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Category: Social Inclusion Community Resilience Unsung Hero
Continue on separate sheet/s if required
Municipal District: Ballinamore Carrick on Shannon Manorhamilton
Name of Group :
Contact name:
Address:
Phone: Email:
Which of the following describe your entry? Tick all that apply and add brief detail
Voluntary Effort / involvement ________________________
Supporting participation in local life ________________________
What are the benefits of your activity/ facility? ________________________
Example of community resilience ________________________
How this person helped the community ________________________
Does your group meet the needs of any of the following target groups: Older People Unemployed Disabled People Minority Groups Traveller Community People living in isolated areas Women, Youth & children Disadvantaged communities Why does your group/unsung hero deserve this award?
Post Code
PPN registration number : ___________________________
If your group is not registered with Leitrim PPNcontact us for an application form on 0871831253 orjoin online at https://www.leitrimppn.ie/join-ppn/
Please include 2 or 3 photographs that represent your group’s activities best.
These will be used on the Awards night in October.
Please tick to consent to photos provided being used
Max email size 10MB total.
Judging will take place in July or August 2020.
The Judge’s decision is final and
no correspondence regarding results will be entered into.
Send Applications to:Leitrim PPN, Áras an Chontae, Carrick on Shannon
or by email to [email protected] by Thursday April 9th 2020
Why does your group/unsung hero deserve this award ? (continued)
Continue on separate sheet/s if required