Donegal Public Participation Network (PPN)
Community Organisation Registration Form
Name of the Community Organisation/Group: *
Your answer
Address of Community and Voluntary Facility: *
Your answer
Contact Person for Community Organisation/Group: *
Your answer
Correspondence Address of Community Organisation/Group: *
Your answer
Telephone number of Contact Person:
Your answer
Email Address of Contact Person:
Your answer
Website Address of Community Organisation/Group (leave blank if none exists)
Your answer
Does your group have a Constitution?
Does your group have aims and objectives?
Does your group have a Memorandum & articles of association?
Date of last AGM (optional):
MM
/
DD
/
YYYY
Objective of your Community Organisation/Group: *
Your answer
In which municipal district is your group located: *
Required
Is your group providing services countywide?
Which electoral pillar does your group wish to register for (i.e. which area is most appropriate to the core work of your group)? *
Required
Please give a reason for your choice of electoral pillar:
Your answer
Name the person that your organisation/group is nominating to be the representative at PPN meetings: *
Your answer
Email address for the representative:
Your answer
Phone number for the representative:
Your answer
Please name an alternate to attend if the named representative is unable PPN meetings:
Your answer
Email address for the alternate:
Your answer
Phone number for the alternate:
Your answer
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