children, teenagers, parents and teenagers at school. We will begin firm cooperation with parentsconcerning educational, preventive or intervention activities. We will use any experience and knowledge of local organizationsconnected with addictions matters.In the result of our activities we will work out and introduce the methods of prevention among school teenagers which willlead to the reduction of addictions. The additional aim of the project will be connected with our long term cooperation, that is:educational, the exchange of experience connected with “ The best practice” among the participants of the project.

C.2 ContextWhat is the general context of each region involved in the proposed Partnership and with regard to education? Is there aspecific context as for example specific economical problems, specific needs due to demographic, socio-economical or otherfactors (e.g. many young people at risk of social exclusion, lacking resources for pupils or learners with special needs, increaseof the number of migrants and refugees)? If so, please explain

The degree of risk caused by intoxicating substances to children and adolescents is really alarming, what is more, it is also asocial problem. Therefore, it requires diagnosis and taking effective preventive actions.The period of growing up is a time which is particularly vulnerable to disturbances and undertaking risky behaviors. Junior-secondary school students, start to experiment at this age with various ”novelties”. We realize that this problem relates to youngpeople around the world.A school is the place to implement primary prevention, which is mainly based on promoting healthy lifestyle and prevention ofaddictions.In Poland, the obligation to develop and implement a school prevention program was introduced in 2002. However, despitethese actions, alcohol and drug problems increase size among students. In addition, in the families of our students are growingunfavorable phenomena such as unemployment, weakening family ties, the increase of conflicts. More and more studentsgrow up in broken families or in the temporary absence of one parent. Unmet needs in the family cause a desire to find anacceptance in the peer group, not always having a good effect, and not giving good role models.Addiction often begins in adolescence period but we suffer its consequences for the whole lifetime(Social maladjustment, interrupted education, lack of occupation, job or family loss, and even homelessness).Therefore, we would like, together with our partner, to develop effective methods of preventing addictions. We want to knowand compare the legal regulations in the field of prevention in our countries. We will focus on methods and forms of addictionsprevention, and discuss our problems to jointly find the solutions. We will analyze the effectiveness of measures taken andimplemented prevention programs as well as compare the strategies of prevention activities in our countries.The project implementation will be used as an important element in the process of applying for the National Certificate of HealthPromoting School. We would like to participate in the Regio program because we want to offer young Europeans a creative wayof spending free time-as an alternative to the monotony and negative behaviors. We want to raise the quality of our schools inthe field of preventive and educational activities.

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C.3 Objectives of the partnership and relevance to the objec tives of the programmeWhat are the concrete objectives of the partnership?Explain what subjects or problems you intend to addressWhat approachwill you take to achieve your objectives?

I.The aims of the projectThe main aim of the project is connected with different addictions and their prevention treatmentSpecific aims:1.The comparison of the scale of this phenomena among teenagers and the measures of their prevention2.Promotion of healthy habits of everyday life3.Making the suggestions of active and healthy ways of spending free time to young European people as an alternative to avoidrisky and inappropriate behavior4.Enhancement of school cooperation with local institutions concerning addiction matters5.Better cooperation with parents6.Experience exchange, the comparison of methods of activity connected with prevention treatment of addictions7.Teenagers encouragement to undertake different forms of activity which aim is to develop their interests8.The growth of self esteem and also self management with difficult situations9.Intensifying educational activity of school in social and European dimension10.Improving innovation and creativity among teachers and also gaining new experience connected with educational andpreventive activities11.Quality improvement of school work and its prestige on the local groundII.In order to achieve the aims of the project we have to indicate the reasons and determinata of searching for stupefyingmeans in partnership schools and examine the scale of the problem. We are deeply convinced that we are not able to preventaddictions effectively, if we do not indicate exactly the reasons of the addictions. Otherwise, our prevention treatment will focuson struggling the symptoms rather than their reasons.We will discuss what kind of researchers have been done in our regions. We will make the diagnosis about the addictionproblems in our schools. On the basis of the diagnosis we will indicate the methods which will help us to prevent differentaddictions- we will apply them in our institutions. We will define and concentrate on strengthening the prevention measureswhich are to eliminate, prevent and weaken the risk factors. We will analyse the reasons of low effectiveness of existingpreventive programs. Each school will present its own procedure advance in dangerous situations connected with stupefyingmeans. We will exchange our experience and compare the effectiveness of our activities. They will be connected withpermanent health education, health promotion and healthy lifestyle among children and teenagers, parents and teachers.We will cooperate with parents on the ground of health education, health promotion and healthy lifestyle among children andteenagers, parents and teachers.We will also cooperate firmly with parents as far as educational, preventive, intervention and healthy aspects are concerned.We will organize training appointments for teachers which aim will be the improvement of preventive aspects and other teenagerproblems.We will discuss the aspect of precocious intervention in dangerous situations. We will try to establish preventive factors whichare to help the teenagers- self esteem, dealing with different emotions, strengthening the ties within the families, improvingthe assertive. We will guarantee the active participation in preventive classes which are the alternative for fulfilling social andpsychological needs. We will support all the teenagers who are in danger of addictions. We will improve their self esteem,motivate them to different kind of activities, develop their interests. We will also concentrate on the matter of alcohol, drug andnicotine addictions and also ubiquitous drugs. We will deeply concentrate on the aspect of propagation of reliable informationabout this phenomenon and also on the appropriate development of child’s personality.III.In order to achieve the mentioned aims, we will apply varied work methods. These will be meetings with specialists, debates,discussions, film presentations and other preventive materials. We will conduct art and literature competitions and quizzes. Wewill arrange motive activities- sport activities, competitions, bike trips, raids, fires. We will use project method, we will take partin social campaigns, organize town preventive actions. In order to achieve these aims we will work in team groups.

C.4 Work programme and project management1. Work programme1) Please outline the main activities planned.

The project includes 6 meetings-3 in Spain and 3 in Poland. The general number of mobilities is 24 for each partner country.The schedule of work includes all the activities which are going to take place during our partnership meetings and also thosetasks which will be done between the meetings.During our trips we will focus on the knowledge and experience connected with the methods of prevention of different addictions.We will arrange seminars, conferences and workshops. The tasks which will be included during the meetings are:-the results of the tasks taken by both schools between the meetings-discussions, comparisons of the researches results, polls-comparison of legal aspects connected with addictions and also legal basis of taken activities at schools-experience and work method exchange with students-region presentation and also the visits in partnerships institutions-the acquaintance with local surroundings and other institutions which are involved in preventive activities

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-the acquaintance with the education systems of partnership schools-working out shareable methods connected with addictions preventionBetween the meeting, we will focus on the following tasks:- information campaign ( September- 2012)-preparation of researches methods: surveys, questionnaires( during the course of the project- according to the plan)-researches, gathering different information, making conclusions during the project-multimedia, brochures, articles presentations connected with the analyses made-conferences and seminars-class activities, workshops, chats and meetings and also integration classes for students-students’ competitions-different school events connected with healthy life style-arranging workshops and meetings for parents-town anti-nicotine actions with students participations-the study of work methods which aim is to prevent addictions among teenagers-presentation and propagating the effects of the activities connected with the project ( March 2013, November 2013 and June2014)-the Internet page of the project, presenting the current results of work of each partner school-the reception of the participants of the partner school ( food, accommodation, transport and all the matters connected with themobilities)-the study and the implementation of final products ( DVD films, multimedia presentations, reports, articles and brochures)-the evaluation of the project-according to the schedule-the review of the project and the consideration of its results: mid-project evaluation ( June 2013) and the final review ( June2014)

2) Please also describe the outcomes/results foreseen.

The activities undertaken within the framework of the project will contribute to the increase in the awareness of threats existingin today‘s world, especially those resulting from taking psychoactive substances. This awareness will enable to include in theprogramme the activities broadening pupils‘, parents‘, and teachers‘ knowledge as well as developing the ability to recognizethose threats. They will also learn how to react properly in case of facing the problem of addiction.The tasks carried out within the period of the project will contribute to the implementation of the activities concerning addictionprevention, which will be supported by experience gained during partnership cooperation. Conducting surveys, organizingseminars, workshops will enable the teachers to improve their teaching techniques and use them in everyday education process.Expected results:-decrease in the number of pupils taking addictive substances-gaining new knowledge in education process-raising awareness of the problem in the local environment and making efforts to solve it-strengthening cooperation between local and foreign partners in the joint project and process of solving the problem of addiction-developing and strengthening mutual intercultural comprehension and tolerance-sharing the best experience concerning prevention-improving teaching skills of the project participants-promoting European cooperation in media and in local environment-improving the knowledge of local culture, education and customs of partner regions.

3) Describe briefly the work programme of your partnership. Please note that a detailed list of activities has to be filled in sectionD.

Programme of activities:1. Creating a project team. Draft meeting of the group of teachers coordinating the project work. Informing pupils and theirparents about the topic of the project and the ways of running it.2. 1st partner meeting in Tarnobrzeg.3. Promoting the project in local media – accounts of the meeting in Tarnobrzeg.4. Campaign “A day without a cigarette”.5. Workshops for pupils about addiction prevention held by cooperating institutions.6. Parent education – workshops held by cooperating institutions.7. Conducting surveys among students about risk behaviour – analysing the results.8. 2nd partner meeting in Pinacya.9. Promoting the project in local media - accounts of the meeting in Pinacya.10. Organising local Days against Addictions – contests, conferences.11. Campaign “Keep Sober Mind”.12. 3rd partner meeting.13. Promoting the project in local media – accounts of the meeting in Tarnobrzeg.14.Summarising the 1st year of project work.15. Starting 2nd year of project work – draft meeting of the teachers coordinating the project work, assigning tasks.16. Workshops for teachers and school staff.

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17. Conducting surveys among pupils, analysing the findings.18. 4th partner meeting in Pinacya.19. Promoting the project in local media – accounts of the meeting in Pinacya.20. Promoting healthy lifestyle among pupils – sports activities, cycling trips, rides.21. Activities for pupils concerning health education.22. Conducting an educational preventive campaign “Stimulants can destroy your life-know the facts”.23. Parent education-workshops held by cooperating institutions.24. 5th meeting in Tarnobrzeg.25. Promoting the project in local media – accounts of the meeting in Tarnobrzeg.26. Health Day celebration.27. 6th summarising meeting in Pinacya.28. Conducting an evaluation survey.29. Disseminating final results of the project – meeting with local authorities.30. A year after the completion of the project – organising a video conference with participation of both partner regions,presenting the activities concerning addiction prevention and their results in the school year 2014/2015.

2. Distribution of tasksPlease explain the distribution of tasks between participating regions and the inputs required from eachof them. Indicate the specific role of each partner region and each involved institution or organisation and its contribution to theplanned activities, results and outcomes.

1.The division of tasks in the international groupPartner region number 1-international coordinator-the supervision of the implementation of the project-current overlook of the schedule-permanent contact with Spanish partner-providing the efficient exchange of information-openness to any partner suggestions, the help in solving the problems-gaining and placing the current results of work on the Internet page of the project-the arrangement of 1,3,5 meeting-the coordination of work connected with the evaluation and the study of its results ( survey, researchers tools, the arrangementof schedule and people responsible for the particular activity)-arrangement and current management of the Internet page of the projectPartner Region number 2-international partner-current contact with the Coordinator-submitting any suggestions connected with the tasks of the project and the possible help in solving the problem-regular systematization of work done-sending the results of work to the Coordinator in order to place them on the Internet page of the project, setting up the commonbase of final products of the projectBoth regional partners-the implementation of the schedule (according to the plan and time)-the implementation of programs of partnership visits in their own towns, the arrangement and its efficient course-responsibility for the conferences and seminars in their regions-active and efficient cooperation with the local institutions taking part in the project-making the DVD film and the presentations connected with the partnership visits in their town-forming the final products, such as :CD’sDVD filmsmultimedia presentationsbrochurespublications2.The division of tasks in the local group and Tarnobrzeg community- local Coordinators in the project-arranging local conferences, seminars with the help of different institutions within the region ( according to the detailed scheduleof work)-the responsibility for the division of tasks and the communication within the local partner institutions-providing professional advising and help in fulfilling the tasks and solving possible problems-performing the assigned tasks of the local partners on time ( according to the schedule)-coordination of tasks connected with the partnership meetings-presenting its own region during the partnership visit ( in the partner region)Schools-local partners in the project-the study of the details of the project-fulfilling the planned tasks on time-presenting the results of work-Polish school will create the Internet page of the project –its current management-arranging the guest visit during the partnership meetings-undertake various activities in order to promote the project and international cooperation on the local area-making the final products of the project

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-arranging and fulfilling on time the evaluation of the projectOrganizations-local partners in the project:-taking part in fulfilling all the project activities-co-organizer of the conferences and seminaries in its own town-responsibility for collecting and studying the data connected with the addiction problems in its own country-presenting the results of work during the seminars and partnership meetings-supervising and helping the school in completion of the planned tasks-workshops among students and meeting with parents-arranging the training for teachers connected with the preventive addictions

3. Project management and communicationPlease describe briefly the way you intend to manage your project. Please explainhow effective cooperation and communication between participating regions and the different actors in each region will beorganised.

1.The management of the project- the coordinator will currently supervise the punctual completion of the tasks (according to a monthly schedule)- partner will regularly send the results of their work (presentations, videos, reports, photos etc.) to the coordinator who will putthem on www pages of the project- the planned tasks will be suited to the possibilities and conditions of particular regions- during every meeting, partners will make a discussion which aim is to make conclusions about the completion of the plannedtasks of the project, they will present their success and possible problems which will enable to reach reliable and constructiveconclusions and to compare the effects of work in particular schools-the partners will prepare the similar evaluate sheets which enable to draw reliable and constructive conclusions and to comparethe effects of the work in both regions-the main way of communication will be the Internet and a direct communication during partners‘ meetings.-the main mean of current communication will be e-mail and Facebook portal - we will prepare a videoconference once a monthwith the usage of Windows Live Messenger- we will make a project website including discussible forum in both the project and the coordinator‘s language)-if an immediate contact is necessary, we will use a telephone-direct communication during the partners‘ meetings will enable us to thoroughly summarize the accomplished tasks, evaluatethem and plan the details of the next stage of the project.3Cooperation and communication in the local partner group-the local Coordinator will establish clear ways of passing on the information and the way of communication on the level ofcoordinator-school-institution-the Coordinator will appoint the person who will currently give advise and will help in the completion of the project-regular meetings of local partner group will take place ( once in two months) in order to plan the details of particular tasks,summarize the results of the work, evaluation of prevailing tasks-planned tasks will corresponding to the profile and possibilities of particular partner institutions-partners will support and help each other in completion of particular tasks-current telephone communication, meetings and e-mails

C.5 Impact and European added valueWhat impact and benefits do you expect your Partnership activities to have on the different target groups (pupils, teachers, staffin school administration, etc) and on the participating institutions/ organisations?In which way will the partnership project fosterEuropean cooperation in school education in the participating regions?

ImpactOn a student:- Increasing awareness of the threats present in the modern world, particularlyaroused from intoxicants usage- Increasing knowledge about the addiction mechanisms- Developing skills to cope with difficult situations and to recognize the risks- Purchasing of communication skills, including the adoption of assertive posture- Increasing awareness and responsibility for own decisions- Developing healthy lifestyle habits- Increasing awareness of own and others health careOn a teacher:- Enrichment the workshop of new methods, mainly in the field of addiction prevention and health education- Understanding and comparing preventive and educational programs in partner schools- Gaining experience, ideas, organizational solutions and implement them into own school practice- Increasing the effectiveness of cooperation with local institutions- Strengthen and improving cooperation with parents- Increasing organizational and interpersonal skills

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- The acquisition of skills in a group of international cooperation- Increasing language skills - thanks to the use of English as a means of communication in the project- Increased participation and motivation for creative workOn the school:-Increasing the number and quality of activities undertaken in the addiction prevention- Increasing the effectiveness of preventive measures- Reducing the phenomenon of addiction among students- Increasing the quality of activities, in the area of health education, and making them more attractive- Expanding and making educational offer more appealing to students as well as enhancing the quality of education and schoolwork- Strengthen cooperation with local institutions by involving them in the implementation of project tasks- Strengthen cooperation with parents- Increasing the prestige in the local environmentOn the organization (local partner):The participating international institutions will have the opportunity to compare and evaluate its activities in the field of addictionprevention. They will acquire information about new organizational solutions, experiences and new working methods. As aresult of which they will broaden and enhance their scope of activities.European added value and promotion of the project in school education.-School will expand its activities scope with a European dimension, and will gain a sense of belonging to a network of Europeanschools-Students will enrich the knowledge about the partners regions, their cultures, educational and social conditions-School educational programs will be enriched with elements worked together in an international partner group-Teachers- pedagogues will learn and apply new ways of working in the field of addiction prevention, understood as a result ofcooperation with foreign partner institutions- Partner institutions will learn and compare their activities on European ground, and expand the activities of a newly learnedmethods and forms - as a consequence they will improve the quality of cooperation with schools in the range of addictionprevention.-European cooperation will enable the promotion of partner schools, regions and countries on the European ground

How will you monitor and evaluate whether the aims of the partnership have been met and the expected impact has beenachieved? Please outline the measures to monitor and evaluate your activities.

Evaluation investigating whether the project objectives have been achieved.1. Survey students about risky behaviors (December 2012)2. Survey on students’ knowledge about intoxication substances (December 2012)3.The survey investigating the scale of addiction phenomenon among students - done at the beginning and the end of theproject (September 2012 and June 2014)4. Survey investigating students’ awareness of the risks as a result of taken actions.5. Survey for teachers involved in a project studying the impact of the project on their workshopand personal development (June 2014)6. Survey for parents investigating their awareness growth of the addiction risks (September 2012) and (September 2013)7. The survey studying the student-teacher- parent relationships, (October 2013)Evaluation of the quality and methods of the project implementation has the aim to:- Improving the implementation of planned activities- Assistance in making the right decisions- Focus on problem-solving thinking- Make changes for the better- The use of transparent procedures and criteriaand will be carried out by:1. Monitoring the ongoing project realization at the time of regular meetings of local partner groups (once every two months) -reports, discussion, conclusions2. Evaluation of the project activities at all (6) partnership meetings - discussion panels in the international group 3. Assessingthe quality of partnership meetings - a discussion group at the end of each partnership meeting4. Project website, which will allow observation of the current actions undertaken and results obtained (ongoing)

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C.6 Relevance for the objectives of the programmePlease tick in the table below, the objectives of the Comeniu s programme that your Partnership will address, inaddition to the first two (if any – leave blank if none):√

To improve the quality and to increase the volume of mobility involving pupils and educational staff in different MemberStates (COM-OpObj-1)√

To improve the quality and to increase the volume of partnerships between schools in different Member States, so as toinvolve at least 3 million pupils in joint educational activities during the period of the programme (COM-OpObj-2)

To encourage the learning of modern foreign languages (COM-OpObj-3)To support the development of innovative ICT-based content, services, pedagogies and practice in lifelong learning

(COM-OpObj-4)To enhance the quality and European dimension of teacher training (COM-OpObj-5)To support improvements in pedagogical approaches and school management (COM-OpObj-6)

C.7 Topics

Please list the main thematic areas (maximum 3) of your Partnership using the terms mentioned in table E in the annex. Incase none of the proposed classification fits to your theme, please add the topic under „Other”:

Nr:24

Description:Health education

51 School cooperation with local community

35 Other

C.8 Dissemination and use of resultsHow will you disseminate and use the results, experiences and, where applicable, products of the Partnership?in theparticipating regions?at national/ European level?others?

Utilization1. The Club of Leaders for Health Promotion created during the project of will continue its activities2. Multimedia presentations containing information about the participating institutions will be used on the lessons of history andgeography.3.A website with numerous materials developed during the project will continue to be available and used by students, teachers,parents and also by other schools and the wider community4. Newly learned ways of working in the field of addiction prevention will be incorporated into Educational and PreventionSchool Programs5. Multimedia presentation about the dangers of nicotine, “Day without Tobacco ”will be used toprevention activities on form periods6. Prepared stage production “The Court on a Cigarette ”will be presented at the school after the end of the project7. Multimedia presentations made by students about the highs will be stored on a CDand be available in the school library as an educational productPromotion1.All project activities and their results will be kept posted on the project website andwebsites of partner schools2.In each school will be created and continuously updated wall chart of Comenius-Regio3. Information about major events will be presented on the City Council website, in the localnewspapers and TV, for example movies such as DVD partner meetings, conferences, seminars4.We will organize„ Comenius Day ”during which we will present the idea of international cooperation and the resultsdesign students, parents and local authorities5. All the results and products will be used to promote the school and presented during the Open School Days6.Products such as multimedia presentations, CDs, booklets will be available to all studentsand teachers in the school library7. Exhibition of posters, art works and stage productions prepared by students during the project will be presented in the localenvironment-for example, during the Municipal Days Against Addiction

C.9 SustainabilityWill European cooperation continue after the end of the funded partnership? Please outline your expectations concerningfuture cooperation between your regions and within the partner regions, the sustainability of results (e.g. implementation ofgood practice, use and further development of new tools or approaches) as well as other possible measures to sustain youractivities

1.After completion of the project, partner schools will still continue to work. We will create a group of students who will be

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introduced to and will continue to communicate via email and through the Facebook portal. What is more, teachers workingin the project will continue to communicate and exchange experiences. One year after completion of the project, both regionswill evaluate its activities in the field of addiction prevention in the school year 2014/2015 and will present the results of theiractions on a special video conference organized in May 2015.2. Created during the project:- Club Leaders for Health Promotion- Consultation Point for Parents- Anonymous Mailbox of Questions and Answers for studentswill be permanently inscribed in the organizational structure of schools and will continue to pursue its activities3.Initiated for the school project co-operation with local institutions will be continued and will serve to strengthen the schoolactivities in the prevention of addiction.4. The school will continue to organize events and competitions to promote healthy lifestyles and numerous actions againstaddictions.

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D. Proposed activity data

Work programme: planned activities of each participating o rganisation

Please summarise in the table below the planned Partnership activities for both partner regions in the Partnership. Pleasepresent the activities for both academic years 2012/13 and 2013/14, in a chronological order. The eligibility period of activitiesstarts on 1 August 2012 and ends on 31 July 2014. D.1 Planned project activities (other than mobility)

Partner region 1

Name of Organisation Datarozpoczecia:

Activity description (organisation of an event, publication, study, website,etc.)

Gmina Tarnobrzeg September2012

- Creating a project team. Draft meeting of the teachers coordinating theproject work in each school, discussing the work organization at the startof the project.-Assigning tasks to teachers for the year 2012/2013.-Makingthe project website containing basic information about partner schools,aims, topics and the ways of running the project.

Gmina Tarnobrzeg September2012

-Informing all pupils and their parents about the topic of the project and theways of carrying it out (school website, classes, parent meetings and theComenius-Regio Board).-Creating multimedia presentations containingbasic information about participating countries and institutions-showing thepresentations during the 1st meeting in Poland.-Creating profiles of theteachers involved in the project, sending them to partners, putting theprofiles on the project website.-Doing research on the causes of takingpsychoactive substances and the legal basis of the measures being takenin schools to prevent addiction among students.

Gmina Tarnobrzeg September2012

Planning meetings and workshops for pupils concerning addictionprevention with assistance of specialists from “Brzeg” Association forAddiction Prevention. Making a plan of work on the Regio project.

Gmina Tarnobrzeg September2012

Integrative cycling trips promoting healthy lifestyle.

Gmina Tarnobrzeg September2012

-Parent meeting with specialists from „Brzeg” Association on the topic“How to recognize that your child takes addictive substances”-Conductinga survey among parents on their knowledge of addiction threats.

Gmina Tarnobrzeg October 2012 -Preparing for the reception of the project participants (subsistence,accommodation, transportation and organisation of 1st mobility).Coordinating and checking arrangements between partners concerning1st mobility.-Creating a multimedia presentation about school, city andcountry.-Preparing small handmade souvenirs, exchanging them duringpartner meeting.

Gmina Tarnobreg October 2012 Holding a seminar, in cooperation with the local participant of the project,on addiction prevention.

Gmina Tarnobrzeg October 2012 -Starting the Health Promotion Leaders Club

Gmina Tarnobrzeg October 2012 Preparing for the Poland-wide campaign “A Day without a Cigarette”.Organising a contest for the pupils. Categories: art, multimediapresentation, writing (poem, song), theatre performance about harmfuleffects of smoking.-Preparing a performance entitled “Judgment on theCigarette”.

Gmina Tarnobrzeg November2012

-1st partner meeting in Tarnobrzeg (introducing participants, organizingwork)-Visiting the school, presenting prepared information about theinstitutions involved in the project.-Presenting the region, visiting partnerinstitutions.- A trip to Rzeszów to the consultation centre of “Karan”Association.-Presenting legal regulations concerning addiction prevention-Presenting the results of surveys conducted among teenagers in bothcountries on taking psychoactive substances.-Preparing questionnairesin order to diagnose the scale of the problem at schools.-Group work-identifying the risk factors and the protection factors in addiction preventionamong teenagers.-Preparing reports, analyses concerning different fieldsand levels of prevention.-Panel discussion: details of running the project,preparing the partner exchange evaluation sheet.

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Name of Organisation Datarozpoczecia:

Activity description (organisation of an event, publication, study, website,etc.)

Gmina Tarnobrzeg November2012

-Account of 1st partner meeting in local media-Creating a multimediapresentation and a DVD film documenting 1st meeting in Poland andputting it on the project website.-Preparing and conducting a surveyamong pupils on their knowledge of psychoactive substances-Conductinga campaign “A Day without a Cigarette”.•The pupils‘ march in the townstreets with banners and leaflets against smoking•Informing the passersbyabout the campaign “A Day without a Cigarette”, encouraging them togive up smoking•Distributing stickers in the form of lungs among theinhabitants. Black-for smokers, green ones for no-smokers•Promoting thecampaign in local media-Announcing the winners of the art and writingcontest about harmful effects of smoking cigarettes-Performing the play“Judgment on the Cigarette”

Gmina Tarnobrzeg November2012

-Holding workshops on addiction prevention - ”Brzeg” Association * 1styear students-building good relationships in group-integrating the class-developing a sense of self-worth-how to say “no” without the fear ofrejection-healthy lifestyle - do I care about my health-attention-dangerousstimulants-nicotine – a legal drug – a film show*2nd and 3rd yearstudents- a way to addiction-myths and stereotypes about alcohol, drugsand nicotine-how to say “no” – a difficult art of refusing-interpersonalcommunication-attention – dangerous stimulants-nicotine – a legal drug– a film show

Gmina Tarnobrzeg November2012

- Setting up a Consultation Centre for parents

Gmina Tarnobrzeg November2012

-Parent education – workshop on ”Adolescent Development Issues.Developing parenting skills”, held by specialists from ”Brzeg” Association

Gmina Tarnobrzeg December2012

-Compiling data from 1st meeting, presenting information on CD, updatingwebsite. Promoting the project in media (article in local newspaper and afilm show on local television-Updating the Comenius-Regio Board

Gmina Tarnobrzeg December2012

Preparing and conducting surveys on pupils‘ risk behaviour (nicotine,alcohol, stimulants, drugs)

Gmina Tarnobrzeg January 2013 -Analysing the findings of the surveys conducted among pupils inDecember 2012 on their risk behavior.-Compiling the analysis results onCD-Preparing for 2nd meeting. Creating a multimedia presentation aboutthe completion of the tasks concerning health education.-Meeting with thelocal participant of the project concerning the partnership issues.

Gmina Tarnobrzeg February 2013 2nd partner meeting in Pinacya-Participating in seminars and workshops,group work.-Discussing the materials, presenting the results of surveysconducted among pupils on their risk behavior.-Visiting partner institutions-Visiting the partner city and region-Panel discussion, summarizing the visit,evaluation, conclusions

Gmina Tarnobrzeg March 2013 -Account of 2nd partner meeting in local media -Preparing a multimediapresentation and a DVD documenting 2nd meeting in Spain, putting iton the project website-Updating the website-Filling in evaluation sheetsconcerning partner exchange-Making a film documenting the project work

Gmina Tarnobrzeg March 2013 Preparing for celebration of Tarnobrzeg Days against Addiction –announcing the local contest Sources and Consequences of Addiction inTarnobrzeg secondary schools.

Gmina Tarnobrzeg March 2013 -Preparing for the conference on ”Selected Problems of ContemporarySchool – addiction prevention: stimulants as a new social phenomenon”.Cooperating with “Brzeg” Association in order to organize the conference.

Gmina Tarnobrzeg April 2013 -Conducting a Poland-wide campaign ”Keep a Sober Mind”. Participatingin contests concerning alcohol, drug and stimulants prevention.-Preparingmaterials for 3rd meeting. Discussing details and planned activities incooperation with “Brzeg” Association-Creating a multimedia presentationabout the accomplished tasks.

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Name of Organisation Datarozpoczecia:

Activity description (organisation of an event, publication, study, website,etc.)

Gmina Tarnobrzeg May 2013 -3rd partner meeting in Tarnobrzeg-Sharing experience concerningpreventive measures and progress evaluation, debate on the methodsof addiction prevention-Group work, discussing the methods of addictionprevention and preventive measures-Conference with participation ofspecialists and experts for all participants. The conference “SelectedProblems of Contemporary School: Addiction Prevention-Stimulants asa New Social Phenomenon” will cover the following topics:•alcohol,drugs, stimulants-causes of addiction among teenagers•the role offamily and school in preventing pupils‘ risk behavior•stimulants as asocial phenomenon-dangers•procedures in juvenile cases, especiallyconcerning the problems of addiction among juveniles-Panel discussion:summarising the visit, deciding on guidelines for further project work,evaluation, conclusions

Gmina Tarnobrzeg May 2013 Announcing the winners of the local contest ”Sources and Consequencesof Addiction”.

Gmina Tarnobrzeg June 2013 Presenting materials from 3rd visit on CD, updating website.-Organising asports event “Be Active and Healthy”-Evaluating the tasks accomplishedin 1st year-Summarising the work completed so far-in local newspaper-Meeting with local authorities in order to acquaint them with the results ofproject work done so far.

Gmina Tarnobrzeg August 2013 -Draft meeting of the teachers coordinating the project work in eachschool, discussing the project activities for the year 2013/2014.-Preparingmaterials for 4th meeting in partner region 2. Coordinating and checkingthe arrangements between partners concerning 4th mobility.-Creating apresentation showing the accomplishment of the tasks concerning healtheducation.

Gmina Tarnobrzeg September2013

-Workshop for teachers and school staff on the topic: “Identifying Drugsand the State of Intoxication. Means of Intervention”.-Parent meeting- atalk about widely available stimulants-Conducting a survey among parentsto examine the increase in their knowledge of addiction dangers-Planningthe activities concerning health education and addiction prevention for 2ndyear of the project work, in cooperation with “Brzeg” Association.

Gmina Tarnobrzeg September2013

- 4th partner meeting in Pinacya concerning the methods of addictionprevention among teenagers. Participating in seminars, working ingroups. Presenting the methods developed jointly by the participants.-Panel discussion, summarizing the visit, evaluation, conclusions.

Gmina Tarnobrzeg September2013

-Updating profiles of the teachers involved in the project, putting theparticipants‘ profiles on the website

Gmina Tarnobrzeg October 2013 -Compiling data from 4th meeting, updating the website. Publishing aschool newspaper. Summarising the visit in local newspaper.-Integrativecycling trips promoting healthy lifestyle.

Gmina Tarnobrzeg October 2013 Carrying out a survey among pupils, teachers and parents examiningthe relationships pupil-teacher-parent-Conducting a survey among pupilsexamining the increase in their knowledge of intoxicants dangers.

Gmina Tarnobrzeg October 2013 -Undertaking the activities concerning health education with 1st and2nd year pupils-Activities concerning healthy lifestyle – carrying outthe programme “Stay in Shape”.-Arranging meetings in classes with aspecialist about legal aspects of juveniles.-Arranging a meeting withMunicipal Police officer about addiction prevention. Attention-dangerousstimulants.

Gmina Tarnobrzeg November2013

-Producing brochures about the project. Promoting the the project in localmedia: article in local newspaper, showing a film about 4th meeting onlocal television

Gmina Tarnobrzeg December2013

-Joining a national preventive and educational campaign ”Stimulants candestroy your life-know the facts”-Announcing a contest about stimulants.Categories: art, multimedia presentation.

Gmina Tarnobrzeg January 2014 Parent education „Closer to each other-farther from intoxicants. Ways ofcommunicating with your child.” – in cooperation with ”Brzeg” Associationfor Addiction Prevention.-Preparing for 5th meeting in Tarnobrzeg

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Name of Organisation Datarozpoczecia:

Activity description (organisation of an event, publication, study, website,etc.)

Gmina Tarnobrzeg February 2014 - 5th Meeting in Tarnobrzeg. Discussing developed and implementedmethods of addiction prevention. Evaluating their effectiveness. Sharingexperience concerning health education and prevention in both countries.Preparing evaluation sheets.-Panel discussion: smmarising the visit,deciding on guidelines for further work, evaluation, conclusions.

Gmina Tarnobrzeg March 2014 Compiling data from from 5th meeting, updating website.-Meeting with thelocal participant about the project work.-Conducting an evaluation surveyamong pupils.-Preparing for “Health Day” celebration.

Gmina Tarnobrzeg April 2014 -Action-”Health Day” celebration. School debate on health, a performanceand a poster contest –“Live a healthy life-eat fruit”, poster exhibition.-Announcing the winners of the contest about stimulants.-Analysing thefindings of the survey and putting data on CD, in brochures, distributingthem in the school.-Preparing for the summarizing partner meeting inSpain: preparing materials concerning the project, creating multimediapresentations documenting the accomplishment of the tasks concerningaddiction prevention.

Gmina Tarnobrzeg May 2014 -Summarising meeting in partner region 2. Evaluating the work doneover the two years‘ partnership in order to present the results of jointactivities. Presenting the results of the work on addiction prevention.-Working on final report, project and results evaluation.-Conducting anevaluation survey and a survey among the teachers involved in theproject, examining the influence of the project on their teaching techniquesand personal development.-Panel discussion: project summarizing,conclusions, discussing the possibilities of further cooperation.

Gmina Tarnobrzeg June 2014 -Disseminating the results of the project “Health Education ConcerningAddiction Prevention”. Publishing a work summarizing the two years‘partnership period. -Organising a Comenius-Regio Day in each schooland and putting the account on the project website.-Meeting with thelocal authorities in order to acquaint them with the results of the activitiesundertaken within the partnership period.

Partner region 2

Name of Organisation Datarozpoczecia:

Activity description (organisation of an event, publication, study, website,etc.)

Ayuntamiento de Picanya September2012

Gathering the project team, making PowerPoint presentations of theinstitutions to be presented in the project meeting.

Ayuntamiento de Picanya September2012

Research with students explaining the causes for taking psychoactivesubstances and the legal framework to prevent addiction among pupils.

Ayuntamiento de Picanya October 2012 Results of the research will be dealt with in Maths lessons to studystatistics.

Ayuntamiento de Picanya October 2012 Film, PowerPoint and Jingle contest on “Day without a cigarette”. Jingleswill be broadcast on the school radio station. Films and PowerPoint will beuploaded to the website.

Ayuntamiento de Picanya November2012

The first meeting in Tarnobrzeg: visiting the school, giving informationabout institutions. Presenting legal regulation concerning addictionprevention. Presenting the results of surveys conducted among teenagersin both partner countries on using psychoactive substances.

Ayuntamiento de Picanya November2012

Campaign “Day without a cigarette”. Announcing the winners of thecontests about harmful effects of smoking.

Ayuntamiento de Picanya November2012

Workshops held by IMPADES on addiction prevention

Ayuntamiento de Picanya December2012

Publishing the results of the workshops, updating the website

Ayuntamiento de Picanya December2012

Conducting surveys on students’ risky behaviour (nicotine, alcohol, speed,drugs).

Ayuntamiento de Picanya January 2013 Analysing the results of the surveys and working on them in Maths lessonson statistics.

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Name of Organisation Datarozpoczecia:

Activity description (organisation of an event, publication, study, website,etc.)

Ayuntamiento de Picanya February 2013 Project meeting in Picanya. Participating in seminars and workshops.Discussing and comparing materials from both partner regions.

Ayuntamiento de Picanya March 2013 Preparing the contest “Sources and effects of addictions”. Categories:jingles, films, PowerPoint presentations.

Ayuntamiento de Picanya April 2013 Students’ preparation of materials for the workshop “Speeds, a new socialphenomenon”.

Ayuntamiento de Picanya May 2013 Meeting in Tarnobrzeg. Conference: “Selected problems of contemporaryschool: addiction prevention - speeds - a new social phenomenon”.

Ayuntamiento de Picanya May 2013 Announcing the winners of the contests on “Sources and effects ofaddictions”.

Ayuntamiento de Picanya June 2013 Compiling the materials of the first year of the project work. Updating thewebsite, the school magazine and the radio station.

Ayuntamiento de Picanya September2013

Preparing materials for the fourth meeting in Picanya.

Ayuntamiento de Picanya September2013

Workshops for teachers “How to identify drugs and state of intoxication.Means of intervention.”

Ayuntamiento de Picanya September2013

Meeting in Picanya concerning the means of addiction prevention amongteenagers.

Ayuntamiento de Picanya October 2013 Compiling data from the fourth meeting and updating website, magazineand radio station.

Ayuntamiento de Picanya October 2013 Health education classes for 1st and 2nd ESO students on addictionprevention.

Ayuntamiento de Picanya October 2013 Brochure contest on addiction prevention.

Ayuntamiento de Picanya November2013

Announcing the winners of the Brochure contest.

Ayuntamiento de Picanya December2013

Contest about stimulants. Categories: jingles, film, posters and PowerPointpresentations.

Ayuntamiento de Picanya January 2014 Preparing materials for the fifth meeting in Tarnobrzeg.

Ayuntamiento de Picanya February 2014 Meeting in Tarnobrzeg. Discussing the methods of addiction prevention.

Ayuntamiento de Picanya March 2014 Compiling data from the fifth meeting and updating website, magazine andradio station.

Ayuntamiento de Picanya April 2014 “Health Day” celebration. Announcing the winners of the contests aboutstimulants.

Ayuntamiento de Picanya May 2014 Meeting in Picanya. Evaluation of the two years’ work in the project andpresenting the joint activities. Evaluating the project and publishing theresults on website, magazine and radio.

Ayuntamiento de Picanya June 2014 Disseminating final products. Publishing the summary of two years of work“Health Education in the Field of Addiction Prevention”

D.2 Planned mobilitiesWhat is counted as „a mobility” is one trip abroad by one person. Only transnational mobility1

(i.e. travel abroad) counts for the calculation of the minimum mobility numbers.

Please note that mobility activities can take place only between organisations included in this application or to events organisedby the partnership project.

Mobility may normally only be undertaken by staff of the organisations included in this application. Please note that anyparticipation of pupils in mobilities has to be justified with regard to the aims of the partnership. In case you plan to involvepupils in mobilities, please indicate this in the column „Planned mobility description”. A justification has to be annexed to theapplication.

Partner region 1

1„In-country” mobility to or from Overseas Countries and Territories and ultra-peripheral regions of the EU will also be considered as transnational mobility, e.g.mobility by a beneficiary from mainland France to a partner in Martinique.

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SendingOrganisation

Datarozpoczecia:

Planned mobility description (travel to aproject meeting, seminar, conference,etc.)

Duration Destination(place andorganisation)

No of personstravelling

GminaTarnobrzeg (1),StowarzyszenieProfilaktyczne„Brzeg” (2),Gimnazjum nr 2(5)

February 2013 Meeting in Picanya. Participation inseminaries and workshops. Groupworking. Discussing the materials andpresentation of surveys results, carriedout at schools, concerning risky students’behaviour. Visits in partnership andeducational institutions, cultural trips.

7 Ayuntamientode Picanya(Spain)

8

GminaTarnobrzeg (1),StowarzyszenieProfilaktyczne„Brzeg” (2),Gimnazjum nr 2(5)

September2013

Meeting, in Picanya, concerning themethods of addictions prevention amongyoung people. Participation in seminary,conferention, group working. Makingdecisions about the following projectobjectives.

7 Ayuntamientode Picanya(Spain)

8

GminaTarnobrzeg (1),StowarzyszenieProfilaktyczne„Brzeg” (2),Gimnazjum nr 2(5)

May 2014 Summary meeting in Picanya. Makingevaluation of two years work in order topresent the common activities. Workingon the final report, project and resultsevaluation.

7 Ayuntamientode Picanya(Spain)

8

Partner region 2

SendingOrganisation

Datarozpoczecia:

Planned mobility description (travel to aproject meeting, seminar, conference,etc.)

Duration Destination(place andorganisation)

No of personstravelling

Ayuntamiento dePicanya, IESEnric Valor ,IMPADES

November2012

Meeting in Tarnobrzeg. Participation inseminaries and workshops. Groupworking. Discussing the materials andpresentation of surveys results, carriedout at schools, concerning risky students’behaviour. Visits in partnership andeducational institutions, cultural trips.

7 GminaTarnobrzeg(Poland)

8

Ayuntamiento dePicanya, IESEnric Valor,IMPADES

May 2013 Meeting in tarnobrzeg. Sharingexperience concerning preventive activityand progress evaluation, debate onmethods on addiction prevention.Group-work, discussion about methods ofaddiction prevention and measures totake.

7 GminaTarnobrzeg(Poland)

8

Ayuntamiento dePicanya, IESEnric Valor,IMPADES

February 2014 Meeting in Tarnobrzeg. Discussing themethods of addiction prevention. Sharingexperience concerning health educationand prevention in both countries.Preparing evaluation sheets.

7 GminaTarnobrzeg(Poland)

8

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E. Requested EU funding

E.1 MobilityFunding requested and estimated number of persons participating in mobility (per participating organisation.

For each of the participating organisations, please select the "Partnership type"that best corresponds to your Partnership workplan for the whole 2 year duration. The Partnership type indicates the minimum number of mobilities to be conducted and thelump sum amount related to it.

Each lump sum type is linked to a minimum number of mobilities to be carried out during the grant agreement period – theseminimum numbers have to be respected when entering the numbers of persons taking part in mobility activities into the table.

The lump sum amounts for each Partnership type are defined at national level and they can vary from one country to another.Please make sure that, for each of the participating institutions, you have selected the grant amounts applicable in the countryand for the programme in question.

Please indicate the exact distance between the two applicant institutions (in km).

DISTANCE: 2746

Partner Region Partnership type (Table E – mobility action types) Nr of planned mobilities Grant amountrequested () (TableG – National lump sumamounts)

Partner Region 1 COM-24M-L (minimum 24 mobilities) – longdistance

24 20 000,00 EUR

Partner Region 2 COM-24M-L (minimum 24 mobilities) – longdistance

24 18 000,00 EUR

E.2 Other (non-mobility) costsIn order to fill the following table please refer to part 4.E and 4.F of the LLP Guide Part I: Genera l provisions. This chapterprovides the financial and contractual rules that should be f ollowed by the applicants/beneficiaries and during thelifecycle of the accepted partnerships. Please note that

• Indirect costs are not eligible for funding support in Comenius Regio Partnerships,

• Other (non-mobility) costs in Comenius Regio Partnerships can only be funded up to a maximum of 25.000 EUR perpartner region,

• Travel and subsistence costs have to be covered by the mobility lump sum; this includes also local transport during themobility.

When filling in the table, please make sure that you use the right cost category for your expenses and that you base yourcalculation on eligible costs only.

• Staff costs: costs relating to statutory or temporary staff, based on real daily staff cost rates which cannot exceed themaximum eligible daily rates indicated in the LLP Guide –Part I Financial provisions, part 4F.

• Subcontracting: cost entailed by procurement contracts, including work such as translation, interpretation, printing.Subcontracting costs may not exceed 30% of the total eligible project costs including the lump sum amount for mobilities.

• Equipment: purchase, rent or lease of equipment if justified and necessary for the project. Please note that the costs forthe purchase equipment should be depreciated in accordance with tax and accounting rules. Equipment costs may notexceed 10% of the total eligible project costs including the lump sum amount for mobilities.

• Other project costs on the basis of real costs: costs not covered by other cost categories like rental costs, purchase ofconsumables, travel costs for experts or speakers at conferences (which must follow the rules indicated in the LLP Guide–Part I Financial provisions, part 4F.

More detailed information on cost categories as well as the eligibility of costs can be found in the LLP Guide 2012, chapter 4.F.Staff costsPartner Region 1

Staff category N of working days Cost per workingday (in EUR)

Costs (in EUR)

Manager 100 30 3 000,00

Administartive 61 20 1 220,00

Researchers 55 35 1 925,00

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total 6 145,00 EUR

Partner Region 2

Staff category N of working days Cost per workingday (in EUR)

Costs (in EUR)

Manager 100 30 3 000,00

Administartive 50 20 1 000,00

Researchers 40 35 1 400,00

total 5 400,00 EUR

SubcontractingPartner Region 1

Service or task subcontracted Costs (in EUR)

Sigh translation (paper) 1 300,00

Simulateneous Translation 2 000,00

Preparing, printing and publishing materials 3 000,00

Workshops, seminars 4 000,00

total 10 300,00 EUR

Partner Region 2

Service or task subcontracted Costs (in EUR)

Workshops and seminars 4 000,00

total 4 000,00 EUR

EquipmentPartner Region 1

Equipment Costs (in EUR andafter depreciation)

Interactive board with software for the use of workshops and seminars 1 900,00

1 notebook to go with interactive board 700,00

Projector for interactive board 700,00

Total 3 300,00 EUR

Please indicate the depreciation rules applicable in your institution:The amortization (depreciation) of teaching aids, no matte r of its worth, is amortized in 100% at the time ofpurchasing

Partner region 2

Total 0,00 EUR

Please indicate the depreciation rules applicable in your institution:The amortization (depreciation) of teaching aids, no matte r of its worth, is amortized in 100% at the time ofpurchasing

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Other costs on the basis of real costsPartner Region 1

Type of costs Costs (in EUR)

Rent of a buses for project’s purpose 1 300,00

Purchase of consumable for workshops and seminars 300,00

Hosting ceremonies (welcoming, farewell dinners) 1 900,00

Guided tours and admission fees 300,00

Promotional materials for workshops and seminars ( files, pens, etc.) 500,00

total 4 300,00 EUR

Partner region 2

Type of costs Costs (in EUR)

Rent of buses for project’s purposes 1 500,00

Purchase of consumables for whorkshops and seminars 300,00

Hosting ceremonies (welcoming and farewell dinners) 1 000,00

Guided tours and admission fees 300,00

total 3 100,00 EUR

Comenius Strona 33 z 34 Comenius Regio Partnerships

Page 34: Programme “Lifelong Learning Programme” COMENIUS Application form Comenius … · 2012. 12. 11. · the project will have to sign a letter of intent in which they express their

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E.3 Total requested grant amountPlease indicate below the total project costs and the total amount of your grant request per partner region.

Please note that the grant will cover 100% of the lump sum amount for mobility plus maximum 75% of the total non-mobilitycosts of the project, but not more than 25000 EUR. Indirect costs are not funded in Comenius Regio Partnerships.

Partner region 1 Partner region 2

A. Lump sum amount for mobilities 20 000,00 EUR 18 000,00 EUR

Staff costs 6 145,00 EUR 5 400,00 EUR

Subcontracting 10 300,00 EUR 4 000,00 EUR

Equipment 3 300,00 EUR 0,00 EUR

Other direct costs 4 300,00 EUR 3 100,00 EUR

B. Total non-mobility project costs 24 045,00 EUR 12 500,00 EUR

Total project costs (A+B) 44 045,00 EUR 30 500,00 EUR

Total grant amount (A+ max 75% of B) 38 033,75 EUR 27 375,00 EUR

Comenius Strona 34 z 34 Comenius Regio Partnerships