Community & Voluntary Awards 2022 Nomination

This form should be used to nominate a Group/Club/Organisation Only.

Groups/Clubs/Organisations can nominate themselves.

N.B! Before completing this form, please read the accompanying terms & conditions and judging criteria

Completed application should be sent by email to awards@laoiscoco.ie or posted to

Community Awards Section, Laois County Council, Áras an Chontae, Portlaoise, Co Laois

and marked:

“Community & Voluntary Awards 2022 Nomination”.

Closing Date is 4pm on Friday, 29th July, 2022

For further assistance and queries, please contact (057) 86 64078 or email awards@laoiscoco.ie

* indicates required field

Under which Category do wish you to nominate a Group/Club/Organisation - Please tick one only **

Arts, Culture &Heritage- This award recognises Groups/Organisations who enhance their local areas, by conserving, protecting and promoting the Arts, Culture and Heritage of their local community through collective creative activities. Examples include: Drama, Music, Literature, Arts, Festivals, Conservation, and Heritage.
Sports Award - This award focuses on groups or schools, who have focused on physical health, increasing the number of people participating in the sport, particularly those with a low participation rate.
Best Kept Residential Area -This award recognises the hard work and dedication shown in residential areas throughout Laois, recognises the great pride people have in their own communities, recognise the value of our biodiversity and continued to put in a huge effort, on behalf of the places where they live.
Social Inclusion -This award recognises Groups/Organisations that actively work in a supportive role in their communities and whose aim is to minimise social exclusion and/or help to improve the quality of life for socially excluded groups. Examples include; Working with the elderly, People with Disabilities, Ethnic Minority, Travelling Community, Young people in transition, LGBTI+ and the Homeless.
Health and Well Being - This award recognises community health and wellbeing initiatives i.e mental health, sexual health, awareness raising & promotion around medical conditions, disorders and disabilities, including opportunities for social connections, increased meaningful daily activities, developing confidence and providing a sense of purpose & positive self-worth for citizens in the community.

I wish to nominate:

Name of Group/Club/Organisation*

Address of Group/Club/Organisation*

Contact Name of Group/Club/Organisation*

Phone of Group/Club/Organisation*

Email Address of Group/Club/Organisation*

Is the Group/Organisation a member of Laois PPN?*

Yes
No

Number of Voluntary Workers*

Number of Paid Workers*

What year was your Group/Club/Organisation founded?*

How is the Group funded?*

Nominator (the person or group making the nomination – please ensure you read the terms & conditions regarding this section!)

Name:

Email:*

Address*

State the reasons why the group deserves the award?

Please highlight the current/recent activities and achievements of the nominated group/organisation?*

Attach Photo of Group/Organisation (less than 5 MB)

Acceptable file types: jpg,jpeg,png.
Maximum file size: 5mb.

How does the group/organisation benefit the community?*

What are the future plans of the Group/Organisation?*

By completing and submitting this form I hereby confirm that I have read and understand the terms and conditions, judging criteria and the data protection requirements.
In addition to the afore mentioned I hereby confirm that I have the consent of the nominee to share their personal data relevant for the administration of Laois Community and Voluntary Awards 2022
Click Here to view to view Terms, Conditions and Privacy information

Signature*

Date*