Local Community Development Committee (LCDC) Nomination Form

Local Community Development Committee Nomination Form

PPN Elections Summer 2026. Closing Date: 8th June 2026 at 12 noon.
1. Name of Nominee
Please choose the seat you are being nominated for
2. About you

Only your name, nominating group, college and statement will be shared with members.
Address
Eircode
Email
Phone
Candidate Statement (approx. 200 words) This will be circulated to members ahead of the election. State why you may be the most suitable candidate for the role.
3. Candidate Declaration
Can you confirm this nomination is being made in a voluntary capacity?
Have you read the brief associated with the position you are nominated for?
Do you understand the role you are nominated for?
Do you know of any potential conflict of interest or loyalty in taking on this role?
e.g. have you run as a candidate in an election in the past year / does your organisation receive SICAP funding /are you Local Authority staff
If Yes, please supply details
LCDC meetings take place every month. Can you commit to the role you are nominated for?
Are you available to attend Mandatory Secretariat Induction Training on Wednesday 24th June 2026 at 2pm?
If you have any barriers to participation in induction please get in touch with the PPN Coordinator via coordinator@corkcityppn.ie
If you are successful in this election and accept the position, you are deemed to have accepted to abide by the PPN Code of Conduct. Please find a copy of this Code of Conduct here.
I have read the PPN Code of Conduct and agree to fulfil this if elected.
4. Nominating Group
Name of group that is nominating you
Please confirm the college of your nominating group
Authorisation from Organisation of Nominee (Authorised Officer)

This nomination must be authorised by the nominee's organisation. The Authorised Officer is the organisation's Chairperson and/or primary PPN contact. If the Chairperson and Nominee is the same person, this nomination needs to be authorised by a different office holder.
Name
Position
Mobile
Authoriser Email
example@example.com
Thank you for filling in this nomination form. Please submit fully completed forms by 8th June 2026 at 12 noon.

Email: info@corkcityppn.ie with "Nomination for [Insert name of position]" in the subject of the email or

Hand: Mark the envelope Nominations, Alannah O'Callaghan, Cork City PPN and drop into St Joseph's Community Association, Old Youghal Road, T23 HK80 or

Post: Nominations, Alannah O'Callaghan, Cork City PPN, C/O St Joseph's Community Association, Old Youghal Road, T23 HK80

For further enquiries email info@corkcityppn.ie

Incomplete forms will be deemed invalid
Should be Empty:

Local Community Development Committee Nomination Form

2. About you

3. Candidate Declaration

4. Nominating Group