Report Form. Call: 2013/2014. Leonardo da Vinci Mobility

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1 GENERAL INFORMATION [IF INTERIM REPORT] Please send this report duly completed and signed to your National Agency. Once this report and the supporting documents are submitted and approved, the National Agency will proceed with the payment of supplementary pre-financing. [IF FINAL REPORT] Please send this report duly completed and signed to your National Agency within 60 days after the final end date of the action. Once this report and the supporting documents are submitted and approved, the National Agency will either pay the balance of the grant or recover any unspent funds. SUBMISSION CONTEXT(NOT VISIBLE) PROGRAMME SUB-PROGRAMME ACTION TYPE ACTION LIFELONG LEARNING PROGRAMME LEONARDO DA VINCI MOBILITY IVT (INITIAL VOCATIONAL TRAINING) PLM (PEOPLE IN THE LABOUR MARKET) VETPRO (VET PROFESSIONALS) CALL 2013/2014 REPORT TYPE INTERIM/FINAL PERIOD COVERED FROM (DD-MM-YYYY) TO (DD-MM-YYYY) PROJECT IDENTIFIERS GRANT AGREEMENT NO NATIONAL ID (IF APPLICABLE) PROJECT TITLE (NATIONAL LANGUAGE) BENEFICIARY NAME SUBMISSION ID FORM ID HASH CODE 1

2 NATIONAL AGENCY IDENTIFICATION [AGENCIES] POSTAL ADDRESS ADDRESS HELPDESK WEBSITE 2

3 IDENTIFICATION OF THE BENEFICIARY BENEFICIARY ORGANISATION ORGANISATION (NOT VISIBLE) Context (not visible) BENEFICIARY (not visible) Role (not visible) BENEFICIARY (not visible) CONTENT (NOT VISIBLE) FULL LEGAL NAME (NATIONAL LANGUAGE) FULL LEGAL NAME (LATIN CHARACTERS) ACRONYM NATIONAL ID (IF REQUESTED BY THE NA) TYPE OF ORGANISATION COMERCIAL ORIENTATION SCOPE LEGAL STATUS ECONOMIC SECTOR SIZE (STAFF) [PARTICIPANTS] [COMMERCIAL] [SCOPE] [STATUS] [NACE] [SIZE] LEGAL ADDRESS POSTAL CODE CITY COUNTRY REGION TELEPHONE 1 TELEPHONE 2 FAX WEBSITE 3

4 CONTACT PERSON Context (not visible) BENEFICIARY (not visible) Role (not visible) CONTACT PERSON (not visible) CONTENT (NOT VISIBLE) TITLE FIRST NAME FAMILY NAME DEPARTMENT POSITION WORK ADDRESS POSTAL CODE CITY COUNTRY REGION TELEPHONE 1 TELEPHONE 2 MOBILE FAX 4

5 PERSON AUTHORISED TO SIGN THE GRANT AGREEMENT Context (not visible) BENEFICIARY (not visible) Role (not visible) LEGAL REPRESENTATIVE (not visible) CONTENT (NOT VISIBLE) TITLE FIRST NAME FAMILY NAME ORGANISATION DEPARTMENT POSITION WORK ADDRESS POSTAL CODE CITY COUNTRY REGION TELEPHONE 1 TELEPHONE 2 MOBILE FAX 5

6 BACKGOUND/EXPERIENCE Has a Certificate been granted to your organisation? Yes No [IF YES] NO. OF LEONARDO MOBILITY CERTIFICATE 6

7 PARTNER ORGANISATION Context (not visible) ASSOCIATED (not visible) Role (not visible) ASSOCIATED (not visible) CONTENT (NOT VISIBLE) FULL LEGAL NAME (NATIONAL LANGUAGE) FULL LEGAL NAME (LATIN CHARACTERS) NATIONAL ID (IF REQUESTED BY THE NA) TYPE OF ORGANISATION COMERCIAL ORIENTATION SCOPE LEGAL STATUS ECONOMIC SECTOR SIZE (STAFF) [PARTICIPANTS] [COMMERCIAL] [SCOPE] [STATUS] [NACE] [SIZE] LEGAL ADDRESS POSTAL CODE CITY COUNTRY REGION TELEPHONE 1 TELEPHONE 2 FAX WEBSITE 7

8 CONTACT PERSON Context (not visible) ASSOCIATED (not visible) Role (not visible) CONTACT PERSON (NOT VISIBLE) (not visible) CONTENT (NOT VISIBLE) TITLE FIRST NAME FAMILY NAME ORGANISATION DEPARTMENT POSITION WORK ADDRESS POSTAL CODE CITY COUNTRY REGION TELEPHONE 1 TELEPHONE 2 MOBILE FAX 8

9 PARTICIPANTS FIRST NAME FAMILY NAME DATE OF BIRTH GENDER [GENDER] TYPE OF PARTICIPANT [PARTICIPANTS] FAX [NOT VISIBLE] Special Needs? [BOOLEAN] ACCOMPANYING PERSONS FIRST NAME FAMILY NAME DATE OF BIRTH GENDER [GENDER] 9

10 PARTICIPANTS SUMMARY No. of Participants without special needs No. of Participants With Special Needs No. of Accompanying persons 10

11 PROJECT DESCRIPTION SUMMARY [IF INTERIM REPORT] Please make a summary of the main developments in the project at this stage. Present briefly the mobility activities already completed, the activities currently in progress and the activities to be organised over next period. Also indicate if you encountered difficulties that changed the initial planning. [IF FINAL REPORT] Provide a brief summary of the main aims, content and planned outcomes of your project, including an assessment on the level of matching between the initial aims and the final outcomes. Explain shortly also the learning outcomes of the participants and recognition of them. the validation and [IF FINAL REPORT] ESTIMATED RESULTS, OUTCOMES Explain the results and outcomes for the different parties involved (participants, sending, hosting, intermediary organisations and experts). BENEFICIARY [SECTION VISIBLE IF THE BENEFICIARY HAS A CERTIFICATE NUMBER AND THE PERIOD COVERED IS HIGHER THAN 2 YEARS] Please sum up the developments in your international strategy over the last (4) years, and any perceived certification impacts. Please sum up the developments in your management of quality and resources over the last (4) years. In your answer please include how you used the results of evaluations for improving the impact of transnational mobility. 11

12 Please sum up developments in the distribution of tasks and responsibilities for transnational mobility over the last (4) years. Please describe the impact of the certification on the contents of the training programmes in your institution. PROJECT PARTNERS Please describe the outcomes and benefits for the project partners in terms of the organisation s trans-national capacity, vocational training quality improvements, and other aspects. In case you applied elements of ECVET include information on the Memorandum of Understanding or other relevant procedures. INDIVIDUAL PARTICIPANTS Please describe the learning outcomes for individual participants in terms of knowledge, skills and competences (related to professional skills but also key competences such as linguistic, behavioural, intercultural, problem solving, team work building, use of ICT, etc). Please use concrete examples and cases to highlight your answer. PROFESSIONALS IN VET Please describe (if applicable) the outcomes for professionals in VET in terms of knowledge, skills and competences (related to training systems knowledge enhancement, good practice transfer in training provision, professional skills but also key competences such as VET field linguistic knowledge acquisition, ICT know-how, etc.). 12

13 OTHER RESULTS Please describe here any additional relevant information. 13

14 [IF FINAL REPORT] IMPACTS Please describe the wider impact of the project at the sectorial, regional, national and European level (where applicable). SECTORIAL DEVELOPMENT Promoting development and cooperation with VET-fields, economic sectors, cooperation between enterprises and training institutions, covering qualification needs in an economic sector. REGIONAL DEVELOPMENT Promoting regional development and cooperation. OTHER ESTIMATED IMPACTS Please describe here any additional relevant information on for example national or European impacts of your actions. 14

15 [IF FINAL REPORT] PROJECT MAIN FOCUSES [PROJECT MAIN FOCUSES: FULLY HIDDEN SECTION IF THE ORGANISATION HAS A CERTIFICATE AND THE PERIOD COVERED IS LESS OR EQUAL TO 2 YEARS] HORIZONTAL ISSUES Please list the horizontal issues addressed by your project. [HORIZONTAL] [+] OTHER [IF FINAL REPORT] PROJECT IMPLEMENTATION [PROJECT IMPLEMENTATION: FULLY HIDDEN SECTION IF THE ORGANISATION HAS A CERTIFICATE AND THE PERIOD COVERED IS LESS OR EQUAL TO 2 YEARS] CRITERIA USED FOR SELECTION AND RECRUITMENT OF PARTICIPANTS What was the criteria used for the selection and recruitment of participants? What is the background of the participants? 15

16 SETTING UP OF THE PARTNERSHIP How was the selection of the host organisations, establishment of partner's roles in the work programme and contracting done? If the project applied elements of ECVET describe also the establishment of the Memorandum of Understanding and your approach to the definition of learning outcomes, learning agreements and assessment. MANAGEMENT OF PRACTICAL AND LOGISTIC ASPECTS How did you organise the stay in terms of travel, accommodation and other aspects? How did you do the checking and/or financing of insurance (health, liability, social security, other)? How did you manage the support for administrative formalities (visa, work permit, others)? PREPARATION How was the implementation of pedagogical, cultural and linguistic preparation (before, and/or during the placement) done? 16

17 PARTICIPANTS' INVOLVEMENT How was the setting-up/negotiation of the Learning Agreement of the participants done? MANAGEMENT How was the mobility period implemented? Please describe placements done in enterprises, on the spot training organisation (by groups or individually), contents, duration, visited partner organisations, network set up, cultural programmes, etc. How was the participants' monitoring and follow-up done? How was the participants' mentoring done? VALIDATION AND RECOGNITION How was the validation and recognition of the learning outcomes assured? Did every participant receive a Europass Mobility, and if so what were the experiences and benefits? If the project applied elements of ECVET explain also the process of assessment, validation, and recognition of learning outcomes. How was this documented and did the project apply an unified and agreed process? Please attach examples and models if applicable. DISSEMINATION OF OUTCOMES AND GOOD PRACTICES Please explain your strategy for communicating the outcomes and good practices. 17

18 SUSTAINABILITY MEASURES Please explain the measures put in place to ensure a proper project sustainability and evaluation. If you applied ECVET within your project, please elaborate on the effects this had on the sustainability of your project in all the partner organisations and how the long-term cooperation of the partnership has benefitted or not from applying ECVET approaches to mobility. 18

19 MOBILITIES' INFORMATION PARTICIPANTS' MOBILITIES Mobility No. Participant Economic Sector [NACE] Field of education [EDUC_TRAIN] Level of education [E_LEVELS] Sending Country Receiving Country 1 A AT BE 2 B BE DE 3 C AT DE Mobility No. Participant Sending Partner Intermediary Partner Receiving Partner Sending Country Receiving Country Departure date (dd-mm-yyyy) Return Date (dd-mm-yyyy) Duration (weeks) Duration (days) 1 A AT BE 2 B BE DE 3 C AT DE 19

20 [IF FINAL REPORT] USED LANGUAGES Mobility No. Participant Language [LANGUAGES] [IF FINAL REPORT] MOBILITIES' CERTIFICATIONS/RECOGNITIONS Mobility No. Participant Organisation (Sending, Hosting or Intermediary Partner) Recognition/ Certification Type [CERTIFICATION_TYPES] 20

21 ACCOMPANYING PERSONS' MOBILITIES Mobility No. Accompanying Person Sending Partner Intermediary Partner Receiving Partner Sending Country Receiving Country Departure date (dd-mm-yyyy) Return Date (dd-mm-yyyy) Duration (weeks) Duration (days) 4 AA AT BE 5 BB BE DE 6 CC AT DE MOBILITIES SUMMARY Sending country Receiving country No. Participants No. Accompanying Persons Total Duration (weeks) Total Duration (days) AT BE 1 1 BE DE 1 1 AT DE

22 [IF FINAL REPORT] PROJECT DISCREPANCIES SUMMARY PARTICIPANTS' REPORTS STATUS Project Total Number of Participant Mobility Experiences Out of which have a Submitted and Approved Participant Report [THIS QUESTION IS VISIBLE ONLY IF THE TWO ABOVE FIGURES DO NOT MATCH] Please provide any suitable explanations regarding the fact that not all participant reports were submitted and approved at the moment of submission of this final report. [COMPULSORY] 22

23 [THIS SECTION IS ONLY VISIBLE IF THERE ARE ANY ENTRIES IN ANY OF THE TWO TABLES] PARTICIPANTS WITHOUT MOBILITIES PARTICIPANTS FIRST NAME FAMILY NAME DATE OF BIRTH GENDER [GENDER] TYPE OF PARTICIPANT [PARTICIPANTS] Special Needs? [BOOLEAN] ACCOMPANYING PERSONS FIRST NAME FAMILY NAME DATE OF BIRTH GENDER [GENDER] Please provide any suitable explanations regarding the fact that these participants have no mobilities assigned to them. [COMPULSORY] 23

24 [THIS SECTION IS ONLY VISIBLE IF THERE ARE ANY ENTRIES IN THESE TWO TABLES] MOBILITY EXPERIENCES WITH A SHORTER THAN ALLOWED DURATION PARTICIPANTS Mobility No. Participant Sending Partner Intermediary Partner Receiving Partner Sending Country Receiving Country Departure date (dd-mm-yyyy) Return Date (dd-mm-yyyy) Duration (weeks) Duration (days) 1 2 ACCOMPANYING PERSONS Mobility No. Accompanying Person Sending Partner Intermediary Partner Receiving Partner Sending Country Receiving Country Departure date (dd-mm-yyyy) Return Date (dd-mm-yyyy) Duration (weeks) Duration (days) 4 5 Please provide any suitable explanations regarding the fact that these mobilities have a shorter duration. [COMPULSORY] 24

25 [THIS SECTION IS ONLY VISIBLE IF THERE ARE ANY ENTRIES IN THESE TWO TABLES] MOBILITIES WITH ZERO BUDGET PARTICIPANTS Mobility No. Participant Sending Partner Intermediary Partner Receiving Partner Sending Country Receiving Country Departure date (dd-mm-yyyy) Return Date (dd-mm-yyyy) Duration (weeks) Duration (days) 1 2 ACCOMPANYING PERSONS Mobility No. Accompanying Person Sending Partner Intermediary Partner Receiving Partner Sending Country Receiving Country Departure date (dd-mm-yyyy) Return Date (dd-mm-yyyy) Duration (weeks) Duration (days) 4 5 Please provide any suitable explanations regarding the fact that these mobilities have a zero budget. [COMPULSORY] 25

26 [IF FINAL REPORT] LESSONS LEARNED [LESSONS LEARNED: HIDDEN SECTION IF THE ORGANISATION HAS A CERTIFICATE AND THE PROJECT DURATION IS LESS OR EQUAL TO 2 YEARS] PROBLEM HANDLING Please describe any problem you encountered during the project, including also the solution applied. COMMENTS AND SUGGESTIONS Please provide any further comments you might wish to make to the National Agency or the European Commission on the management and implementation of Leonardo Mobility Projects (such as recommendation for future measures, administrative/certification procedures, monitoring activities by the National Agency, implementation of certificate for mobility, level of funding, etc.). 26

27 FUNDING OTHER FUNDING SOURCES If applicable, please identify other funding sources for the project other than Leonardo da Vinci. [APPLICABLE TO THE GRANTS OVER EUROS ONLY] MOBILITY ORGANISATION AND MANAGEMENT Total No. of Participants 25 Total [THE BENEFICIARY RECEIVES THESE GRANTS, NOT THE SENDING, RECEIVING OR INTERMEDIARY PARTNERS. IF THE NA HAS PROVIDED ITS RATES, THE MOBILITY TOOL SHALL CALCULATE THEM BASED ON THE NUMBER OF PARTICIPANTS, AND THE BENEFICIARY CAN OVERRIDE THEM. IF THE NA HAS NOT PROVIDED ITS RATES, THE BENEFICIARY MUST INPUT THE TOTAL AMOUNT] 27

28 PEDAGOGICAL, LINGUISTIC AND CULTURAL PREPARATION Participant Total A 100 B 100 C 100 Total No. of Participants 3 Pedagogical, linguistic and cultural preparation total 300 [THERE ARE NO PREPARATION GRANTS FOR ACCOMPANYING PERSONS] 28

29 MOBILITIES PARTICIPANTS Mobility No. Participant Special Needs? [BOOLEAN] Sending Country Destination country Travel Cost Duration (weeks) Subsistence Duration (days) Subsistence Travel + Subsistence 1 A Y AT BE B Y AT BE C N BE BG D N BE DE E N AT DE A Y BE DE B Y BE DE C N BG AT D N BE AT [NO VISA, INSURANCE, SPECIAL NEEDS GRANTS (ALREADY INCLUDED IN TRAVEL + SUBSISTENCE) IF THE NA HAS PROVIDED ITS RATES, THE SYSTEM SHALL CALCULATE THEM BASED ON THE DURATION, AND THE BENEFICIARY CAN OVERRIDE THEM. IF THE NA HAS NOT PROVIDED ITS RATES, THE BENEFICIARY MUST INPUT THE TOTAL AMOUNT] 29

30 ACCOMPANYING PERSONS Mobility No. Accompanying Person Sending Country Destination country Travel Cost Duration in weeks Subsistence Duration in days Total Travel + Subsistence 1 AA AT BE BB AT BE AA BE DE BB BE DE [NO VISA, INSURANCE, SPECIAL NEEDS GRANTS (ALREADY INCLUDED IN TRAVEL + SUBSISTENCE). IF THE NA HAS PROVIDED ITS RATES, THE SYSTEM SHALL CALCULATE THEM BASED ON THE DURATION, AND THE BENEFICIARY CAN OVERRIDE THEM. IF THE NA HAS NOT PROVIDED ITS RATES, THE BENEFICIARY MUST INPUT THE TOTAL AMOUNT] 30

31 MOBILITIES SUMMARY Sending Country Receiving Country No. Participants without special needs No. Participants with special needs No. Accompanying Persons Travel Cost Duration in weeks Subsistence Duration in days Total Travel + Subsistence AT DE AT BE AT BE BE BG BE DE BE DE BE DE BG AT BE AT THIS TABLE AGGREGATES THE MOBILITIES' TOTALS FROM THE PREVIOUS TABLES. THE GROUPING IS DONE USING THE FOLLOWING SET OF FIELDS: -> SENDING COUNTRY; -> RECEIVING COUNTRY; -> NO. PARTICIPANTS WITHOUT SPECIAL NEEDS; -> NO. PARTICIPANTS WITH SPECIAL NEEDS; -> NO. ACCOMPANYING PERSONS 31

32 SUMMARY Total Mobility Organisation and Management 750 Pedagogical, linguistic and cultural preparation 750 Participants without special needs 750 Mobility Travel Participants with special needs 1000 Accompanying persons 750 Subsistence Participants without special needs 750 Participants with special needs 1000 Accompanying persons 750 Total 3000 National funds 100 Other Funds Own contribution 200 Other sources 300 Total

33 PAYMENT (IF INTERIM REPORT) Please indicate here if you request the payment of supplementary pre-financing (advances). [BOOLEAN] Yes, I request the payment No, I do not request the payment 33

34 DATA PROTECTION NOTICE PROTECTION OF PERSONAL DATA The grant application will be processed by computer. All personal data (such as names, addresses, CVs, etc.) will be processed in accordance with Regulation (EC) No 45/2001 of the European Parliament and of the Council of 18 December 2000 on the protection of individuals with regard to the processing of personal data by the Community institutions and bodies and on the free movement of such data. Information provided by the applicants necessary in order to assess their grant application will be processed solely for that purpose by the department responsible for the programme concerned. On the applicant's request, personal data may be sent to the applicant to be corrected or completed. Any question relating to these data, should be addressed to the appropriate Agency to which the form must be submitted. Beneficiaries may lodge a complaint against the processing of their personal data with the European Data Protection Supervisor at anytime. BENEFICIARY DECLARATION AND SIGNATURE I, the undersigned, hereby declare that the attached information is accurate and in accordance with the facts. In particular the financial data provided in this report correspond to the activities actually realised and to the grants actually paid for subsistence, travel and preparation of participants. Place: Date: Name: Position within the contracting organisation: Signature: 34

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