dlr Celebration of Volunteerism 2017

Nomination Form

Dún Laoghaire-Rathdown County Council will host the dlr Celebration of Volunteerism on Thursday, 7th December 2017, in recognition of those who selflessly volunteer their time to help their community, group or club.

Do you know someone who selflessly volunteers their time to help others and who deserves to be recognised for their efforts?

Individuals and groups can be nominated under the following categories:

  • Environment
  • Arts and Culture
  • Children and Young People
  • Older Persons
  • Community
  • Safety and Emergency Services
  • Health and Disability
  • Social Inclusion
  • Sports and Recreation
  • Outstanding Group Award
  • Cathaoirleach’s Award for Long Service

Criteria for nominations:

  • Nominees must have served in their voluntary role over the past year;
  • Individuals who receive pay in return for their services will not be eligible;
  • You may not nominate yourself;
  • Nominations will only be considered when submitted on this Nomination Form;
  • The maximum number of nominees allowed from any one group is one;
  • Nominees for the Outstanding Group Category will be assessed on the overall impact on their community.

Closing date for receipt of nominations is 5pm, Wednesday 15th November 2017.

Completed nomination forms should be returned to: Community and Cultural Development Department, Dún Laoghaire-Rathdown County Council, County Hall, Marine Road, Dun Laoghaire, Co. Dublin or by email to .

Late applications will not be accepted.

Please contact the Community Development Section for further information by email at or by telephone on 01 205 4893.

Please complete the form in print or BLOCK CAPITALS.

Details of Nominator:

Name of Individual/Group:
Address:
Telephone:
Email:
Aim and Objectives of Group:
Year Group was Established:

Details of Individual/Group being nominated:

Name:
Address:
Telephone:
Email:
Name of Group with which Nominee volunteers:
Position Held:
Number of years Nominee has been volunteering:
Describe nature of activities undertaken by Nominee:

Categories:

Please tick one category under which you wish to nominate this Individual/Group:
Environment
Arts & Culture
Children & Young People
Older Persons
Community
Safety & Emergency Services
Health & Disability
Social Inclusion
Sports & Recreation
Cathaoirleach’s Award for Long Service
Outstanding Group Award
Please explain why you feel the Nominee deserves this recognition:

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