WEXFORD ppn

WEXFORD PPN MEMBERSHIP FORM 2018/2019

If you have any queries, please contact Wexford PPN Support Officer on  053- 9196553 or e-mail wexfordppn@wexfordcoco.ie 
Community Organisation/Group Details


This must be a dd/mm/yyyy





Does your group...



Is your group...

under voluntary control






Your groups online presence (if any)



County Details
wexford ppn



Electoral Colleges
Environmental
An organisation whose primary objectives and activities are Environmental (i.e. ecological) protection and/or environmental sustainability.   

Social Inclusion
An organisation whose main activity centres on working to improve the life chances and opportunities of those who are marginalised in society, living in poverty or in unemployment using community development approaches to build sustainable communities, where the values of equality and inclusion are promoted and human rights are respected.
 
Community
All other organisations including Sports, Local Development, Social, Culture, Special Interest etc.

Please read the description for each of the 3 colleges.
Nominated contacts and voting representatives


The persons identified will be deemed as the main and alternate contacts for your group and they will be the contacts to which we provide information for your group.  It is the responsibility of the contacts to disseminate the information to the other members of your group and so this should be considered in the choice of your contact personnel. 

 

These contacts are also considered the nominated voters for your organisation, one of which will have voting rights for your organisation/group at each eligible election. 

 

Please note when choosing your representatives that each person can only vote once, even if they are the nominated representative for two groups.  Because of the separation of the functions of Public Representatives and the PPN, Councillors, TDs, Senators & MEPs should not be a point of contact or nominated representatives for organisations. 

 

Please ensure you have consent from nominated representatives before providing details.

Main contact











Alternate contact






 Note: should the representative change you should notify us in writing (email/hard copy)

Declaration and Consent

(see requirements on ‘membership’ section of website http://wexfordppn.ie/?page_id=242)


I, on behalf of my organisation, agree and consent to personal data and special categories of personal data which I have provided for main and alternate contacts, and for my group/organisation being used by Wexford PPN or its agents* for the purposes of the Network.  This may require my personal data being supplied to and discussed with other members of the Network.  Wexford PPN, its agents, and network members will be required to comply with the General Data Protection Regulation – Regulation (EU) 2016/679 of the European Parliament and of the Council.  I understand that I may request Wexford PPN to grant me access to my personal data which Wexford PPN holds. 

 

*Wexford PPN currently uses Form Assembly (online form builder) to collect data, Wexford County Council to store data, and Salesforce as a CRM/Database management solution. 


Declaration and Consent

I understand that I have the option at any time to withdraw my agreement / consent to such usage as specified above as provided for in Articles 7 and 8 of the GDPR

I confirm that the information on this membership form is correct and that full consent has been received to provide personal contact information

Submission Details



Only groups registered with Wexford PPN prior to 5pm on Wednesday 31/10/2018 will have voting rights for 2018/19 elections.