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CPPN Group Affiliation Form

This document is a registration form for the Cavan Public Participation Network. It requests information such as the name, chairperson, secretary, address and contact details of the applicant organization. It also asks for the number of members, if membership is open, date of last annual meeting, elector details, municipal district, a brief description of the organization's work and category of work. Applicants are asked to return the completed form to Cavan Community Forum.

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488 views

CPPN Group Affiliation Form

This document is a registration form for the Cavan Public Participation Network. It requests information such as the name, chairperson, secretary, address and contact details of the applicant organization. It also asks for the number of members, if membership is open, date of last annual meeting, elector details, municipal district, a brief description of the organization's work and category of work. Applicants are asked to return the completed form to Cavan Community Forum.

Uploaded by

api-264638229
Copyright
© © All Rights Reserved
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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CAVAN PUBLIC PARTICIPATION NETWORK REGISTRATION FORM

1.

Name of Applicant Organisation.


_____________________________________

2.

Chairperson.
_____________________________________

3.

Secretary.

Address for Correspondence.

_____________________________________

_____________________________________
_____________________________________
_____________________________________
Email

_____________________________________

Phone No. _____________________________________


5.

Number of Members.
___________________

6.

Is Membership open to everyone?


___________________

7.

Date of last Annual Meeting.


___________________

8.

Name of Elector* for PPN


_____________________________________
Address:

_____________________________________
_____________________________________
_____________________________________

Phone No. _____________________________________


9.

Municipal District: Cavan-Belturbet [] Ballyjamesduff [] BailieboroughCootehill []

10.

Brief description of work of organisation:


_________________________________
___________________________________________________________________
___________________________________________________________________

11.

Which of the following categories would best identify the work of your
organisation:1

(i) Environmental
(ii) Social Inclusion
(iii) Community & Voluntary

[]
[]
[]

Return to Daniel Downey, Cavan Community Forum, Cana House, Farnham


Street, Cavan Town.
Or email to [email protected]
www.cavancommunity.ie 0863512308 [email protected] Cana House,
Farnham St. Cavan Town
*person to speak for/vote on behalf of your group at community
meetings/elections.
** Groups details may be used on our online database for
volunteers/community members to contact you. Should you not wish your
details to be publicly available please tick here []

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