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Cork SportsAbility Resilience Funding Allocation 2021
Congratulations on being awarded funding under the Active Communities Resilience Fund. Please complete this funding allocation agreement to confirm and process the payment. This form must be completed by 12pm on Friday 14th May.
17
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1
Name of Group
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2
Name of lead contact person
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First Name
Last Name
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3
Email
*
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Please enter your email address
example@example.com
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4
Phone number
*
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Please enter your phone number
Area Code
Phone Number
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5
Grant Amount Awarded (€)
*
This field is required.
Please enter the funding amount awarded in your notification email.
euro
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6
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-.
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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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7
Terms and Conditions
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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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8
Bank Account Name
*
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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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9
Bank Name
*
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10
Sort Code
*
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6 digit code for the bank branch
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11
Account Number
*
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8 digit code for the bank account number
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12
IBAN
*
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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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13
BIC
*
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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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14
Email Address for Remittance Advice
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Please enter the email address for remittance advice
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15
Name
*
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Treasurer/Authorised Signatory of the club
First Name
Last Name
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16
Date
*
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Today's Date
/
Date
Day
Month
Year
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17
Signature
*
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Please sign the Agreement on behalf of the facility as declared above
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