Proposal Information Form – Access to CELTIC-NEXT Proposal Template (CPP)

Thank you for your interest in submitting a proposal to CELTIC-NEXT.

Before accessing the CELTIC-NEXT Project Proposal (CPP) Template, we kindly ask you to complete this Proposal Information Form. This allows the CELTIC-NEXT Office to better support you during the preparation phase.

Once completed, you will receive by email the CELTIC-NEXT Project Proposal (CPP) template.

Please note this form is NOT a formal proposal submission and has no impact on the proposal evaluation process. The information you will provide will help us to contact you and send you additional guidance.

*Organisation name:**	*Organisation type:**
*Country:** Please specify your country:	Organisation website (optional):
*Main contact – full name:**	*Position/role:**
*Email address:**	Phone number (optional):

Targeted CELTIC-NEXT call*:

Tentative project title* (can be changed):

Technology/application domains:

Short project abstract (max 150 words - optional):

Role in the project*:

Expected number of partners (if known):

Countries involved or planned (if known):
Projects must have at least two different partners from two different EUREKA countries for their project consortia (one must be a EUREKA Member Country and one another EUREKA Member Country or EUREKA Associated Country).

Have you contacted your National Funding Agency (NCP)?*

Which National Funding Agency (NCP) did you contact?

Date of first contact with NCP:

I confirm that I have contacted (or will immediately contact) my National Funding Agency / NCP before submitting a proposal.
I agree that the provided information may be used by the CELTIC-NEXT Office only in total confidentiality for proposal support purposes.