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.
How many houses in your housing estate?
2.
Is your housing estate a local authority
or private estate?
3.
Is there a management company in your estate?
4.
How many houses are active on your Residents Association?
5.
Does every house in your housing estate have a working smoke alarm?
Yes
6.
Private
Local Authority
No
How many housing units for older persons are in your estate?
7.
Do you include these tenants/residents in your association and does your overall
programme include these OPD (Older Person Dwelling) areas? Please give a brief
description:
8.
How many houses contribute to your fundraising efforts?
9.
How many meetings do you hold per year?
10.
Is at least one meeting open to all residents?
Yes
No
11.
Do you receive support from a local
Community Employment Scheme (FÁS)?
Yes
No
Do you have any contact with your
local Tidy Towns Group?
Yes
No
If No, would you be willing to co-operate
with your Tidy Towns group, if initial
contact is established?
Yes
No
Have you received grant assistance in
previous years?
Yes
No
12.
13.
14.
If yes, please state most recent
15.
Briefly describe your fundraising programme
16.
Briefly describe your on-going work programme
17.
Briefly describe any new projects / activities planned for 2015
18.
What work, if any, is carried out by the Community Employment Scheme (FÁS)?
19.
What work is carried out by voluntary effort?
20.
Approximately how much will the delivery of your planned work programme cost
in 2015?
_____
21.
Briefly describe your Litter Management Programme.
22.
Is /has your group participated in
National Spring Clean 2015?
23.
Yes
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 the
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: