Dermot Earley Youth Leadership Initiative 2019 - 2020 - Application Form
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, Donegal, Dublin (North and South) Galway, Kildare, Roscommon, Offaly. You will be asked to give the details of the club coach, leader or staff person of the club or group you are a member of who will verify that you satisfy the eligibility criteria. The programme is a year long commitment for all successful applicants. Please consider this before applying. There is a €40 registration fee to cover the cost of your workbooks.

Each application should be accompanied by a nomination form (marks are given for the nomination form). Applications can only be marked based on the information you supply so please take the time to answer the questions asked. Your nominator could be your club officer, club chairperson, Foróige volunteer/staff member, teacher, coach etc. Your nominator cannot be a member of your family.

Closing date for receipt of applications is midnight Sunday the 14th of July. Your nomination form must also be submitted by this date. Applications will not be accepted after this date.

Email address *
Please choose the county/venue (where the programme will be facilitated) nearest to you *
Applicant's Details
Click on "Your Answer" to enter text
First Name *
Your answer
Surname *
Your answer
Address (first line) *
Your answer
Address (second line)
Your answer
Address (third line)
Your answer
County *
Your answer
Date of Birth *
The programme is open to young people aged 15-18. Applicants must be aged 15 or over by September 1st 2019 to be eligible to apply.
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Mobile Contact Number *
Your answer
Parent/Guardian Name *
Your answer
Parent/Guardian Contact Number *
Your answer
Email Address *
Please supply an active email address that you check regularly as we will be emailing you
Your answer
Club Membership
Applicants must be an active member of a GAA club or Foróige in one of the following counties: Kildare, Dublin, Galway, Roscommon, Offaly or Donegal.
Are you a member of *
Name of GAA Club or Foróige group you are a member of *
Your answer
How long have you been a member? *
Your answer
Name of GAA/Foróige contact person *
Supply the name of the GAA coach (or another adult in your GAA club) or Foróige volunteer/staff member of your club or group
Your answer
Contact Details of GAA/Foróige contact person *
Supply the contact number of the GAA or Foróige person named above
Your answer
Please outline why you wish to apply for a place on the Dermot Earley Youth Leadership Initiative (300 words or less) *
In your answer you should refer to your leadership skills and abilities, how you feel you would benefit from the programme, what you hope to achieve, how you will use your new skills to benefit yourself, others, your club/group etc. Applicants will lose marks if word count is exceeded.
Your answer
A copy of your responses will be emailed to the address you provided.
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