APPLICATION AS EXPERT TO SUPPORT
THE ASSESSMENT OF THE PROJECTS
OF THE SOUTH BALTIC PROGRAMME 2014-2020
2
1.
Personal data
Title (Ms/Mr):
Name (first, last):
Date of birth:
Address:
Telephone:
Email:
2.
Education (university qualifications - most recent first – at least one
qualification to be filled in)
Qualification #1
Title of qualification
Subject or field
Name of institution
Country
Year of qualification
/graduation
Qualification #2
Title of qualification
Interreg South Baltic Programme 2014-2020 | European Regional Development Fund | www.southbaltic.eu
Joint Secretariat | Al. Grunwaldzka 186 | 80-266 Gdańsk, Poland | Tel: +48 58 746 38 55 | Email: [email protected]
3
Subject or field
Name of institution
Country
Year of qualification
/graduation
Qualification #3
Title of qualification
Subject or field
Name of institution
Country
Year of qualification
/graduation
3.
Professional experience
3.1 employment history - most recent first (at least one professional
experience to be filled in)
Professional experience #1
Job title
Organisation
Interreg South Baltic Programme 2014-2020 | European Regional Development Fund | www.southbaltic.eu
Joint Secretariat | Al. Grunwaldzka 186 | 80-266 Gdańsk, Poland | Tel: +48 58 746 38 55 | Email: [email protected]
4
Date:
from (month/year)
to (month/year)
Main
responsibilities
Professional experience #2
Job title
Organisation
Date:
from (month/year)
to (month/year)
Main
responsibilities
Professional experience #3
Job title
Organisation
Date:
from (month/year)
to (month/year)
Interreg South Baltic Programme 2014-2020 | European Regional Development Fund | www.southbaltic.eu
Joint Secretariat | Al. Grunwaldzka 186 | 80-266 Gdańsk, Poland | Tel: +48 58 746 38 55 | Email: [email protected]
5
Main
responsibilities
Professional experience #4
Job title
Organisation
Date:
from (month/year)
to (month/year)
Main
responsibilities
Professional experience #5
Job title
Organisation
Date:
from (month/year)
to (month/year)
Main
responsibilities
Interreg South Baltic Programme 2014-2020 | European Regional Development Fund | www.southbaltic.eu
Joint Secretariat | Al. Grunwaldzka 186 | 80-266 Gdańsk, Poland | Tel: +48 58 746 38 55 | Email: [email protected]
6
3.2 experience in the thematic fields covered by the South Baltic Programme
2014-2020 (as described in point 3.1)
Specific objective
Description
SO 2.1: Increased development of
the South Baltic area’s natural and
cultural heritage assets into
sustainable tourist destinations
SO 2.2: Increased use of green
technologies in order to decrease
the pollution discharges in the
South Baltic area
SO 3: Improve the quality and
environmental sustainability of
transport services in the South
Baltic area;
SO 4: Increase the share of skilled
labour force working in blue and
green economy sectors of the
South Baltic area through joint
cross-border actions;
SO 5: Improve the cooperation
capacity of local South Baltic area
actors through participation in
cross-border networks.
4.
Experience in the Baltic Sea region cooperation and knowledge
about the regions covered by the South Baltic Programme
Interreg South Baltic Programme 2014-2020 | European Regional Development Fund | www.southbaltic.eu
Joint Secretariat | Al. Grunwaldzka 186 | 80-266 Gdańsk, Poland | Tel: +48 58 746 38 55 | Email: [email protected]
7
Type of experience
Description
Experience in the Baltic
Sea region cooperation
Knowledge about the
regions covered by the
South Baltic Programme
5.
Experience in cohesion policy, European territorial cooperation
and/or international cooperation
Type of experience
Description (of related tasks, activities, programmes, etc.)
Experience at project
level (project
preparation,
implementation etc.)
Experience at
programme level
(programme
management, strategy
development etc.)
Experience in
programme evaluation
(including ex-ante, ongoing/mid-term, ex-post
evaluation)
Other
Interreg South Baltic Programme 2014-2020 | European Regional Development Fund | www.southbaltic.eu
Joint Secretariat | Al. Grunwaldzka 186 | 80-266 Gdańsk, Poland | Tel: +48 58 746 38 55 | Email: [email protected]
8
6.
Project assessment experience
Type of programme
Description (programme, year, types of projects, number of assessed
projects etc.)
South Baltic Programme
2007-2013
Other Interreg (ETC)
Programmes
European Commission
programmes (e.g. EU
Framework
programmes, HORIZON
2020, LIFE, IEE, etc.)
National or regional
programmes/funds
Other
7.
Language skills (English)
Please indicate your language proficiency according to the CEF - Common European Framework of Reference
for Languages (from A1 to C2).
Language
Reading
Speaking
Writing
English
8.
Confirmation
Interreg South Baltic Programme 2014-2020 | European Regional Development Fund | www.southbaltic.eu
Joint Secretariat | Al. Grunwaldzka 186 | 80-266 Gdańsk, Poland | Tel: +48 58 746 38 55 | Email: [email protected]
9
“I agree for my personal data, contained in this application, to be processed in order to establish a pool of
external assessors under the Interreg South Baltic Programme 2014-2020, in conformity with the Law on
Personal Data Protection (Act of 29 August 1997. - Journal of Laws of 2014, item. 1182, as amended. D. Data
Protection)”.
Place and date
Signature
Further information on the personal data protection
According to the art. 24 of the Law on Personal Data Protection of 29 August 1997 (Journal of Laws of the
Republic of Poland from 2014, item 1182):
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The main purpose of the personal data collection is the establishment of a pool of external assessors
under the Interreg V South Baltic Programme 2014-2020;
The appropriate Administrator of the personal data is Ministry of Economic Development of the
Republic of Poland, located in Warsaw, Plac Trzech Krzyży 3/5.
The Administrator entrusted the Centre of the European Projects, located in Warsaw, Domaniewska
str. 39A to process the personal data of the experts.
The expert included in the pool of the external assessors has the right to cancel his/her consent to
the processing of the personal data at any time. In such case administrator will immediately remove
the expert form the pool.
The expert included in the pool of the external assessors has the right to amend or update his/her
personal data.
The personal data is provided by the applicant (expert) on voluntary basis.
Interreg South Baltic Programme 2014-2020 | European Regional Development Fund | www.southbaltic.eu
Joint Secretariat | Al. Grunwaldzka 186 | 80-266 Gdańsk, Poland | Tel: +48 58 746 38 55 | Email: [email protected]