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Cathaoirleach’s Community Awards 2020
Galway County Council
The Cathaoirleach’s Community Awards 2020
Please read the accompanying terms & conditions and judging criteria linked below before completing the formÂ
Guidance Notes:
Cathaoirleach_Community_Awards_2020_Guidance_Notes
Nomination Form for Groups
Step
1
of
9
11%
Please state the name of the Group who is being nominated:
*
Please confirm the Town/Village the Group represents and the Municipal District in which it is located:
*
Athenry-Oranmore
Ballinasloe
Conamara
Loughrea
Tuam
Please confirm the category in which your entry is being made:
*
COVID-19 Community Response
Culture & Creativity
Environment & Natural Heritage
Health & Wellbeing
Irish Language
Social Inclusion
Section A: DETAILS OF GROUP BEING NOMINATED:
Name of Group being nominated:
*
Contact Person for Group:
*
E-mail address for Contact Person:
*
Telephone No. for Contact Person:
*
Any Website / Social Media Address of Group:
*
Is the Group a member of Galway County PPN?
*
Yes
No
How is the Group funded?
*
Number of Paid Staff in the Group:
*
Number of Volunteers in the Group:
*
How are the above staff/volunteers structured to deliver the aims of the Group?
*
How does the Group interact with other Groups in the Community?
*
How does the Group engage with and encourage people in the community to become involved with their activities?
*
Please summarize in bullet points the main achievements of the Group prior to the Year of these Awards (2020):
*
Section B: DETAILS OF NOMINATED ACTIVITY / PROJECT:
Please describe the project or activity undertaken by the Group in the selected category area in 2020, how it has been planned and organized, and outline how it has been of benefit to the community and why you feel it deserves an Award:
*
Please outline any future plans of the Group and how these will grow and sustain their 2020 activities/project and be of future benefit to the community (including mitigating the effects of COVID-19):
*
Please provide links to any supporting documentation regarding the 2020 activities/project, e.g. social media photos, videos, etc. (optional)
*
Section C: DECLARATION OF NOMINATING GROUP OR THIRD-PARTY INDIVIDUAL:
I declare that the information given in this form is true and complete to the best of our knowledge. I agree to the processing and disclosure of information by Galway County Council and Galway County PPN to other third parties for the judging process, and further consent to the disclosure of relevant information or images for the purpose of marketing or promotion of these Awards. I confirm that the Nominated Group are aware and in agreement with their nomination and are willing to represent our Town/Village in the National Pride of Place Competition if they are successful in attaining the Cathaoirleach’s Overall Community Award. I agree to accept the decision of the assessment of the nominations for The Cathaoirleach Awards as final. Signed:
Name:
*
First
Last
Email Address:
*
Relationship / Link to Nominated Group / Organisation:
*
Date:
*
Day
Month
Year
Mobile Phone No. in case further contact is required to clarify details:
*
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