Project Proposal Form 20170213 V2.0
Total Page：16
File Type：pdf, Size：1020Kb
PROJECT PROPOSAL “INSERT PROJECT NAME HERE”
SUBMITTED BY: “INSERT NAME HERE” SUBMISSION DATE: DD-MM-YYYY PROJECT PROPOSAL The purpose of the Project Proposal Form is to outline the rationale for undertaking the project, justify the need for the project against cost and benefits, and enable Climate KIC to assess whether the proposal should be accepted and progressed to the next stage.
1 Project Details Project Name Project Description Project Type ☐ Urban ☐ Decisions ☐ Sustainable ☐ Sustainable ☐ Education Theme(s) Transition Metrics & Production Land Use Finance Systems Lead Partner Lead Partner Organisation No Address of Lead Project Lead Partner Organisation Total Project Cost Total EIT Funding Total Partner Requested (€) Co-Funding (€) Planned Start Date Duration
2 Purpose and Outcome Project Background
Project Objectives & Outcomes Other Benefits
Country/Countries covered Strategic Fit
3 Climate impact (Mitigation) Baseline (Mitigation) Contribution to mitigation (Adaptation) Vulnerability (Adaptation) Contribution to Adaptation
Project Proposal Template | Version 3.0 | 03.03.2017 2 | P a g e Programme Management Office PROJECT PROPOSAL The purpose of the Project Proposal Form is to outline the rationale for undertaking the project, justify the need for the project against cost and benefits, and enable Climate KIC to assess whether the proposal should be accepted and progressed to the next stage.
4 Consortium Partners Organisation’s Contact Name Title of Project Contact full legal name Contact Person Role Information KIC Partner KIC Partner Non-KIC Partner Non-KIC Partner X Project Personnel Profile
5 High Level Plan and Key Deliverables Unit Description Target Date
6 High Level Budget Overview Unit Cost €0.00
Total Cost €0.00 7 Risks Title Impact Risk Mitigation Owner Target Description Probability Plan Date
Project Proposal Template | Version 3.0 | 03.03.2017 3 | P a g e Programme Management Office PROJECT PROPOSAL The purpose of the Project Proposal Form is to outline the rationale for undertaking the project, justify the need for the project against cost and benefits, and enable Climate KIC to assess whether the proposal should be accepted and progressed to the next stage.
8 Sustainability (For Demonstrator projects only) Future Project Outcome Responsible Organisation Responsible Person Contact Information
9 Business Model (For Demonstrator projects only) Business Model
Scalability
Economic Impact
10 Economic Impact (For Scaler projects only) Economic Impact
Project Proposal Template | Version 3.0 | 03.03.2017 4 | P a g e Programme Management Office PROJECT PROPOSAL The purpose of the Project Proposal Form is to outline the rationale for undertaking the project, justify the need for the project against cost and benefits, and enable Climate KIC to assess whether the proposal should be accepted and progressed to the next stage.
11 Disclosure & Confidentiality Project proposals are reviewed in confidence by Climate-KIC staff and parties acting on its behalf. In cases where a proposal could facilitate the implementation of a similar type project and facilitate match-making, Climate KIC may share the proposal with other partners and the public.
If you would prefer your proposal not to be shared, please indicate by ticking the check box. ☐
Has this proposal been submitted to Climate-KIC in the past 2 years in response to a call for proposals?
☐ Yes ☐ No (If Yes please state the name of the proposal and data it was submitted) ______
Do you have any EU funded project currently underway or pending approval, that is closely aligned to this proposal?
☐ Yes ☐ No (If yes state the funding source and why you need funding from Climate KIC) ______
12 Signature I confirm that all relevant information has been submitted and content for this proposal to be considered by Climate KIC.
(An original signature is required from the authorised representative of the Lead Partner and Climate-KIC assumes that all project participants have been advised and have consented to the terms of this form and that this single Lead Partner acts as the duly authorised agent on behalf of the others during the proposal submission and review process. Please note that any false information in this form will lead to disqualification of the proposal)
Name of person acting on behalf of lead partner organisation ______
Signature on behalf of lead partner organisation ______
Date ______
Project Proposal Template | Version 3.0 | 03.03.2017 5 | P a g e Programme Management Office PROJECT PROPOSAL The purpose of the Project Proposal Form is to outline the rationale for undertaking the project, justify the need for the project against cost and benefits, and enable Climate KIC to assess whether the proposal should be accepted and progressed to the next stage.
13 Reference Documents Document Name Version No Location
14 Document History Version Date Author Change Description Distribution
Project Proposal Template | Version 3.0 | 03.03.2017 6 | P a g e Programme Management Office