FODC Climate Team's Environmental Education Programme

Environmental Education Programme
Thank you for showing interest in our education programme. On the completion of this form, a member of the climate team will be in touch to organise the final details for the workshop. If there are any specific workshops or presentations not mentioned below that would be beneficial for your group, please contact the Climate team directly using climate@fermanaghomagh.com.
Organisation Information
Organisation Type*

SchoolCommunity GroupBusinessOther
Name of Organisation *
Address*

Street Address

Townland

TownCounty

Postcode
Contact name*

First NameLast Name
Phone number*
Email*
example@example.com
Group Information
How many Participants will be attending the workshop? *
Group Age*
E.g. P4, Year 8, 50+, 18 - 25
Workshop Information
Please choose your preferred days for a visit*

MondayTuesdayWednesdayThursdayFriday
Desired Presentation and Workshop*

Waste and recycling (Anytime): presentation with litter pickWaste and recycling (Anytime): presentation without litter pickBiodiversity and Outdoor Learning (September - November): Crocus Bulb PlantingBiodiversity and outdoor learning (December - February): Bird Feeder Ring MakingBiodiversity and outdoor learning (January - March): Tree PlantingBiodiversity and outdoor learning (March - June): Amazing Pollinators with wildflower seed bombsBiodiversity and Outdoor Learning (March - June): Amazing Pollinators with sunflower plantingClimate Action (Anytime): Introduction to Climate Change with litter pickClimate Action (January - March): Introduction to Climate Change with tree plantingClimate Action (March - June): Introduction to Climate Change with Sunflower seed plantingClimate Action (March - June): Introduction to Climate Change with Grow Your Own VegClimate Action (Anytime): Introduction to Climate Change with Action PlanningOther
If you selected a 'Waste and Recycling' option would you like to organise a follow on tour of your local recycling centre?

Yes, Drummee Recycling Centre EnniskillenYes, Fintona Recycling CentreYes, Carrickmore Recycling CentreNoN/A
Image Consent

Images may be used by Fermanagh and Omagh District Council for promotional purposes including social media, website, educational resources and press releases. Please select 'Yes' above if you have and give necessary permission for images to be taken. Images will not be taken of participants who do not have or give image consent.
Image Consent*

YesNo
Safeguarding
Are you representing an organisation that works with children, young people or adults at risk of harm?*

YesNo
Does your organisation have a written policy that demonstrates the organisation’s commitment to safeguarding children, young people or adults at risk of harm, and is it available to all stakeholders (such as parents / carers, volunteers, etc.,)?*

YesNo
Your organisation agrees to abide by the Council's Child and Adult Safeguarding Policies and Codes of Practice (link below)*

YesNo
FODC Safeguarding Policies
Does your organisation consistently apply a thorough and clearly defined method of recruiting staff and volunteers in line with legislative requirements and best practice (such as Access NI checks)?*

YesNo
Does your organisation have procedures in place for the effective management, induction, support, supervision, and relevant skills/safeguarding training of staff and volunteers?*

YesNo
Has your organisation clearly defined procedures for raising awareness of, responding to, recording and reporting concerns about actual or suspected incidents of abuse or harm? For example, Designated Safeguarding Officers/Leaders, a procedure to deal with concerns or incidents, how to assess concerns or incidents, confidential records of concerns / incidents.*

YesNo
Does your organisation have a written Code of Conduct/Behaviour which outlines the behaviour expected of all involved in the organisation? For example, guidelines on how to safely lead activities for children, young people and adults at risk of harm.*

YesNo
Has your organisation processes in place to share relevant information appropriately and safely with parents, carers, children, young people, staff, volunteers, and other agencies, including information on who the designated safeguarding officer/leader is and how to contact them? For example, data protected emergency contact information, confidential communication forums, etc.*

YesNo
Does your organisation adhere to guidelines that ensure the general safety and effective management of activities? For example, ensuring participants depart an activity with a permitted adult and there is a recommended number of leaders in relation to the number of participants.*

YesNo
I understand the organisation I am applying on behalf of is responsible for implementing safeguarding standards to ensure the safety of children, young people and adults at risk of harm.*

YesNo
If you have answered ‘No’ to any of these questions, please provide more details in the comments box below. If your organisation’s safeguarding policy and procedures are not currently in place, these should be in place before any workshop. *
Please note: In accordance with the Data Protection Act 2018, Fermanagh and Omagh District Council has a duty to protect any information we hold on you. The personal information you provide on this form will only be used for the purpose of event and programme planning and will not be shared with any third party unless law or regulation compels such a disclosure. For further guidance on how we hold your information please visit the Privacy section at www.fermanaghomagh.com/your-council/privacy-statement
Signature*

Powered by Jotform SignClear
Should be Empty:

Environmental Education Programme

Organisation Information

Group Information

Workshop Information

Image Consent

Safeguarding