Sports Energy Support Scheme - Phase 2

1
Organisation Name* This field is required.
2
Contact Person* This field is required.
First Name
Last Name
3
Role* This field is required.
4
Email Address* This field is required.Please enter your email address
example@example.com
5
Phone Number* This field is required.Please enter your phone number
Area Code
Phone Number
6
Total Estimated Energy Costs (Sept 2022 - May 2023)Please enter your total estimated energy costs from Sept 2022 - May 2023
7
Total Estimated Energy Costs (Sept 2019 - May 2020)Please enter your total estimated energy costs from Sept 2019 - May 2020
8
Total Increase in Costs between the 2 Periods?Sept 2022 to May 2023 - Sept 2019 to May 2020 = Difference between the 2 periods
9
Have you received funding from any other Government Energy Support Scheme in the past 12 months?
YESNO
10
Name of SchemePlease enter the name of the scheme that you have received funding from.
11
Amount Received from Energy Support SchemePlease enter the amount of funding received as part of the Energy Support Scheme
12
Any other CommentsPlease outline anything else you would like to make us aware of that may be relevant to feedback to Sport Ireland
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Normal
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Ok
Ok
Should be Empty: