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Section One - Group
Details. |
| Group Name |
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| Group Address |
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| Phone Number |
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| Fax Number |
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| Email Address |
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| Website Address (if any) |
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If you have a website
or plan on doing so in the future, would you be interested in having
a hyperlink with Galway City Council website?
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| Date/Year of Establishment |
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| Number of Members |
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| Is your group open to new members? |
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Do you have? |
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(a) Regular Meetings? Yes/No
If yes, How often? |
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| (b) Written minutes/records etc..? |
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| A written constitution or statement of aims/objectives? |
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| A bank account |
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| When did you hold your most recent AGM? |
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| Names of Officers: |
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| Chairperson |
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| Secretary |
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| Treasurer |
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| From which, any or all of the following do you receive
financial assistance from? |
| Statutory Grant Aid |
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| Fundraising |
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| Membership Subscriptions |
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| Galway City Council |
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| Galway City Partnership |
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Department of Social,
Community & Family Affairs |
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| FÁS |
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| County & City Enterprise Board |
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| Western Health Board |
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| Other |
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| Purpose and Aims of your Group |
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| Section Two - Facilities and Skills
Base |
| 1) Does your group own facilities? (e.g. rooms for meetings,
sports facilities, computer facilities If no, go to question 2) |
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| If yes, specify type of facility |
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| Where is the location of the facility (e.g Renmore) |
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| Are such facilities available on a rental/hire basis to
other organisations? |
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| 2) Do you have any skills/resources you would like to
share with other organisations? |
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| If yes, please specify type of skill/resource (Please
tick box or boxes) |
| Facilitation Skills |
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Enterprise Skills |
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| Working with Youth |
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Local Development Skills |
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| Childcare expertise |
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Training of Trainers |
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| PR Skills |
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Business Experience |
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| Working with Older People |
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Legal Skills |
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| Accountancy |
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Computer/IT/Web Design |
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| Others (Please specify) |
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| Section Three - Areas of Interest |
| 1) Which of the following is the main priority area for
your group? (Tick only one box) |
| Community |
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Environment |
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| Anti-Disadvantage |
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Culture |
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| Sport |
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Recreation |
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| Resident’s Association |
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Youth |
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| Heritage |
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Enterprise |
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| Other (Please specify) |
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| Often, when members of the Community Forum are acting
as representatives to other bodies, it is done on a cluster basis. Please
identify your specific area from Cluster A or Cluster B (Please tick
one box from either Cluster A or Cluster B). |
3) Please indicate which Local Authority policy areas
you are most interested in:
(Please tick no more than 3) |
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| Cluster A |
CLUSTER B |
| Community |
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Environment |
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| Voluntary |
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Conservation |
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| Disadvantaged |
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Culture |
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Section Four - Contact
Details |
| Do you wish to join The Galway City Community Forum? |
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Upon signing the Galway City Community Forum Registration
Form you are taking responsibility that all telephone/fax numbers, names
addresses etc. are correct. The details given here in relation to your
group may be used for Community Information, Directories, websites etc.
If you do not wish to have your contact details published, please tick
the No option. No
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Signed:
(Member on behalf of group) |
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Please return the completed registration form to:
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Oisin Kenny,
Community Forum Co-ordinator,
Galway City Council,
College Road,
Galway. |
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| Telephone Number: 091 - 536 844 |
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