CommUnity Connect – Expression of Interest

Thank you for your interest in joining the CommUnity Connect Network. We are excited to collaborate with community groups and organisations across Louth and Meath to foster connection, wellbeing, and positive community impact.

Please complete this form to express your interest in being part of the Network.

1. Organisation/Group Information

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Which county is your group/organisation based in? *LouthMeath

Name of Group/Organisation *

Primary Contact Name

Role within Group/Organisation

Contact Number

Email Address *

Address Line 1

Address Line 2

City

Eircode

2. About Your Organisation

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Brief Description of Your Group/Organisation(including key activities, focus areas, and target groups)

3. Nomination of a CommUnity Connect Champion

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Would your group/organisation consider nominating a CommUnity Connect Champion?(Champions will represent your group in training and help promote wellbeing initiatives within your community.)Yes, we would consider nominating a CommUnity Connect ChampionNo, not at this time

4. Declaration

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Please confirm *

By submitting this form, I confirm that I am an authorised representative of the group/organisation listed above and express our interest in participating in the CommUnity Connect Network.

First Name *

Last Name *

We use the details you give here to consider your expression of interest and to contact you about joining the CommUnity Connect Network. They are not published on the website. See our Privacy Policy (opens in a new tab) for how we handle your information.

Submit