Sport Energy Support Scheme
Cork Sports Partnership - Application Form
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Club/Group/Organisation Name:
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- Please enter the name of the applying club, group, or organisation
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Contact Person:
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First Name
Last Name
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Role/Position:
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- Please state the position of the person applying for this fund
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Contact Person Email Address:
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example@example.com
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Contact Person Phone Number:
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Please enter a valid phone number.
Format: (000) 000-0000.
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Total Energy Cost (September 2022 to May 2023)
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- Please provide a total energy cost incurred between September 2022 to May 2023
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Proof of Expenditure (September 2022 to May 2023)
*
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- Please provide proof of expenditure during this period
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Total Energy Cost (September 2019 to May 2020)
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- Please provide a total energy cost incurred between September 2019 to May 2020
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Proof of Expenditure (September 2019 to May 2020)
*
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Energy Increase During Two Periods:
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- Please provide the difference in cost between the two periods
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Have you recieved funding from any other Government Energy Support Scheme in the past 12 months:
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Yes
No
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If yes, Name of the Scheme:
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- Please provide the name of the scheme you received funding from
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Amount Received from Energy Support Scheme:
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- Please enter the amount of funding received as part of the Energy Support Scheme
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Any other information:
- Please provide any other information you would like to help strengthen your application form
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I declare that I have reviewed and approved the above application form and that the information given in this funding application is true and accurate. I understand that by applying for this funding my Club agrees to submit to and comply with any audit or inspection as may be required to assert the accuracy of the application and the expenditure of any allocated funds. I have read and understood the Terms and Conditions of Grants. On behalf of my organisation, I accept the terms and conditions of grants and agree to be bound by those terms and conditions. I hereby apply for grant-aid for the organisation for 2023.
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I Agree
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