Comhairle Laighean C.L.G.
CLUB DEVELOPMENT
GRANT
APPLICATION FORM
2019
N.B. Application Form 2019 is valid only for Clubs who submit
this formto Aras Laighean viatheirCounty Development Officer (Dublin – County Secretary) oftheir intended Project for 2019on/before 1st May 2018.
County: ______
Club: ______
CLUB GRANT APPLICATION FORM 2019
N.B.
(1)Clubs seeking G.A.A. Grant 2019 MUST
(a)Complete this form and submit via County Development Officer (Dublin-County Secretary) to Comhairle Laighean C.L.G., Aras Laighean, Portlaoise
ON/BEFORE 1st May, 2018.
(b)NOT undertake any preparatory work for the proposed development prior to application for Grant Assistance to Comhairle Laighean C.L.G.
Otherwise the development WILL NOT qualify for G.A.A. Grant.
(2)Structure, Requirements, Procedure, Selection and Recommendations for Funding of Grant Applications
Leinster Infrastructure & Safety
Will assist infrastructure planning for counties and clubs in the province.
Procedure for Assessing Applications
(1)Leinster Infrastructure and Safety will assess each project on the basis of
Value for Money in the context of the development needs of the Club, County.
(2)Leinster Infrastructure and Safetywill identify to the applicant unit which element(s) of their proposed project will be considered for grant aid.
(3)All projects will be assessed on a case-by-case basis.
(4)No decision made on an individual grant application may be taken as precedence for any other grant application.
(5)Grant amounts, where awarded, will be based on the Leinster Infrastructure and Safetyrecommendations and on available funds.
CLUB DEVELOPMENT GRANT
APPLICATION FORM 2019
PART A
(1)Official name of Club: ……………………………………………………………......
(2)Name of Club Secretary: ………………………………………………….……......
Full Postal Address: ……………………………………………………………......
………………………………………………………………………………………......
………………………………………………… Eircode: - ………………………………......
E-Mail: ….…………………………………………………………………………......
Phone Number(s) : ………………………………………………………………......
………………………………………………………………………………………......
(3)Official Name of Ground: ………………………………………………………......
(4)Club Chairman’s Name: …………………………………… E-Mail: ………………………
Mobile Number: ……………………………………
(5)Club Safety Co-ordinator: ……………………………………E-Mail: …………………………
Mobile Number: ……………………………………
(6)Mandatory Coaching
Provide evidence of completion of Mandatory Coaching Standards i.e. Award 1 Coach with your first Adult Team.
Name(s): ……………………………………………………………………………………………
Year of Award: ...... E-Mail: ……………………………………..
Mobile Number: ……………………………………………………….
PART B
(1)Trustees of the real property of the Club as listed on :- LAND REGISTRY
(a)Club (3)(b) County Board (1)
Name:- ______/ Name:- ______Name:- ______
Name:- ______
(c)Comhairle Laighean (1)
Name:- ______Folio Number(s):______
(2)Land Registry & Deed of Trust is held for safe keeping by:-
Name: …….…………………………………………………………………
Address: ……………………………………………………………………
PART C
(1)Project Details
(a)Outline the proposed project for which you are seeking approval :
______
______
______
(b)Estimated Cost:-€______
(c)Proposed Funding of Project: ______
______
______
(2)Does your Club own the existing freehold, leasehold or license for the proposed site?
YesNo
(3)Date of Club Committee Meeting which approved this application (copy of minutes required):-
______
(4)Date Club met with the County Development Committee to discuss the project?
______
(5)Complete the following:-
Year / Income / Expenditure2017
2016
2015
(6)Has the Club an existing Loan? If Yes,
Name of Financial Institution:- ______
Outstanding Amount: ______
Is there a charge on the Property in favor of the Financial Institution
YesNo
(7)Will borrowing be required for Proposed Development?
YesNo
(8)Is planning permission required for the Proposed Development?
YesNo
(9)Has the Club a Tax Clearance Certificate?
YesNo
Verification of Application by Club Chairman, Club Secretary & County Development Officer (Dublin County Secretary)
We hereby verify that the information given on this Proposal Form is correct and the facilities will be available to First, Second and Third Level Schools.
Sinithe ……………………… (Cathaoirleach) Data ……………………
Sinithe ……………………… (Runai) Data ……………………
Sinithe ……………………… (Development Officer) Data ……………………
PART D
NOTE:Prior to submitting this Application please ensure that your Club has the following items available when required
(a)Copy of up-to-date Deed of Trust
(b)Copy of Land Registry
(c)Site Location (map) (where applicable)
(d)Accounts including Bank Statements for previous 2 Years
(e)Funding Proposals for the Project
(f)Strategic Vision & Plan - Proof that the Club has began the process of putting in place their Strategic Vision & Plan
(g)Copy of Current Safety Statement & Associated Risk Assessment (Willis)
Form must be submitted via County Development Officer
(Dublin – County Secretary)
to Comhairle Laighean not later than 1stMay, 2018.
On behalf of Coiste Contae ……………………………. I formally verify the above
Projectfor Approval
Sinithe ……………………….Data …………………….
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