Page 1
Community, Culture & Sports Division
Sports Funding Application Form
Please note that applications will not be processed unless all required information is provided. Additional information can be uploaded at the end of this application. * denotes fields that are mandatory
Stage
Organisation Name
Grant Application Record Type
Close Date
Approval Status
Funding Category
Funding Category Applied For
Please select...
Sports Equipment Funding
Sports Equipment - THIS SCHEME IS OPEN. The purpose of the Sports Equipment funding is to support community and voluntary sports groups and clubs to develop initiatives that support the development of sport and best practice. This funding will remain open until 31st December.
1. Group Details
1.1 Name of Group
1.2 Fingal Community County Register Number
Please check email correspondence from ppn@fingal.ie to confirm your FCCR number
1.3 Name of Project for which funding is sought
Project refers to activity / equipment purchase / event for which funding is being sought
1.4 Name of Key Contact Person
1.5 Position of Contact Person
1.6 Address of Contact Person
1.7 Phone Number of Contact Person
1.8 Email Address of Contact Person
Please Note : These contact details will be used for all communication regarding this application
Page 2
2. Sports Equipment Detail
2.1 Describe the type of activity the club is involved in (eg Basketball / Triathlon club)
2.2 Describe in DETAIL the proposed purchase of equipment on which your group intends to use Fingal County Council Funding. *
2.3 Briefly outline the benefits of this equipment to the club (use bullet points if possible)
2.4 What is the target / output of the project?
A target / output will measure the end result of your project. For example, if a group is seeking funding to run a training programme, the expected target output could be (i) number of courses to be delivered, (ii) number of people expected to attend, (iii) number of people expected to gain a qualification.
x
2.5 Please tick the Priority Areas to which this grant application relates *
Integration
Community Development
Resident/Tenant Association
Social Inclusion
Increase Participation in Sport
Introduce a new sport to a target group (e.g. women's group or youth group)
2.6 Please tick the categories that are most appropriate to the project to which this grant relates *
Sports and Recreation
Culture and Heritage
Education and Training
Festival or Event
Health and Wellbeing
Environment
2.7 No of people to benefit from the project
Please select...
Less than 10
10 to 20
21 to 50
51 to 75
76 to 100
101 to 150
151 to 200
201 to 400
Over 400
2.8 Target Group(s) that will benefit from this project *
Women's Group
Men's Group
People with Disabilities
Older People
Members of the Ethnic Community
Children/Young People (under 18)
Other Target_Groups
Please Specify
2.9 If the application is for equipment, please supply details of insurance and where it will be stored.
Page 3
3. Safeguarding Children
This information MUST be provided if the project involves working with young people (under 18 years) and/or vulnerable people.
Note : all people working with young and/or vulnerable people must be Garda Vetted in compliance with the Children and Vulnerable Persons Act 2012 and adhere to current safeguarding legislation.
3.1 Number of project leaders / workers/ coaches withSafeguarding (Code of Ethics) training
3.2 Organisation that Delivered the Course
Please select...
Fingal County Council Sports Office
Other
Specify (if other Organisation)
3.3 Children's Officer Details
Please tick if your organisation has a Children's Officer
Please supply Children's Officer's name
Please supply Children's Officer's Cert Number
3.4 Child Safeguarding Statement Details
Please confirm that your project / club has a Child Safeguarding Statement in line with requirements under the Children First Act 2015
Page 4
5. Financial Information
5.1 What is the full cost of your project €
5.2 Please provide a full breakdown of costs. Note that the items listed below must total the full cost of your project and will be the only items considered.
Item
Cost of item €
Please Note:
For all costs items you MUST attach a quotation.
Upload a separate sheet if you do not have room to list a full breakdown of costs.
5.3 Total amount for which your are applying to FCC €
All groups are eligible to apply for 80% of the total cost of the project to a maximum of €2,000.
x
5.4 Breakdown of how your project will be funded
Funding from Other Agencies / Orgs €
Funding from Other FCC Depts €
Sponsorship / Fundraising €
Monies on Hand €
Others €
Page 5
6. Declaration
I have read the information regarding the criteria for the community funding scheme and I understand the conditions of the funding. I hereby declare that the information supplied on this funding application is accurate and complete. I understand that all of the information provided will be retained by Fingal County Council and may be made available to other departments within the Council, as deemed appropriate.
It should be noted that the Freedom of Information Act applies to all records held by Fingal County Council.
Groups applying for funding are providing contact details in order to process their application and are entering into an agreement that the details they supply may be shared with staff members of Fingal County Council and public representatives in order to facilitate the processing of their application. When applying for funding, groups are also agreeing to receive correspondence relating to the application. Fingal County Council will not supply the information provided to any person or organisation unrelated to the funding process. Fingal County Council may report on groups that have been awarded funding and details will be confined to group name, amount awarded, project name and location. For more information on Fingal County Council Data Protection,
click here
.
Declarer's Name
Declarer is the person authorised by his/her group to submit this application
Declarer's Position in the Org
Please select...
Chairperson
Secretary
Treasurer
Other
Declarer's Position if Other
Name of Chairperson
Email of Chairperson
Name of Secretary
Email of Secretary
7. Relevant Supporting Documentation
Upload your quotations here. For all cost items you MUST upload a quotation
Attach Document 1 here
Attach Document 2 here
Attach Document 3 here
Attach Document 4 here
Attach Document 5 here
Attach Document 6 here
If you have any more attachments, please email them directly to sports@fingal.ie
You will receive a confirmation email when you submit this application.
Contact Information