Expression of Interest Form

1.1 Title
1.2 First Name
1.3 Last Name

1.4 Contact Address (Including full Postcode)
1.5 Telephone Number
1.6 Mobile Number
1.7 Email Address

1.8 Do you have an alternative contact, including agents, you would like us to use?
If Yes, provide details.

Title
First Name
Last Name
Relationship to you
Contact Address (Including full Postcode)
Telephone Number
Mobile Number
Email Address

1.9 Organisation Name (if applicable)

1.10 Type of Organisation
See the dropdown below for the key which gives each organisation type a number. If your organisation type is not in this list please choose 17.
1. Sole Trader2. Joint Partnership3. Private Company4. Fishermen's association5. Port authority – Public6. Port Authority - Private7. University or training establishment8. Government Department9. Local Authority10. Producer Organisation11. Inter-Branch Organisation12. Public Body13. Non-government Organisation14. Enterprise Company15. Charity - Public16. Charity - Private17. Other

1.11 Is your organisation a public or private body?
Public BodyPrivate Body

1.12 Organisation Registration Number (if applicable)

1.13 Value Added Tax (VAT) Number (if applicable)

1.14 Project name.
(This should be a short title for us to use in correspondence)

1.15 Project duration
Start date (DD/MM/YYYY)
End date (DD/MM/YYYY)

1.16 FLAG Priorities
Please tick which South East Area FLAG Local Development Strategy (LDS) priority your project aligns with:
(a) Adding value, creating jobs, attracting young people and promoting innovation at all stages of the supply chain of fishery and aquaculture products(b) Supporting diversification inside or outside commercial fisheries, lifelong learning and job creation in fisheries and aquaculture areas(c) Enhancing and capitalising on the environmental assets of the fisheries and aquaculture areas, including operations to mitigate climate change(d) Promoting social well-being and cultural heritage in fisheries and aquaculture areas, including fisheries, aquaculture and maritime cultural heritage(e) Strengthening the role of fisheries communities in local development and the governance of local fisheries resources and maritime activities

Please write an explanation of how your project meets the priority you selected including:

• How well it fits the priority and the targets as shown in the priority tables in the LDS
• How does it support job creation/safeguarding and economic growth
• The wider benefits to the coastal and/or fishing communities in the FLAG area
• If there are any environmental benefits or reduction in environmental impacts

1.16

1.17 Briefly tell us the specifics of your project. What are you aiming to achieve, what your project involves and the associated costs. Your summary should include reference, where relevant to:-

Market Need and Demand
What is the need and demand for the project- please include any evidence you may have.

Will there be an impact on other businesses and will you take any mitigation measures if necessary?

If you are creating a product or business- can you identify your potential buyers and supply chain?

Value for Money
How do your outputs meet the FLAG targets in the LDS and are your outputs realistic?
Why are you applying for FLAG funding- will your project go ahead without this funding?
How developed are your project plans?

Capacity to Deliver
Who will manage and deliver the project? What are the relevant skills within the project team to do this? Have you delivered similar projects before?
Are there any known risks at this stage to the delivery of the project?
If you need planning permission and licences to carry out the work- what is the status of them? (E.g. approved, approved in principle, submitted or not yet submitted)

Please do not be put off applying if you do not have the answers to all these questions at this stage. We are simply asking you for as much information as you have so far. The FLAG team are happy to help with comments, suggestions or advice to develop the project once the EOI has been submitted.

1.17

1.18 What is your total project cost? This is the complete cost of your project.
1.19 How much grant funding are you applying for? This is the amount of funding you are applying for. See grants rates table for details of how much you could apply for.

Signature of applicant
Date (DD/MM/YYYY)