Anders Wall Award - Application Form

Anders Wall Award

Name of the project:

Date:

For internal ELO use only: N° of the participant: 200.../…

FOREWORD

For many years, Anders Wall Foundation located in Stockholm has been giving awards to young persons who have significantly contributed to the development of the Swedish countryside through their entrepreneurial achievements. In association with the European Commission, the Directorate General for the Environment, Brussels, the Royal Swedish Academy of Agriculture and Forestry and “Friends of the Countryside”, the Foundation has decided to introduce an award for individuals who have made a special contribution to the rural environment within the European Union. The achievement should preferably include the following elements – preserve and enhance the landscape and/or biodiversity, preserve the rural cultural heritage and contribute to sustainable local economic development.

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SECTION A Administrative Information Applicant Short Name Legal Information on the Applicant Legal Name

Legal Status:

VAT N° (optional)

Public

Legal Registration N°

Private

Registration Date

Natural person

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Legal Address of the Applicant PO Box

Street Name and No Post Code

Town/City

Country Code

Country Name

Applicant Contact Person Information (only if different from above) Title

Function

Surname

First Name

Department PO Box

Street Name and N° Post Code

Town/City

Country Telephone N°

Fax N°

E-mail

Website

Estate Name Street Name and N° Post Code

Town/City

Country Telephone N°

Fax N°

E-mail

Website

Characteristics of the Applicant

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Partner 1 Short Name Legal Information on the Applicant Legal Name Public



Legal Status: Private



Natural person



Legal Address of the Applicant PO Box

Street Name and No Post Code

Town/City

Country Code

Country Name

Applicant Contact Person Information (only if different from above) Title

Function

Surname

First Name

Department PO Box

Street Name and N° Town/City

Post Code Country Telephone N°

Fax N°

E-mail

Website

Partner 2 Short Name Legal Information on the Applicant Legal Name Public



Legal Status: Private



Natural person



Legal Address of the Applicant PO Box

Street Name and No Post Code

Town/City

Country Code

Country Name

Applicant Contact Person Information (only if different from above) Title

Function

Surname

First Name

Department PO Box

Street Name and N° Post Code

Town/City

Country Telephone N°

Fax N°

E-mail

Website

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SECTION B Description of the Project Description of the Award Subject: Anders Wall Award is a prize granted to individuals who have made a special contribution to the rural environment within the European Union.

Eligibility criteria: Importance at local, national and European level is expected, use of quality instruments and management practices which contribute to the improvement of the quality of the environment.

Selection criteria: Their achievements should preferably include the following elements: - Preserving and enhancing the landscape. - Providing biodiversity. - Preserving the countryside’s cultural heritage. - Contributing to sustainable economic local development.

Prize description: The landowner of the selected project is receiving a prize of 10.000 €.

Deadline: Call for proposal is opened until 31 December. The application must be sent to the following address: Anders Wall Award Friends of the Countryside Rue de Trèves 67 BE - 1040 Brussels Tel: + 32 (0)2 234 3000 Fax: + 32 (0) 2 234 3009 www.elo.org/fcs AND per email to [email protected]

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Executive Summary of the Project Objectives:

Actions and means involved:

Results:

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Description of the Project (maximum 10 pages)

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SECTION C Annex

Topographic Documentation - map showing location of the estate in the national context - map of the estate - localization of the actions in the estate (land use, development…)

Other Documentation - book, leaflets, brochures - pictures - etc.

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Acknowledgement of Receipt

Friends of the Countryside Rue de Trèves, 67 B - 1040 Brussels

1

Name of applicant : 1

Contact person : 1

Fax :

1

Title of the project : ........

Sir, Madam I acknowledge receipt of your proposal for which I thank you. Your proposal will be examined by the members of the jury, with respect to its eligibility. Those projects declared eligible will then undergo an evaluation procedure by the jury. I will let you know the final decision, as soon as it has been taken. Yours faithfully,

Signature: .......................................................

1

To be completed by the applicant

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