Application Guide - en
Application Guide - en
Dear applicant,
Thank you for your interest in our funding programme Hospital Partnerships – Partners
strengthen Health.
The aim of this document is to provide information, explanations and key questions to guide
you through your application. To do this, we will take you through the following questions:
In addition to this guide, extensive information about funding and how to apply for it can be
found on our website www.klinikpartnerschaften.de. Please use this information to prepare
for the application. If you still have any unresolved questions, we look forward to advising you
either by phone, on +49 (0)228 4460 3800, or via email: [email protected].
We look forward to receiving your application and are eager to hear about your partnership
projects.
Kind regards,
Preparation
Before you start filling in your application, we recommend that you closely study the criteria
for the funding programme Hospital Partnerships and the notes on application on our website.
You should make certain that the participating partner institutions, the partnership itself and
the project proposal that you have drawn up together all meet the funding criteria.
First, go through this guide to gain an overview of the documents and various pieces of
information that you will need for your application. To be sure that you have important
documents to hand before the application deadline, such as the Confirmation of Cooperation
or the certificate of tax exemption, we recommend that you request these in good time.
Uploading attachments
As well as entering information in the online form, at certain points you will be asked to upload
attachments via the portal. An overview of the documents that we need from you is given in
section III of this guide. Please use our templates for attachments 1–4. These are available via
the application portal and from our website. Please use Microsoft Word and the Acrobat
Reader to fill in the forms. When you are filling in the templates, please use the predefined
fields, keep within the character limit and do not make any changes to the format. We are
unable to accept attachments in any other format. You can upload other attachments such as
the certificate of tax exemption or notifications of approval as scanned files, in either jpeg or
PDF format.
Account holder:
IBAN: BIC: Name
of the bank:
Tax number:
VAT identification number:
Please make sure that the person concerned has been informed
Title:
that his or her data will be stored and processed and that he or
Last name (family name):
she has given his or her consent to this.
First name (given name):
Street:
House number:
P.O. box:
Postcode:
Town/city:
State:
Country:
Telephone:
Email address:
Please enter the name of the project manager, including their
Project manager in Germany contact data. This person will also serve as your institution’s
contact person for correspondence with the Hospital
Title: Partnerships program about this project. It is important that the
Last name (family name): person can be reached electronically via email.
First name (given name):
Street: Please make sure that the person concerned has been informed
House number: that his or her data will be stored and processed and that he or
P.O. box: she has given his or her consent to this.
Postcode:
Town/city:
State:
Country:
Telephone:
Email address:
Additional email address:
Professional field:
First name (given name): Please make sure that the person concerned has been informed
Street: that his or her data will be stored and processed and that he or
House number: she has given their consent to this.
P.O. box:
Postcode:
Town/city:
State:
Country:
Telephone:
Email address:
Additional email address:
Brief profile of contact person for
commercial affairs:
Professional field:
Brief profile of project manager in
partner country:
Please indicate here whether this is an existing partnership or a
Partnership new partnership. By ‘existing partnership’, we mean a
cooperation arrangement under which projects have already
New partnership: been jointly implemented or are being implemented.
Existing partnership:
Since:
Confirmation of Cooperation:
Please select whether your application is
Project • an initial application,
• a repeat application after rejection or
Type of application: • a follow-up application.
German title: Then enter the title and objective of your planned partnership
English title: project here.
Objective:
Please enter a short description of your planned partnership
Brief description of the project: project here. Briefly describe the partner organisations involved,
the partner country, its challenges, the project objective and the
main activities planned to achieve it.
For examples of brief descriptions, please refer to our webpage
at:
https://www.hospitalpartnerships.org/partnerships/projectmap
Thematic focus:
Keywords (up to three): Please specify the planned number of experts in your partner
Number of trained experts: organisation who will take part in training measures, on-the-job
Training intended for multipliers: training, peer-to-peer exchange, etc., as part of the project.
Yes No Multipliers are key figures in the partner organisation who
Number of trained multipliers: specifically pass on their new knowledge to others in the partner
organisation or elsewhere.
Project application:
Please enter the planned term for the funding that is being
Funding applied for.
The maximum funding term is 24 months. Note that the
Planned project term: maximum amount of funding is EUR 50,000.
Amount of funding applied for:
Procurement of medical and non- Non-medical equipment includes IT (laptops, printers, servers
medical: Yes No etc.), waste management equipment (incinerators), generators,
As at 16.07 2024, subject to change without notice
7
Application Guide
Number of procured items: UPSs. Standard furnishings (hospital beds, soap dispensers,
bedside cabinets, shelves etc.) are excluded.
Financial plan for use of funds:
Other funding 1 NB: Please ensure that you do NOT simultaneously receive
Funding institution: funding from other organisations for the project activities you
Funding programme: are applying for (double funding)
Financial year:
Amount of funding:
Project content:
If applicable, copies of notifications of
approval from other external funding
sources:
Other funding 2
Other funding 3
Other funding 4
Other funding 5
Please upload further documents to support your application,
Documents such as your organisation’s organisational chart, annual
statement of accounts, latest annual report or statutes.
Organisational chart:
Annual statement of accounts:
Latest annual report:
Statutes of the institution:
Other documents:
Other attachments:
Please note that attachments 1–3 are mandatory (≀). Your application cannot be completed
without them. Attachment 4 and the copy of the certificate of tax exemption, as well as your
organisation’s organisational chart, annual statement of accounts, latest annual report or
statutes are likewise essential and should ideally be sent with your application or at the latest
in time to prepare the contract. If your project has been assessed as being eligible for funding,
you will have another opportunity to submit the required documents online. Notes on how to
complete attachments 1–4 are included in the forms themselves. Please make sure that you
and your project partner are familiar with these notes in good time.