TÚS InitiativePreliminary Expression of Interest Form for
Community and Voluntary Organisations in Co. Cavan.
This initiative which is intended to provide meaningful work placement opportunities to unemployed people in the county is being rolled out by Breffni Integrated Ltd. Community and non profit organisations based in Co. Cavan are now invited to make proposals to provide work placement opportunities in their organisations. Breffni Integrated will make further enquiries on foot of this application before determining the suitability of the proposal for inclusion in the TÚS Initiative work programme.
1. Information about your organisation:
1.1 Organisation Name: ______
1.2 Contact Details: Address: ______
______
Tel No: ______Fax No: ______Email: ______
Chairperson: ______Secretary: ______
1.3 Does your group have a Tax Reference number if so please provide it: ______
1.4 Does yourgroup have a Chy Number if so please provide it: ______
1.5 Is your group a registered employer? Yes No
1.6 Is your group a local branch of a national organisation?YesNo
(or a larger organisation)
If yes please give details: ______
2. Eligibility of your Organisation:
2.1. Is your group community, voluntary and not-for-profit in nature?YesNo
2.2. Does the group have a recognised informal or formal/legal structure YesNo
2.3. Is it any of the following?if so please tick:
Parish/Community committee,A company limited by guarantee,
Not-for-profit co-operative or friendly society where profits or surpluses are not distributed to members.
Registered Charity
Trade association
Sporting association
Cultural association
Other association.
2.4. Does your organisation have a track record of working with or providing services to and within your community
YesNo
2.5. Do you havethe capability to manage the candidate in the placement with the supervisory support of Breffni Integrated Ltd.
YesNo
2.6. Are you a community organisation engaged in the provision of local services with the support of other publicly supported programmes such as the following if so please tick:
Community Services Programme,Community Employment Programme,
Jobs Initiative
Rural Social Scheme
Voluntary organisation funded by the Health Services Executive
Voluntary organisation funded by the Office of the Minister for Children and Youth Affairs
2.7. Would the placement displace or substitute employment supported under other programmes.
YesNo
2.8. Are you an individual, a private or public body, a school, a collegeor a commercial entity (for profit body or organisation)
YesNo
3. Work opportunities to be provided:
Please tick the area(s) of work where your organisation would be interested in providing a placement:
Energy conservation work in homes and community buildings;Social care of persons of all age groups and persons with a disability or with limited mobility;
Caretaking, securing, supervising of community buildings and spaces;
Renovation of community, recreation and sporting facilities, including their regeneration and enhancement;
Work in support of the promotion of the Irish language, other cultural and heritage activities;
Community administration, research, and community event management;
Coaching for sporting activity (where operated by designated sporting organisations);
Repair of equipment for the developing world – farm tools, bicycles, computers, sewing machines, health equipment.
3.1 Who would provide day to day supervision for the person(s) on placement?
______
3.2 How many places at 19.5 hours per week could you provide: ______
3.3 Where would the placement(s) be located: ______
3.4 Does the work proposed involve work with children, young people and or vulnerable categories of adults?
Yes No
3.5 If Yes, does your organisation have a facility to obtain Garda Clearance or have other established checking procedures in place?
Yes No
If yes, please detail in box 3.9
3.6 Does anyone in your group or who may supervise the placement have any training or qualifications in Health and Safety legislation?
YesNo
3.7 Would the participant require a drivers licence or other certification / licences to undertake the work in question?
YesNo
If yes, please detail in box 3.9
3.8 Are there any particular skills required by participants to undertake the work proposed?
YesNo
If yes, please detail in box 3.9
3.9 Any other relevant information?
3.10 Describe in general terms the work which you would propose to be undertaken?
4. Declaration:
On behalf of ______I declare that the information contained in this form is to my knowledge and belief true and complete. We will comply with any additional requests for information made by Breffni Integrated Ltd and if offered a placement(s) on the TÚS Initiative we undertake to comply with all rules and regulations of the scheme as amended form time to time. We acknowledge the right of Breffni Integrated Ltd to allocate all placements and that any placement would be short term in nature and undertake to arrange our affairs in such manneras to avoid becoming dependent on any placement which may be provided from time to time.
Signed: ______Date: ______
PRINT NAME: ______
For further information and to discuss your proposal please contact either Úna Traynor or Padraig Mc Breen from the development team at Breffni Integrated Ltd.
Breffni Integrated Ltd, Unit 6A Corlurgan Business Park, Corlurgan, Ballinagh Road, Cavan, Co. Cavan.
Tel 049 433 1029 Email: Company Reg No: 462591Chy No: 18989
The TÚS Initiative is funded by the Department of Social Protection.
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