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Activity Funding Form

Name of Group
Who will be responsible for the activity?
E-mail
Phone
Address
Title of the project
Today
Start Date
Today
End Date
Provide the overall project aim together with a brief summary of the proposal. Is this a new project or the continuation of an existing project?
List any partners who will be involved in your project (schools, community groups etc.)
If successful, how will you spend the money? List all costs.
Have you any other sources of funding?
Show the need for the project. How will your project help protect/develop the Irish language in Mid Ulster?
Results: Identify the results the project aims to achieve (increased number of participants, raise awareness of the language, opportunity to learn Irish, Irish medium education, culture etc.)
Name in capitals
Role in the Group
Today
Date
Mid Ulster District Council collects personal information when you apply to us for services. We will only use this information to provide the services requested. I understand the following.
I understand you will use the information I have provided to process my application for an Irish Language Activity Grant.
You may check some of the information with other sources within the council, or other councils and government departments, eg The Department for Communities.
You may also get information about me from certain other organisations, or give information about me to them to make sure the information is accurate and protect public funds. These other organisations include government departments and other local authorities.
I declare that the information I have given on this form is correct and complete.
Signature of applicant
Today
Date
Enter security code:

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