BUMP - Boosting Urban Mobility Plans
SUMP best practices: study visits to BUMP pioneer cities
APPLICATION FORM1
The City of .……………………………………………………………………………………………………….……………..................................................
Address: ………………………………………….……………………….….……………………………………………..…..……………………………………………
Post Code……………………….City/town………………………………………………………Country………………………………………………………..
Institution’s web-site………………………………………………..……………………………………..…………………………….…………………………….
Contact person’s name and surname: …………………………………………………………………………………………………………………………
Phone number:…………….…………………………………. Email address:……………………………………………………………………………………
APPLIES FOR PARTICIPATION IN THE STUDY VISITS TO BUMP PIONEER CITIES
WITH THE FOLLOWING CITY REPRESENTATIVE
Name and Surname:……………………………………………………………..................................………………………………………………………
Position and duties (please tick as appropriate and provide additional details)
 Senior technical officer (please provide details) …………………………………………………………………………………………………………
 Mid-level technical officer (please provide details) ……………………………………………………………………………………………………
 Junior technical officer (please provide details) ……………………………………………………………………………………………………
 Mayor (please provide details) …………………………………………………………………………………………………………………………………..
 Other political decision maker (please provide details) ………………………………………………………………………………………………
Main skills and competences (max 500 characters) :………………………………………………………………………………………………….
English language level (please tick as appropriate):  poor  fair  good  very good  excellent
Phone: ……………………………..…………………………………………... Mobile: ……………………………….…………………..………..…..…………
Email address:…………………………………………………………………………………….……………………………………………………………………….
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Please read this note before filling in the application form:
Participation in the study visits to SUMP best practices organized in the framework of the BUMP project is reserved to cities, applying following the
criteria and guidelines provided in the call for applications available at: www.bump-mobility.eu
Each city is required to choose a representative (either a senior technical officer or a political decision maker), whose position and functions are
relevant in the evaluation of the application. A description of the main skills and competences of the city’s representative has to be sent with the
application.
The applicant city’s motivation is evaluated, based on concrete plans to develop a new SUMP or revise an existing one. Evidence of this has to be
provided in the form of official documents and decisions in case these are available in the city’s website or elsewhere, links should be provided for
download.
Please read carefully the call for application before filling in the application form.
AND DECLARES
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that the city’s population is of …………………………………………. inhabitants;
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that participating in the study visit would be beneficial, since it is the city’s intention to develop a new
SUMP/revise the existing SUMP as described underneath
(provide a synthetic description of how and why participating in the visit would support this)
……………………………………………………………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………………………………………………………
Please find attached the following documents supporting the city’s intention to develop a new SUMP/revise the
existing SUMP:
……………………………………………………………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………………………………………………………
CHOICE OF DESTINATIONS
We report to follow in a ranking order the three destinations we are interested in visiting.
We are aware that, in case our city is selected as a visiting city, our representative will only visit one destination, as
described in the call.
st
1 choice: ………………………………………………………………………………………………………………………………………………………………………
nd
2 choice: ………………………………………………………………………………………………………………………………………………………………………
rd
3 choice: ………………………………………………………………………………………………………………………………………………………………………
HOW DID YOU FIND OUT ABOUT THIS OPPORTUNITY?
Please let us know how you found out about this opportunity:
 direct mailing (please provide details) ………………………………………………………………………………………………………………………
 newsletter (please provide details) …………………………………………………………………………………………………..………………………
 website (please provide details) ………………………………………………………………………………………………………………..………………
Place and date:
Signed by (name, surname and signature):
(please stamp with an official city council’s stamp)