CORK CITY PPN REGISTRATION FORM

MEMBERSHIP

Before completing this application form, please be aware of our criteria for membership. Click here to view the criteria.

CONTACT DETAILS

Organisation

First Name

Last Name

Mobile Phone

Phone

Describe your role in the organisation

Address of Organisation. If this is a home address, tick the box below.

Home Address

Area/Town

City/County

Eircode

Website

Twitter

Facebook

Instagram

Video Channel

Any other Social Media?

Please submit details of your alternate contact person below. This person is not related to the primary contact person.
Please tick the box to confirm you have permission to supply their information to us.

Permission Declaration

I have permission to submit the contact details below

Alternate Contact First Name

Alternate Contact Last Name

Alternate Contact Mobile

Alternate Contact Email

Alternate Contact Role in organisation

Tell us about the work of your organisation. What are your aims and objectives? Please be as detailed as possible.

ABOUT YOUR ORGANISATION

Tell us more about the work of your organisation

What is the main cause of your group

Does a significant proportion of activities take place or do a significant number of members live in the Cork City Local Authority Area?

Date your group was establised

This must be a dd/mm/yyyy

What Pillar is most appropriate for your organisation

Most groups come under the Community & Voluntary College. The Social Inclusion College is made up of groups that use community development approaches to improve the life chances and opportunities of those who are most at risk of marginalisation in society. Acceptance to the Environmental College is subject to further verification after application.

Is your group Governed by rules or a constitution

What is your groups structure

If other group structure, describe

Is there a minimum of 3 people on your committee?

Do you hold AGMs or have a written record of activities?

Is Membership open to everyone

What Electoral District does your group operate in?

Number of members in org

Number of paid staff in org

Number of other staff in org

Number of volunteers in org

THE LEGAL STUFF

What will Cork City PPN do with your information?

Groups joining Cork City PPN are providing us with their contact details in order to enable them to be fully consulted and included in the local democratic processes as well as in the national network of PPNs.

Groups joining the PPN are entering an agreement that the details they supply may be shared with other members of the network, with the elected representatives of the PPN, with members of Cork City PPN’s secretariat, with the Environmental Pillar, with Cork City Council and with other bodies or persons who require access in order to facilitate the ongoing work of the PPN.

When you join Cork City PPN you are also agreeing to receive emails and newsletters from us.

Cork City PPN will not supply the information provided to it to any person or organisation not engaged in PPN work or activities or in the community and voluntary sector in Cork City.

In the future Cork City PPN may display the names and locations of member groups on its website. Individuals or member groups may request to have their personal data supplied to them and/or removed from or updated on the register by giving 30 days’ notice to Cork City PPN

GDPR Consent

I consent for my data to be processed as described above (tick to consent)

Your Rights Under GDPR