TOGETHER WE DECIDE/Present your proposal until 14 December – For persons over 16 PROPOSAL FORM Proposal Title Please set a title for the proposal. We suggest that it be short and easy to understand by all people. Proposal Description Please describe the proposal as fully as possible. Do not leave anything unsaid. The technical team that will take care of the analysis does not know your proposal and the only information available to it will be what you will write in this form. If you wish, you may include attachments with complementary information on the proposal. PROPOSAL TYPES (Please choose an option) Transversal Local A proposal that would benefit the whole city for an A local-scope proposal that falls within the range of the estimated value between €50.000 and €300.000, VAT neighborhood/parish for an estimated unitary value between included. €50.000 and €100.000, VAT included. Territorial Intervention Units/TIU – (Correspond to 5 areas of the city of Lisbon) Historical Center (Campo Ourique; Estrela; Misericórdia; Penha de França, Sta. Maria Maior and S. Vicente) Central area (Alvalade; Areeiro; Arroios; Av. Novas; Campolide and Sto. António) Eastern area (Oriental) (Beato; Marvila; Olivais and Parque das Nações) Western area (Occidental) (Ajuda; Alcântara and Belém) Northern area (Benfica; Carnide; Lumiar; Sta. Clara and S. Domingos de Benfica) Whole city (Report if the proposal is transversal) Place where you intend the proposal to be implemented Please indicate as accurately as possible the place where you intend the proposal to be implemented. Proposal Thematic Areas Report with an X the thematic areas where your proposal fits: Tourism and Civil Protection Economy and Innovation, Urban Services and Housing and Local Development Sports Education and Social Rights Planning, Urbanism, Heritage and Municipal Relations with Residents, Participation Work and Information Systems Culture and International Environment, Green Structure, Climate and Mobility and safety Relations Energy PROPOSER DATA Necessary for any subsequent contact. Name Contact Details Mobile Phone Email Relation to Lisbon* Age Group* Education Level* Gender* Nationality* Residing 16/29 No Schooling Feminine Portuguese Working 30/49 Basic Education Masculine Other/Which? Studying 50/65 High School ________ Visiting +65 Higher Education *Important but optional data ELIGIBILITY CRITERIA OF PROPOSALS For the proposals to be validated by the municipal services, they should comply with the following criteria. Therefore, we invite you to thoroughly revise your proposal before submitting it. Criteria Does not I do not Complies comply know Fits within at least one of the afore mentioned thematic areas Fits into the amounts provided for the types of proposals (transversal or local) It is presented in my name and contains my phone number and my e-mail It is well described and specified and clearly indicates the place where I intend the proposal to be implemented It does not entail an assistance request or a sale of services to Lisbon City Council CML It is not about revenue collection or the functioning of Lisbon City Council It does not go against or undermine other municipal projects and plans It is not envisaged or being undertaken by Lisbon City Council It does not foster extremism, fundamentalism, xenophobia or any other form of violence It is technically feasible It is not commissioned by trademarks, nor concerned by author rights or by registered patents It does not entail numerous functioning costs It does not depend on partnerships or assessments by other entities than Lisbon City Council It only uses municipal places, land, equipment and property assets CLARIFICATIONS For further information or clarifications, you can contact the OP team by e-mail [email protected] or by phone number 218 170 258. LISBOA PARTICIPA (LISBON PARTICIPATES) Lisbon City Council has further tools to support citizen participation. Learn more at www.lisboaparticipa.pt. Annex| INFORMATION ON PROTECTION OF PERSONAL DATA The MUNICIPALITY OF LISBON abides by the rules of privacy and protection of personal data provided for in Regulation (EU) 2016/679 of the European Parliament and that of the Council, of 27 April 2016 (General Law on the Protection of Personal Data), on the protection of natural persons with regard to the processing of personal data and the movement of such data. It also abides by the applicable national law. The personal data collected in this application is solely and exclusively meant to comply with the Rules of Participation of the Participatory Budget of the MUNICIPALITY of LISBON in its submission of proposals by the citizens. The processing of said data by the MUNICIPALITY OF LISBON will respect the legislation in force on the protection of personal data. The Responsible for the Processing - The MUNICIPALITY OF LISBON is responsible for the collection and processing of the personal data collected and processed in the instruction of your request. For due effects, namely those contained in the indicated Community regulations and applicable national legislation, the rights that must be exercised through the party Responsible for Processing must be exercised through the municipal service in charge of the final decision on the request, according to municipal organic law. Data Protection Officer - In order to exercise the rights of the data subjects under Community regulations and national legislation on personal data protection, the MUNICIPALITY OF LISBON has designated a Data Protection Office, whose electronic address and address are, respectively: [email protected]; Campo Grande, 25, Block E, 2nd floor, 1749-099 Lisbon. Purpose of the Processing - Compliance with a regulatory obligation under the Rules of Participation of the Participatory Budget of the MUNICIPALITY OF LISBON in the exercise of functions of public interest. Personal Data Categories - The personal data collected such as Name, Relationship to Lisbon, Age Group, Education Level, Gender, Nationality and Contacts (telephone and email) are strictly necessary for the instruction of the request made. Data Recipient (s) - The personal data collected is intended to be used by the MUNICIPALITY OF LISBON, and no transmission to other entities is envisaged. In case this were to occur, your consent will be sought beforehand in accordance with Community regulations and existing legislation on the protection of personal data. Storage of Personal Data – Deadline specified in the applicable legislation. Rights of the Owners of the Personal Data - The owners of the personal data have the right to access information about the processing of their data, to rectify it if it is not correct, or chose to delete it by sending an e-mail to: op @ cm-lisboa.pt. In addition to these rights, designated and protected in the Data Protection Regulation (RGPD) as Right to Information, Right of Access, Right of Rectification and Right of Deletion, applicants also have the Right to Purpose Limitation, Data Minimization, and to Non-subjection to Individual Automated Decisions, which may be exercised through the officer responsible for the processing. Opposition or complaint may also be made through the Data Protection Officer or the National Control Authority. Likewise, possible violations may be grounds for requesting compensation before the competent courts. DECLARATION OF CONSENT TO THE PROCESSING OF PERSONAL DATA I declare that I agree to the processing of my personal data for the purposes set within the scope of the Participatory Budget process. Signature: ______________________________________________ Date: _____ /_____/_________ The Participatory Session may be filmed and photographed for purposes of dissemination of the Lisbon Participatory Budget. Report with an X whether you authorize or not to the collection of your personal images. I authorize ___ I do not authorize ___ Name: __________________________________________ Signature: __________________ PLACE ______________________________________________________ Date:____/____/___ Thank you. Participative greetings! .