12 Aralık 2012 Çarşamba

A B GURUNDİTVİG PROJE


Education and Culture DG
Report Form
Call: 2010
Partnerships
Lifelong Learning Programme Form version: 3.1 / Adobe Reader version: 10.104
EN
Form hash code 431FF7F6C42F9BB7
This form has been submitted online on: 2012-10-15 00:47:32. Submission ID: 465262.
Page 1 of 51
A. GENERAL INFORMATION
Please send this report to your National Agency, duly completed and signed by 30 September 2012. This report is
considered as your request for payment of the balance of the grant. Please check Annex III of your grant agreement for a
detailed explanation of the calculation of the final grant amount.
B. SUBMISSION
Programme
Sub-programme
Action type
Action
Call
Working language of the partnership
B.1. PROJECT IDENTIFIERS
Grant agreement no.
Project title
Project acronym
National Id
Form hash code
B.2. NATIONAL AGENCY
Identification
Postal address AB Egitim ve Genclik Programlari Merkezi Baskanligi, Grundtvig Program
Koordinatorlugu, MEVLANA BULVARI NO:181 TR 06520 BALGAT/ANKARA
Email address llpgrundtvig@ua.gov.tr
Helpdesk yardim@ua.gov.tr
Website www.ua.gov.tr
Education and Culture DG
Report Form
Call: 2010
Partnerships
Lifelong Learning Programme Form version: 3.1 / Adobe Reader version: 10.104
EN
Form hash code 431FF7F6C42F9BB7
This form has been submitted online on: 2012-10-15 00:47:32. Submission ID: 465262.
Page 2 of 51
C. IDENTIFICATION OF THE BENEFICIARY
C.1. BENEFICIARY ORGANISATION
Role
Full legal name (national language)
Full legal name (latin characters)
Acronym
National id (if applicable)
Type of organisation
Commercial orientation
Scope
Legal status
Size (staff)
Size (learners/trainees)
Legal address
Postal code
City
Country
Region
Telephone 1
Telephone 2
Fax
Email
Website
Education and Culture DG
Report Form
Call: 2010
Partnerships
Lifelong Learning Programme Form version: 3.1 / Adobe Reader version: 10.104
EN
Form hash code 431FF7F6C42F9BB7
This form has been submitted online on: 2012-10-15 00:47:32. Submission ID: 465262.
Page 3 of 51
C.2. CONTACT PERSON
Title
First name
Family name
Department
Position
Work address
Postal code
City
Country
Telephone 1
Telephone 2
Mobile
Fax
Email
Education and Culture DG
Report Form
Call: 2010
Partnerships
Lifelong Learning Programme Form version: 3.1 / Adobe Reader version: 10.104
EN
Form hash code 431FF7F6C42F9BB7
This form has been submitted online on: 2012-10-15 00:47:32. Submission ID: 465262.
Page 4 of 51
C.3. LEGAL REPRESENTATIVE
Title
First name
Family name
Organisation
Department
Position
Work address
Postal code
City
Country
Telephone 1
Telephone 2
Fax
Email
C.4. SOURCE OF INFORMATION
At application stage how did you find information about partnerships?
Education and Culture DG
Report Form
Call: 2010
Partnerships
Lifelong Learning Programme Form version: 3.1 / Adobe Reader version: 10.104
EN
Form hash code 431FF7F6C42F9BB7
This form has been submitted online on: 2012-10-15 00:47:32. Submission ID: 465262.
Page 5 of 51
D. IDENTIFICATION OF THE PARTNERS
D.1. PARTNER ORGANISATION
National Agency identification
Role
Full legal name (national language)
Full legal name (latin characters)
Acronym
National id (if applicable)
Type of organisation
Commercial orientation
Scope
Legal status
Size (staff)
Size (learners/trainees)
Legal address
Postal code
City
Country
Region
Telephone 1
Telephone 2
Fax
Email
Website
Education and Culture DG
Report Form
Call: 2010
Partnerships
Lifelong Learning Programme Form version: 3.1 / Adobe Reader version: 10.104
EN
Form hash code 431FF7F6C42F9BB7
This form has been submitted online on: 2012-10-15 00:47:32. Submission ID: 465262.
Page 6 of 51
D.2. PARTNER ORGANISATION
National Agency identification
Role
Full legal name (national language)
Full legal name (latin characters)
Acronym
National id (if applicable)
Type of organisation
Commercial orientation
Scope
Legal status
Size (staff)
Size (learners/trainees)
Legal address
Postal code
City
Country
Region
Telephone 1
Telephone 2
Fax
Email
Website
Education and Culture DG
Report Form
Call: 2010
Partnerships
Lifelong Learning Programme Form version: 3.1 / Adobe Reader version: 10.104
EN
Form hash code 431FF7F6C42F9BB7
This form has been submitted online on: 2012-10-15 00:47:32. Submission ID: 465262.
Page 7 of 51
D.3. PARTNER ORGANISATION
National Agency identification
Role
Full legal name (national language)
Full legal name (latin characters)
Acronym
National id (if applicable)
Type of organisation
Commercial orientation
Scope
Legal status
Size (staff)
Size (learners/trainees)
Legal address
Postal code
City
Country
Region
Telephone 1
Telephone 2
Fax
Email
Website
Education and Culture DG
Report Form
Call: 2010
Partnerships
Lifelong Learning Programme Form version: 3.1 / Adobe Reader version: 10.104
EN
Form hash code 431FF7F6C42F9BB7
This form has been submitted online on: 2012-10-15 00:47:32. Submission ID: 465262.
Page 8 of 51
D.4. PARTNER ORGANISATION
National Agency identification
Role
Full legal name (national language)
Full legal name (latin characters)
Acronym
National id (if applicable)
Type of organisation
Commercial orientation
Scope
Legal status
Size (staff)
Size (learners/trainees)
Legal address
Postal code
City
Country
Region
Telephone 1
Telephone 2
Fax
Email
Website
Education and Culture DG
Report Form
Call: 2010
Partnerships
Lifelong Learning Programme Form version: 3.1 / Adobe Reader version: 10.104
EN
Form hash code 431FF7F6C42F9BB7
This form has been submitted online on: 2012-10-15 00:47:32. Submission ID: 465262.
Page 9 of 51
E. PART A (CONCERNING THE PARTNERSHIP AS A WHOLE)
E.1. SUMMARY
Please provide a brief description of the partnership carried out in the communication language of the partnership
(maximum of 5000 characers). The provided summary may be used for publication.
Translation of Summary into English.
Education and Culture DG
Report Form
Call: 2010
Partnerships
Lifelong Learning Programme Form version: 3.1 / Adobe Reader version: 10.104
EN
Form hash code 431FF7F6C42F9BB7
This form has been submitted online on: 2012-10-15 00:47:32. Submission ID: 465262.
Page 10 of 51
E.2. OUTCOMES
Please fill the following table with the outcomes produced by your partnership.
Identifier
Type
Title
Description
Education and Culture DG
Report Form
Call: 2010
Partnerships
Lifelong Learning Programme Form version: 3.1 / Adobe Reader version: 10.104
EN
Form hash code 431FF7F6C42F9BB7
This form has been submitted online on: 2012-10-15 00:47:32. Submission ID: 465262.
Page 11 of 51
Topics
Target group(s)/potential beneficiaries
Languages
Source
Creator
Publisher
Coverage
Copyright/Rights
Target sectors
Medias used
Identifier
Type
Title
Education and Culture DG
Report Form
Call: 2010
Partnerships
Lifelong Learning Programme Form version: 3.1 / Adobe Reader version: 10.104
EN
Form hash code 431FF7F6C42F9BB7
This form has been submitted online on: 2012-10-15 00:47:32. Submission ID: 465262.
Page 12 of 51
Description
Topics
Target group(s)/potential beneficiaries
Languages
Source
Creator
Publisher
Coverage
Copyright/Rights
Target sectors
Medias used
Identifier
Type
Education and Culture DG
Report Form
Call: 2010
Partnerships
Lifelong Learning Programme Form version: 3.1 / Adobe Reader version: 10.104
EN
Form hash code 431FF7F6C42F9BB7
This form has been submitted online on: 2012-10-15 00:47:32. Submission ID: 465262.
Page 13 of 51
Title
Description
Topics
Target group(s)/potential beneficiaries
Languages
Source
Creator
Publisher
Coverage
Copyright/Rights
Target sectors
Medias used
Identifier
Type
Education and Culture DG
Report Form
Call: 2010
Partnerships
Lifelong Learning Programme Form version: 3.1 / Adobe Reader version: 10.104
EN
Form hash code 431FF7F6C42F9BB7
This form has been submitted online on: 2012-10-15 00:47:32. Submission ID: 465262.
Page 14 of 51
Title
Description
Topics
Target group(s)/potential beneficiaries
Languages
Source
Creator
Publisher
Coverage
Copyright/Rights
Target sectors
Medias used
Identifier
Type
Education and Culture DG
Report Form
Call: 2010
Partnerships
Lifelong Learning Programme Form version: 3.1 / Adobe Reader version: 10.104
EN
Form hash code 431FF7F6C42F9BB7
This form has been submitted online on: 2012-10-15 00:47:32. Submission ID: 465262.
Page 15 of 51
Title
Description
Topics
Target group(s)/potential beneficiaries
Languages
Source
Creator
Publisher
Coverage
Copyright/Rights
Target sectors
Medias used
Identifier
Type
Education and Culture DG
Report Form
Call: 2010
Partnerships
Lifelong Learning Programme Form version: 3.1 / Adobe Reader version: 10.104
EN
Form hash code 431FF7F6C42F9BB7
This form has been submitted online on: 2012-10-15 00:47:32. Submission ID: 465262.
Page 16 of 51
Title
Description
Topics
Target group(s)/potential beneficiaries
Languages
Source
Creator
Publisher
Coverage
Copyright/Rights
Target sectors
Medias used
Identifier
Education and Culture DG
Report Form
Call: 2010
Partnerships
Lifelong Learning Programme Form version: 3.1 / Adobe Reader version: 10.104
EN
Form hash code 431FF7F6C42F9BB7
This form has been submitted online on: 2012-10-15 00:47:32. Submission ID: 465262.
Page 17 of 51
Type
Title
Description
Topics
Target group(s)/potential beneficiaries
Languages
Source
Creator
Publisher
Coverage
Copyright/Rights
Target sectors
Medias used
Identifier
Education and Culture DG
Report Form
Call: 2010
Partnerships
Lifelong Learning Programme Form version: 3.1 / Adobe Reader version: 10.104
EN
Form hash code 431FF7F6C42F9BB7
This form has been submitted online on: 2012-10-15 00:47:32. Submission ID: 465262.
Page 18 of 51
Type
Title
Description
Topics
Target group(s)/potential beneficiaries
Languages
Source
Creator
Publisher
Coverage
Copyright/Rights
Target sectors
Medias used
Identifier
Type
Education and Culture DG
Report Form
Call: 2010
Partnerships
Lifelong Learning Programme Form version: 3.1 / Adobe Reader version: 10.104
EN
Form hash code 431FF7F6C42F9BB7
This form has been submitted online on: 2012-10-15 00:47:32. Submission ID: 465262.
Page 19 of 51
Title
Description
Topics
Target group(s)/potential beneficiaries
Languages
Source
Creator
Publisher
Coverage
Copyright/Rights
Target sectors
Medias used
Identifier
Type
Education and Culture DG
Report Form
Call: 2010
Partnerships
Lifelong Learning Programme Form version: 3.1 / Adobe Reader version: 10.104
EN
Form hash code 431FF7F6C42F9BB7
This form has been submitted online on: 2012-10-15 00:47:32. Submission ID: 465262.
Page 20 of 51
Title
Description
Topics
Target group(s)/potential beneficiaries
Languages
Source
Creator
Publisher
Coverage
Copyright/Rights
Target sectors
Medias used
Identifier
Education and Culture DG
Report Form
Call: 2010
Partnerships
Lifelong Learning Programme Form version: 3.1 / Adobe Reader version: 10.104
EN
Form hash code 431FF7F6C42F9BB7
This form has been submitted online on: 2012-10-15 00:47:32. Submission ID: 465262.
Page 21 of 51
Type
Title
Description
Topics
Target group(s)/potential beneficiaries
Languages
Source
Creator
Publisher
Coverage
Copyright/Rights
Target sectors
Medias used
Education and Culture DG
Report Form
Call: 2010
Partnerships
Lifelong Learning Programme Form version: 3.1 / Adobe Reader version: 10.104
EN
Form hash code 431FF7F6C42F9BB7
This form has been submitted online on: 2012-10-15 00:47:32. Submission ID: 465262.
Page 22 of 51
Identifier
Type
Title
Description
Topics
Target group(s)/potential beneficiaries
Languages
Source
Creator
Publisher
Coverage
Copyright/Rights
Target sectors
Medias used
Education and Culture DG
Report Form
Call: 2010
Partnerships
Lifelong Learning Programme Form version: 3.1 / Adobe Reader version: 10.104
EN
Form hash code 431FF7F6C42F9BB7
This form has been submitted online on: 2012-10-15 00:47:32. Submission ID: 465262.
Page 23 of 51
Identifier
Type
Title
Description
Topics
Target group(s)/potential beneficiaries
Languages
Source
Creator
Publisher
Coverage
Copyright/Rights
Target sectors
Education and Culture DG
Report Form
Call: 2010
Partnerships
Lifelong Learning Programme Form version: 3.1 / Adobe Reader version: 10.104
EN
Form hash code 431FF7F6C42F9BB7
This form has been submitted online on: 2012-10-15 00:47:32. Submission ID: 465262.
Page 24 of 51
Medias used
Identifier
Type
Title
Description
Topics
Target group(s)/potential beneficiaries
Languages
Source
Creator
Publisher
Coverage
Copyright/Rights
Education and Culture DG
Report Form
Call: 2010
Partnerships
Lifelong Learning Programme Form version: 3.1 / Adobe Reader version: 10.104
EN
Form hash code 431FF7F6C42F9BB7
This form has been submitted online on: 2012-10-15 00:47:32. Submission ID: 465262.
Page 25 of 51
Target sectors
Medias used
Identifier
Type
Title
Description
Topics
Target group(s)/potential beneficiaries
Languages
Source
Creator
Education and Culture DG
Report Form
Call: 2010
Partnerships
Lifelong Learning Programme Form version: 3.1 / Adobe Reader version: 10.104
EN
Form hash code 431FF7F6C42F9BB7
This form has been submitted online on: 2012-10-15 00:47:32. Submission ID: 465262.
Page 26 of 51
Publisher
Coverage
Copyright/Rights
Target sectors
Medias used
Identifier
Type
Title
Description
Topics
Target group(s)/potential beneficiaries
Languages
Source
Education and Culture DG
Report Form
Call: 2010
Partnerships
Lifelong Learning Programme Form version: 3.1 / Adobe Reader version: 10.104
EN
Form hash code 431FF7F6C42F9BB7
This form has been submitted online on: 2012-10-15 00:47:32. Submission ID: 465262.
Page 27 of 51
Creator
Publisher
Coverage
Copyright/Rights
Target sectors
Medias used
Identifier
Type
Title
Description
Topics
Target group(s)/potential beneficiaries
Languages
Education and Culture DG
Report Form
Call: 2010
Partnerships
Lifelong Learning Programme Form version: 3.1 / Adobe Reader version: 10.104
EN
Form hash code 431FF7F6C42F9BB7
This form has been submitted online on: 2012-10-15 00:47:32. Submission ID: 465262.
Page 28 of 51
Source
Creator
Publisher
Coverage
Copyright/Rights
Target sectors
Medias used
Identifier
Type
Title
Description
Topics
Target group(s)/potential beneficiaries
Education and Culture DG
Report Form
Call: 2010
Partnerships
Lifelong Learning Programme Form version: 3.1 / Adobe Reader version: 10.104
EN
Form hash code 431FF7F6C42F9BB7
This form has been submitted online on: 2012-10-15 00:47:32. Submission ID: 465262.
Page 29 of 51
Languages
Source
Creator
Publisher
Coverage
Copyright/Rights
Target sectors
Medias used
Identifier
Type
Title
Description
Topics
Education and Culture DG
Report Form
Call: 2010
Partnerships
Lifelong Learning Programme Form version: 3.1 / Adobe Reader version: 10.104
EN
Form hash code 431FF7F6C42F9BB7
This form has been submitted online on: 2012-10-15 00:47:32. Submission ID: 465262.
Page 30 of 51
Target group(s)/potential beneficiaries
Languages
Source
Creator
Publisher
Coverage
Copyright/Rights
Target sectors
Medias used
Identifier
Type
Title
Description
Topics
Education and Culture DG
Report Form
Call: 2010
Partnerships
Lifelong Learning Programme Form version: 3.1 / Adobe Reader version: 10.104
EN
Form hash code 431FF7F6C42F9BB7
This form has been submitted online on: 2012-10-15 00:47:32. Submission ID: 465262.
Page 31 of 51
Target group(s)/potential beneficiaries
Languages
Source
Creator
Publisher
Coverage
Copyright/Rights
Target sectors
Medias used
E.3. EUROPEAN ADDED VALUE
What was the added value of the partnership towards a more intensive European cooperation?
Education and Culture DG
Report Form
Call: 2010
Partnerships
Lifelong Learning Programme Form version: 3.1 / Adobe Reader version: 10.104
EN
Form hash code 431FF7F6C42F9BB7
This form has been submitted online on: 2012-10-15 00:47:32. Submission ID: 465262.
Page 32 of 51
E.4. PARTNERSHIP OBJECTIVES ACHIEVEMENTS
Please summarise briefly the main aims/objectives of your partnership.
E.5. KEY COMPETENCES
Please enter the specific key competences addressed by your partnership.
Please specify any concrete measures and activities undertaken at partnership level.
E.6. HORIZONTAL ISSUES
Please enter the horizontal issues addressed by your partnership.
Promoting an awareness of the importance of cultural and linguistic diversity within Europe, as well as of the
need to combat racism, prejudice and xenophobia (Div)
Cultural and linguistic diversity (CulDiv)
Fight against racism and xenophobia (RacXen)
Making provision for learners with special needs, and in particular by helping to promote their integration into
mainstream education and training (SpecNeed)
Promoting equality between men and women and contributing to combating all forms of discrimination based on
sex, racial or ethnic origin, religion or belief, disability, age or sexual orientation (Discr)
Equal opportunities men and women (Equal)
Education and Culture DG
Report Form
Call: 2010
Partnerships
Lifelong Learning Programme Form version: 3.1 / Adobe Reader version: 10.104
EN
Form hash code 431FF7F6C42F9BB7
This form has been submitted online on: 2012-10-15 00:47:32. Submission ID: 465262.
Page 33 of 51
Sexual discrimination, orientation (SexDis)
Racial or ethnic origin (RacEth)
Age (Age)
If other, please specify.
Please specify any concrete measures and activities undertaken at partnership level.
E.7. WORKPLAN AND TASKS
If some of the tasks carried out are different form those planned at application stage, please explain why.
E.8. COMMUNICATION AND COOPERATION
How would you describe the cooperation and communication between the participating organisations involved in your
partnership? Were all organisations equally involved?
E.9. PARTNERSHIP LANGUAGES
Please enter the communication and working languages used in the partnership.
Education and Culture DG
Report Form
Call: 2010
Partnerships
Lifelong Learning Programme Form version: 3.1 / Adobe Reader version: 10.104
EN
Form hash code 431FF7F6C42F9BB7
This form has been submitted online on: 2012-10-15 00:47:32. Submission ID: 465262.
Page 34 of 51
E.10. EVALUATION
E.10.1. PROGRESS MONITORING
How did you monitor and evaluate the progress and the expected impact of the partnership?
What were the main conclusions and consequences of the monitoring and evaluation?
E.10.2. RESULTS/PRODUCTS/OUTCOMES ACHIEVEMENT
To what extent were results/products/outcomes previously identified at application stage achieved?
If your outcomes were different to those indicated at application stage, please explain the reasons for these changes.
E.10.3. AIMS/OBJECTIVES ACHIEVEMENT
To what extent were the aims/objectives previously stated at application stage achieved?
In case of underachievement, please explain which aims/objectives were not achieved and for what reasons.
Education and Culture DG
Report Form
Call: 2010
Partnerships
Lifelong Learning Programme Form version: 3.1 / Adobe Reader version: 10.104
EN
Form hash code 431FF7F6C42F9BB7
This form has been submitted online on: 2012-10-15 00:47:32. Submission ID: 465262.
Page 35 of 51
F. PART B (CONCERNING YOUR OWN INSTITUTION)
F.1. PARTICIPANTS
F.1.1. ACTIVITIES
Please enter the details about the number of participants from your institution involved in partnership activities and
mobilities.
Type Gender No. of Pupils/
Learners/Trainees
Out of which No. of
Pupils/Learners/Trainees
With Special Needs
No. of Teachers/Staff
Out of which No. of
Teachers/Staff With
Special Needs
No. of Accompanying
Persons
LOCAL ACTIVITIES
TRANSNATIONAL
MOBILITIES
F.1.2. AGE RANGES
Please enter the number of Pupils/Learners/Trainees by age range.
Age Range No. of Pupils / Learners / Trainers
F.2. PARTNERSHIP ACTIVITIES
Please enter the concrete activities carried out by your organisation at local level and during the mobilities.
Activity No.
Description
Activity type
Start date (dd-mm-yyyy)
Duration (days)
Actors involved
Education and Culture DG
Report Form
Call: 2010
Partnerships
Lifelong Learning Programme Form version: 3.1 / Adobe Reader version: 10.104
EN
Form hash code 431FF7F6C42F9BB7
This form has been submitted online on: 2012-10-15 00:47:32. Submission ID: 465262.
Page 36 of 51
Activity No.
Description
Activity type
Start date (dd-mm-yyyy)
Duration (days)
Actors involved
Activity No.
Description
Activity type
Start date (dd-mm-yyyy)
Duration (days)
Actors involved
Activity No.
Description
Activity type
Start date (dd-mm-yyyy)
Duration (days)
Actors involved
Activity No.
Description
Activity type
Start date (dd-mm-yyyy)
Duration (days)
Actors involved
Education and Culture DG
Report Form
Call: 2010
Partnerships
Lifelong Learning Programme Form version: 3.1 / Adobe Reader version: 10.104
EN
Form hash code 431FF7F6C42F9BB7
This form has been submitted online on: 2012-10-15 00:47:32. Submission ID: 465262.
Page 37 of 51
Activity No.
Description
Activity type
Start date (dd-mm-yyyy)
Duration (days)
Actors involved
Activity No.
Description
Activity type
Start date (dd-mm-yyyy)
Duration (days)
Actors involved
Activity No.
Description
Activity type
Start date (dd-mm-yyyy)
Duration (days)
Actors involved
Activity No.
Description
Activity type
Start date (dd-mm-yyyy)
Duration (days)
Actors involved
Education and Culture DG
Report Form
Call: 2010
Partnerships
Lifelong Learning Programme Form version: 3.1 / Adobe Reader version: 10.104
EN
Form hash code 431FF7F6C42F9BB7
This form has been submitted online on: 2012-10-15 00:47:32. Submission ID: 465262.
Page 38 of 51
Activity No.
Description
Activity type
Start date (dd-mm-yyyy)
Duration (days)
Actors involved
Activity No.
Description
Activity type
Start date (dd-mm-yyyy)
Duration (days)
Actors involved
Activity No.
Description
Activity type
Start date (dd-mm-yyyy)
Duration (days)
Actors involved
Activity No.
Description
Activity type
Start date (dd-mm-yyyy)
Duration (days)
Actors involved
Education and Culture DG
Report Form
Call: 2010
Partnerships
Lifelong Learning Programme Form version: 3.1 / Adobe Reader version: 10.104
EN
Form hash code 431FF7F6C42F9BB7
This form has been submitted online on: 2012-10-15 00:47:32. Submission ID: 465262.
Page 39 of 51
Activity No.
Description
Activity type
Start date (dd-mm-yyyy)
Duration (days)
Actors involved
Activity No.
Description
Activity type
Start date (dd-mm-yyyy)
Duration (days)
Actors involved
Activity No.
Description
Activity type
Start date (dd-mm-yyyy)
Duration (days)
Actors involved
Activity No.
Description
Activity type
Start date (dd-mm-yyyy)
Duration (days)
Actors involved
Education and Culture DG
Report Form
Call: 2010
Partnerships
Lifelong Learning Programme Form version: 3.1 / Adobe Reader version: 10.104
EN
Form hash code 431FF7F6C42F9BB7
This form has been submitted online on: 2012-10-15 00:47:32. Submission ID: 465262.
Page 40 of 51
Activity No.
Description
Activity type
Start date (dd-mm-yyyy)
Duration (days)
Actors involved
Activity No.
Description
Activity type
Start date (dd-mm-yyyy)
Duration (days)
Actors involved
To what extent were the planned activities previously stated at application stage achieved?
Please identify not fully achieved activities and explain the reasons and impact on the overall partnership. If some of the
activities carried out are different from those planned at application stage, please explain why.
Education and Culture DG
Report Form
Call: 2010
Partnerships
Lifelong Learning Programme Form version: 3.1 / Adobe Reader version: 10.104
EN
Form hash code 431FF7F6C42F9BB7
This form has been submitted online on: 2012-10-15 00:47:32. Submission ID: 465262.
Page 41 of 51
F.3. IMPACTS
F.3.1. PUPILS/LEARNERS/TRAINEES
What impact did the partnership have on the pupils/learners/trainees?
AREA RATING
Increased language skills (Pupil-Lang)
Increased ICT skills (Pupil-ICT)
Increased social skills (Pupil-Social)
Increased motivation (Pupil-Motiv)
Increased self-confidence (Pupil-Self)
Increased knowledge about partner countries and cultures (Pupil-Culture)
Other (Pupil-Oth)
Please comment on your choices.
F.3.2. TEACHERS/STAFF
What impact did the partnership have on the teachers/staff?
AREA RATING
Increased language skills (Staff-Lang)
Increased ICT skills (Staff-ICT)
Increased pedagogical skills (Staff-Pedag)
Increased motivation (Staff-Motiv)
Increased project management skills (Staff-PrjMng)
Increased knowledge about partner countries and cultures (Staff-Culture)
Other (Staff-Oth)
If other, please specify.
Education and Culture DG
Report Form
Call: 2010
Partnerships
Lifelong Learning Programme Form version: 3.1 / Adobe Reader version: 10.104
EN
Form hash code 431FF7F6C42F9BB7
This form has been submitted online on: 2012-10-15 00:47:32. Submission ID: 465262.
Page 42 of 51
Please comment on your choices.
F.3.3. ORGANISATION
What impact did the partnership have on your organisation?
AREA RATING
Changes to the curriculum/training programme (Home-Curr)
Changes to organisational arrangements (Home-Org)
Increase support of the organisation management (Home-Supp)
Increased cooperation among staff (Home-StaffCoop)
Other (Home-Oth)
Please comment on your choices.
F.3.4. LOCAL COMMUNITY
What impact did the partnership have on the local community?
AREA RATING
Increased support and participation of family members (Local-Family)
Increased cooperation with other local organisations (Local-Coop)
Increased cooperation with local companies (Local-Comp)
Increased support and participation of other local actors (Local-Actor)
Other (Local-Oth)
Please comment on your choices.
Education and Culture DG
Report Form
Call: 2010
Partnerships
Lifelong Learning Programme Form version: 3.1 / Adobe Reader version: 10.104
EN
Form hash code 431FF7F6C42F9BB7
This form has been submitted online on: 2012-10-15 00:47:32. Submission ID: 465262.
Page 43 of 51
F.3.5. OTHER IMPACTS
Please describe any other impact you have noted.
Education and Culture DG
Report Form
Call: 2010
Partnerships
Lifelong Learning Programme Form version: 3.1 / Adobe Reader version: 10.104
EN
Form hash code 431FF7F6C42F9BB7
This form has been submitted online on: 2012-10-15 00:47:32. Submission ID: 465262.
Page 44 of 51
F.4. DISSEMINATION
How have you informed your organisation/other organisations/the local community of the results of your partnership?
If other, please specify.
Please specify the dissemination activities carried out.
Education and Culture DG
Report Form
Call: 2010
Partnerships
Lifelong Learning Programme Form version: 3.1 / Adobe Reader version: 10.104
EN
Form hash code 431FF7F6C42F9BB7
This form has been submitted online on: 2012-10-15 00:47:32. Submission ID: 465262.
Page 45 of 51
F.5. SUSTAINABILITY
How do you think that the outcomes of your partnership could be used by others?
Education and Culture DG
Report Form
Call: 2010
Partnerships
Lifelong Learning Programme Form version: 3.1 / Adobe Reader version: 10.104
EN
Form hash code 431FF7F6C42F9BB7
This form has been submitted online on: 2012-10-15 00:47:32. Submission ID: 465262.
Page 46 of 51
F.6. MOBILITY PARTICIPATION
Mobility Type of Grant Awarded
Number of Reduced Mobilities (due to staff or
pupils/learners/trainees with special needs or
travel to or from Overseas Countries and
Territories)
Please enter the mobility participation details.
Mobility No.
Host Organisation
Receiving Country
Receiving Location
Description
Start date (dd-mm-yyyy)
End date (dd-mm-yyyy)
Duration (days)
No. of Pupils/Learners/Trainees
Out of Which No. of Pupils/Learners/Trainees
With Special Needs
No. of Staff
Out of Which No. of Staff With Special Needs
No. of Accompanying Persons
Mobility No.
Host Organisation
Receiving Country
Receiving Location
Description
Start date (dd-mm-yyyy)
End date (dd-mm-yyyy)
Duration (days)
Education and Culture DG
Report Form
Call: 2010
Partnerships
Lifelong Learning Programme Form version: 3.1 / Adobe Reader version: 10.104
EN
Form hash code 431FF7F6C42F9BB7
This form has been submitted online on: 2012-10-15 00:47:32. Submission ID: 465262.
Page 47 of 51
No. of Pupils/Learners/Trainees
Out of Which No. of Pupils/Learners/Trainees
With Special Needs
No. of Staff
Out of Which No. of Staff With Special Needs
No. of Accompanying Persons
Mobility No.
Host Organisation
Receiving Country
Receiving Location
Description
Start date (dd-mm-yyyy)
End date (dd-mm-yyyy)
Duration (days)
No. of Pupils/Learners/Trainees
Out of Which No. of Pupils/Learners/Trainees
With Special Needs
No. of Staff
Out of Which No. of Staff With Special Needs
No. of Accompanying Persons
Mobility No.
Host Organisation
Receiving Country
Receiving Location
Description
Start date (dd-mm-yyyy)
End date (dd-mm-yyyy)
Education and Culture DG
Report Form
Call: 2010
Partnerships
Lifelong Learning Programme Form version: 3.1 / Adobe Reader version: 10.104
EN
Form hash code 431FF7F6C42F9BB7
This form has been submitted online on: 2012-10-15 00:47:32. Submission ID: 465262.
Page 48 of 51
Duration (days)
No. of Pupils/Learners/Trainees
Out of Which No. of Pupils/Learners/Trainees
With Special Needs
No. of Staff
Out of Which No. of Staff With Special Needs
No. of Accompanying Persons
F.6.1. MOBILITY PARTICIPATION SUMMARY
Total No. of Pupils/
Learners/Trainees
Out of which Total No. of Pupils/
Learners/Trainees With Special
Needs
Total No. of Staff Out of which Total No. of Staff
With Special Needs
Total No. of Accompanying
Persons
Education and Culture DG
Report Form
Call: 2010
Partnerships
Lifelong Learning Programme Form version: 3.1 / Adobe Reader version: 10.104
EN
Form hash code 431FF7F6C42F9BB7
This form has been submitted online on: 2012-10-15 00:47:32. Submission ID: 465262.
Page 49 of 51
G. LESSONS LEARNED
G.1. PROBLEMS/OBSTACLES ENCOUNTERED
If applicable, please describe any difficulty you encountered before/during/after the Partnership and how they were solved.
Please enter here any other comments you may have.
G.2. 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 Comenius/Grundtvig/Leonardo da Vinci Partnerships' projects (such as recommendation
for future measures, administrative procedures, level of funding, etc.).
Education and Culture DG
Report Form
Call: 2010
Partnerships
Lifelong Learning Programme Form version: 3.1 / Adobe Reader version: 10.104
EN
Form hash code 431FF7F6C42F9BB7
This form has been submitted online on: 2012-10-15 00:47:32. Submission ID: 465262.
Page 50 of 51
H. EU FUNDING
Partner organisation National Agency of the
organisation
Partnership type
No. of realised
mobilities (pupils/
learners)
No. of realised
mobilities (staff)
Total No. of realised
mobilities
I. 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.
http://www.edps.europa.eu/
J. GRANT HOLDER'S DECLARATION AND SIGNATURE
To be signed by the person legally authorised to sign on behalf of your institution/organisation and by the partnership
contact person in your institution/organisation.
We, the undersigned, certify that the information contained in this Final Report is correct to the best of our knowledge
and we herewith request the balance payment of the grant awarded.
Place: Date:
Name of the contact person (in capital letters):
Position of the contact person (in capital letters):
Signature of the contact person:
Place: Date:
Name of the Head of Institution/Organisation (in capital letters):
Position of the Head of Institution/Organisation:
Signature of the Head of Institution/Organisation:
Stamp of the Institution/Organisation:
K. SUBMISSION
Before submitting the form electronically, please validate it. Please note that only the final version of your form should be
submitted electronically.
Education and Culture DG
Report Form
Call: 2010
Partnerships
Lifelong Learning Programme Form version: 3.1 / Adobe Reader version: 10.104
EN
Form hash code 431FF7F6C42F9BB7
This form has been submitted online on: 2012-10-15 00:47:32. Submission ID: 465262.
Page 51 of 51
K.1. DATA VALIDATION
Validation of compulsory fields and rules
K.2. SUBMISSION SUMMARY
This table provides additional information (log) of all form submission attempts, particularly useful for the National Agencies
in case of multiple form submissions.
Number Time Event Form hash code Status
K.3. STANDARD SUBMISSION PROCEDURE
Online submission (requires internet connection)
Submission status
Submission ID
Submission Local Date (Brussels)
Hash code
This is a confirmation that you have successfully submitted your form. Now, you should print, sign and send the form to your
National Agency. Please save the form for future reference.
Please also note that only an electronically submitted form should be printed, signed and sent to your NA.
Print the form
K.4. ALTERNATIVE SUBMISSION PROCEDURE
Creates a file to be sent by email to the National Agency
(To be used ONLY if online submission is not available. Please see instructions about this procedure in the "Applicant
Guide")

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