Mayors Adapt

Twinning Application Form

Before completing this application form, consider the main climate and adaptation challenges in your city. Please collect information from your colleagues in other departments before filling in all fields, as we wish to make these exchanges as tangible and as useful as possible. When describ -ing your local context, please be very specific and precise. Feel free to use bullet points when replying to the points below, but please respect the word limit of each field below.

The personal information contained in this form will remain confidential. The fields regarding your city’s ambitions and developments marked with (*) can, after consultation with the applicant city, be used to promote local activities and efforts.

This form should be returned by email to helpdesk@mayors-adapt.eu by Monday 3 August 2015.Before completing the form, we also invite you to consult the selection and matchmaking criteria.

1. Contact details

1.1 Name of the city Click here to enter text.1.2 Application made by (full name and job title/department)

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1.3 Contact email Click here to enter text.1.4 Contact phone Click here to enter text.

2. Basic information on your city

2.1 City size and scope of local government competences in the climate field (max 50 words)

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2.2 Type of climate Click here to enter text.2.3 Morphological characterist-ics (e.g. coastal or mountainous area)

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2.4 Which climate challenges is your city facing?*

☐Extreme temperatures☐Water scarcity☐Flooding☐Sea level rise☐Droughts☐Storms☐Ice and snow☐Forest fires☐Other - please give details: Click here to enter text.

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Comments: Click here to enter text.

3. What is the level of climate risk in your city?

For the climate challenges mentioned above:

3.1 Describe the current and ex-pected impact of the risk, for in-stance on infrastructures, eco-nomic sectors, etc. (max 50 words) *

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3.2 How would you assess the level of (un)certainty of the risk?

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3.3 How has the risk evolved overtime?

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3.4 What is your local planning period for adaptation work?

Choose an item.

4. What has your city done so far on climate adaptation and mitigation?

4.1 Mayors Adapt signatory? ☐Yes –when? Click here to enter a year;☐No – why not? Click here to enter text.

4.2 Covenant of Mayors signat-ory?

☐Yes - when? Click here to enter a year Do you already have a Sustainable Energy Action Plan (SEAP) Choose an item.☐No - why not?Click here to enter text. Do you have a climate change mitigation action plan? Click here to enter text.

4.3 At what stage would you place your city in the adaptation work cycle?

Choose an item.Comments: Click here to enter text.

4.4 Does your city have an Ad-aptation Strategy (or similar)?

Choose yes or no.

4.5 Describe briefly the events and process that led your city to develop adaptation strategies (max 200 words) *

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4.6 Describe the type of policy instruments (for instance: tech-nological, regulatory, market-based, etc.) that your city has already employed in climate ad-aptation work (max 200 words) *

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5. What are your city plans on climate adaptation and mitigation?

5.1 What are your city’s climate Click here to enter text.

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ambitions (short & long term vision/commitment)? (max 200 words)*5.2 Mention the main areas of interest for your climate adapt-ation work (for instance, re-duce costs linked to frequent natural disasters) (max 150 words)*

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5.3 Describe the main adapta-tion strategies planned or im-plemented in your city (max 200 words)*

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5.4 What are the policy instru-ments / tools you are currently considering to develop? (max 200 words)*

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6. Role envisaged

6.1 In which domain do you think you could be a mentor for other cities? (if none, leave this field blank)

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6.2 In which domain would be interesting in learning from other cities? (if none, leave this field blank)

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6.3 What would be your availabilities for the exchange? Option 1: Choose an item.Option 2: Choose an item.

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