Name of Organisation:
Secretary / Contact Person:
Correspondence Address:
Contact No 
Email 
Current Tax Number
(Failure to provide current tax number will result in non-payment of grant)
1. Have you received grant assistance in previous years?
Yes
If so please state the most recent
2. Approx. how many volunteers do you have:
(a) On your actual Committee
(b) Participating in your work programme
3. Briefly describe your on-going work programme
4. Briefly describe any new projects / activities planned for 2015
No
________________
5. Briefly describe, if applicable, your partnership with your local Tidy Towns
6. Briefly describe Waste Management/Recycling activities undertaken by your
organisation.
7. Briefly describe your fundraising programme:
________________
8. Approximately how much will the delivery of your planned work programme cost in
2015?
€
9. Briefly describe your Litter Management Programme.
10. Will your group be participating in National Spring Clean 2015?
Yes
11. Do you undertake to ensure that all projects receiving
funding under the Louth County Council Amenity Grant Scheme
will be maintained in future years?
Yes
No
No
Groups availing of funding under this Scheme will be required to register with County
Louth Public Participation Network (PPN), a group which provides a representative voice
for the community sector in Louth and shares relevant information and experience with
its members. Visit www.louthppn.ie for details.
Chairperson
Secretary
(BLOCK CAPITALS)
(BLOCK CAPITALS)
(Signature)
(Signature)
Date
THE CLOSING DATE FOR RECEIPT OF COMPLETED APPLICATION FORMS IS:
FRIDAY 24TH APRIL 2015
COMPLETED APPLICATION FORMS SHOULD BE ADDRESSED TO:
SOCIAL & COMMUNITY SECTION
LOUTH COUNTY COUNCIL
MILLENNIUM CENTRE
DUNDALK
CO. LOUTH
PHONE: 042 9392918
EMAIL: [email protected]
NB – LATE APPLICATIONS WILL NOT BE ACCEPTED
Data Protection Information
Please complete and return with your Application Form
From time to time Louth County Council receives requests from Tidy Towns groups in
other counties and/or suppliers of products (such as litter bins, public seating etc.) for
contact details of Tidy Towns Groups/Residents Associations. Under Data Protection,
Louth County Council cannot release this information without permission even though
the information being shared is of mutual benefit.
For future reference do you wish to have your contact details made available to other
parties with an interest in Tidy Towns?
Yes
No
If yes, please provide contact details of a representative you wish to make available - this
can take the form of a postal address, personal email address, group email address etc.
Name of Representative:
Contact Details: