Dermot Earley Youth Leadership Initiative 2019 - 2020 Nomination Form
Please note, marks are awarded for this nomination form and make up total marks awarded to each applicant. **Nominators CANNOT be a family member of the applicant ***

Applicants to the Dermot Earley Youth Leadership Initiative 2019 must be aged between 15 - 18 years old. All applicants must be an ACTIVE member of a GAA club or Foróige in either of the following counties: Antrim, Cork, Kildare, Dublin, Galway, Roscommon, Offaly or Donegal. Nominators should only complete a nomination if they are happy that the applicant fulfills the eligibility criteria.

Closing date for receipt of nomination is midnight Sunday the 14th July. The young person's application form must also be submitted by this date.

Nomination or application forms will not be accepted after this date.

Name of the person you wish to nominate
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First Name *
Your answer
Surname *
Your answer
Affiliation of Young Person *
Name of GAA club or Foróige group young person is involved in *
Your answer
Nominator's Details
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First Name *
Your answer
Surname *
Your answer
Telephone Number *
Your answer
Email Address *
Your answer
Relationship to Applicant *
How do you know the applicant eg club officer, club chairperson, Foróige volunteer/staff member, teacher, coach etc
Your answer
Are you happy to verify that this person is a current and active member of Foróige/GAA? *
Briefly outline why you wish to nominate this person *
In your answer please explain why you wish to nominate them, why you believe they deserve a place and what benefit it will have on them (Max 150 words)
Your answer
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