TEST WITH US This form is mainly dedicated to researchers or practiotioners who want to experiment new projects in their city Are you an individual citizen, an organization or a community? An individual citizen An organization A community Name of the organization/communityFor organizations only: please indicate your organization’s type Entreprise (profit, low profit, non profit) Cognitive institution (school, university, research centre, academy, cultural institution) Public institution Organised civil society (social partners and/or actors from the non profit sector) PERSONAL DATAName First Last Birth date Birth placePlace of residence or addressplease indicate your own place of residence or address, or your organization’s one.Home addressplease indicate your organization’s address, or your own one if you are an individual citizenE-mailplease indicate your organization’s e-mail address, or your own one if you are an individual citizenWebsite/Blog please indicate the link of your organization’s website/blog, or your own one if you are an individul citizenFacebook page/account please indicate your organization’s Facebook page/account, or your own one if you are an individual citizenTwitter account please indicate your organization’s Twitter account, or your own one if you are an individual citizenTelephone numberplease indicate you organization’s telephone number, or your own one if you are an individual citizenBIOYour employment or your organization’s area of activityplease insert a brief description of your biography (or the link to your Linkedin account) if you are an individual citizen, or a brief description of your organization’s story and activitiesArea of activity or of personal interest Public Administration Quality of democracy Collaborative economy Cities and territories Creative and cultural entreprises Young people and employment Social innovation and entrepreneurs Cooperation Education Entrepreneurship Europe Other PRESENTATION OF THE PROJECTDESCRIPTION AND STAKEHOLDERS Name First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Brief description of the (material or immaterial) urban commons’ collaborative management projectWhich are the local stakeholders you aim to involve in the project? Do you intend to start working together with national or international entities?UntitledACTIVITIES, TIMING AND SUSTAINABILITYPlease indicate the individual activities and the project timelinePlease indicate the project’s budgetDo the individual activities decided by citizens require any investments? Or are they at no cost?Have you planned certain incomes to cover costs and expenses?Does the project include any communication activitiy (online and offline)? How would it be structured?CITY AND CITIZENSHas the project been experimented yet in any other context? Please tell us briefly where, by eventually linking to other websitesIf the answer to the previous question is yes, can you describe the impact of those experimentations?If the answer to question 1 is yes, which are the stakeholders you collaborated with?
