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Register for Support

To register for support please complete and submit this simple online form. You will then have access to ongoing advice and guidance relevant to your organisations needs accessible via our helpdesk 24/7 at changemakers@cooperationireland.org. If you represent the interests of different community groups or organisations, each of which would like to access support, then please register each organisation separately for support.

Registration Information

Name of Community Group/Organisation

Organisation Type (select the option that best describes your group)

Organisation Type: Other (please state)

Contact Details. Please provide two contacts for your organisation. If one contact is a member of staff then please also provide a contact for your committee i.e. Chairperson, Secretary, Treasurer, Committee Member.

Primary Contact Name

Primary Contact Role

Primary Contact Email

Primary Contact Mobile Number

Secondary Contact Name

Secondary Contact Role

Secondary Contact Email

Secondary Contact Mobile Number

Address

Address 1

Address 2

Town

County

Postcode or Eircode

Local Council Area

Change Makers: Additional Information

Is your organisation an umbrella support organisation?

Organisation Focus

Which of the Change Makers Funds are you interested in applying for?

Applicants to the Change Makers Funds must have either a cross community and/or a cross-border project partner. Do you require any support to find a suitable project partner?

How did you hear about the PEACEPLUS Change Maker Funding Programme?

Have you applied for or received PEACE funding before? Please note that the answer to this question will have no impact on the application process. It is purely designed to enable the Support Partners to understand the different levels of experience and needs of organisations.

If Yes, please provide details.

Please outline any current support needs you have.

I consent to the information I provide being shared with/between the Support Partners (Cooperation Ireland, Rural Action and East Border Region).

I would like to be kept updated about other Cooperation Ireland programmes and opportunities.

PEACEPLUS Change Maker Registration Form

Registration Information

Contact Details. Please provide two contacts for your organisation. If one contact is a member of staff then please also provide a contact for your committee i.e. Chairperson, Secretary, Treasurer, Committee Member.

Address

Change Makers: Additional Information