Cork SportsAbility Resilience Funding Allocation 2021

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Name of Group* This field is required.

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Name of lead contact person* This field is required.

First Name

Last Name

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Email* This field is required.Please enter your email address

example@example.com

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Phone number* This field is required.Please enter your phone number

Area Code

Phone Number

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Grant Amount Awarded (€)* This field is required.Please enter the funding amount awarded in your notification email.

euro

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Please submit a revised budget detailing what your group will use your allocated funding for under one or more of the following headings, as discussed in your application: 1. Training & Education, 2. Participation Opportunities in Sport & Physical Activity, 3. Equipment Provisions and Resources, 4. Communication & Marketing. Please refer to the terms and conditions when completing this section and the sample template provided here: www.corksports.ie/terms-and-conditions-cork-sportsability-resilience-fund-.* This field is required.Sample Revised Budget: - Training and Education : Autism in Sports - 10 leaders @ €15 = €150 - Participation Opportunities: 6 Week Programme of Multi Sport Activities (please provide details of the sport or physical activity that your group will take part in) - €300 - Participation Opportunities: Culminating event to celebrate the skills developed over the 6 weeks -€100 - Equipment: Equipment needed for the multi sport activity classes i.e. parachute, bean bags, yoga mats etc. €150 - Communication & Marketing: Photographer to take photos of the programme or event or promotional video to raise awareness of who we are and what physical activity opportunities we offer - €200

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Terms and Conditions* This field is required.Declaration: I understand that by signing this agreement I am committing the group named above to comply with the terms and conditions set out at the link below. I accept and agree on behalf of the group to the conditions in this agreement and affirm that the organisation is duly authorised to enter into and perform this agreement.

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Bank Account Name* This field is required.Fund Payable To: Please note the bank account must be in the name of the group, personal bank account details will not be accepted.

This should be the same as the name of the awarded facility ..

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Bank Name* This field is required.

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Sort Code* This field is required.6 digit code for the bank branch

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Account Number* This field is required.8 digit code for the bank account number

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IBAN* This field is required.You can find your International Bank Account Number (IBAN) and Bank Identifier Code (BIC or SWIFT) on your paper statement or by logging in to Online Banking.

IBAN in Ireland consists of 22 characters (letters and numbers)

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BIC* This field is required.

A valid BIC can be 8 or 11 characters, although most banks in Ireland use 8 character BICs. In some cases the suffix ‘XXX’ is displayed at the end of a BIC.

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Email Address for Remittance Advice* This field is required.Please enter the email address for remittance advice

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Name* This field is required.Treasurer/Authorised Signatory of the club

First Name

Last Name

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Date* This field is required.Today's Date

Date

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Signature* This field is required.Please sign the Agreement on behalf of the facility as declared above