APPLICATION FORM	 	
 	 	 	
 	Company Information	 	
 	Company Name:	 	
 	Postal Address (Address, City, Country, Zip Code):	 	
 		 	
 	Telephone Number:	 	
 	Company Size (SME, Large Company):	 	
 	Activity:	 	
 		 	
 	Mission or Description of the Company:	 	
 		 	
 	Contact Information	 	
 	Contact person (First Name and Family Name):	 	
 	Position:	 	
 	Short Bio (Max. 300 characters): 	 	

 		 	
 	Motivation (Max. 1.000 characters):	 	

 		 	

 		 	

 		 	
 		 	
 	Other (Nonprofit Organization or further details to be provided):	 	
 		 	
 	List of Previous Collaborative Projects (No character limit):