English Version

Comhairle Contae na Gaillimhe

Gradaim Pobail an
Chathaoirligh
2015 Foirm Ainmnichin
T an fhoirm seo le fil i gcl mr chomh maith

Galway County Council

The Cathaoirleachs
Community Awards 2015
Nomination Form
This form is also available in large print

T leagan Gaeilge den fhoirm seo ar fail ach a iarraidh

T mle filte an fhoirm seo a lonadh i nGaeilge

Please Read the Information Sheet Carefully Before Completing this Form
Please type your answers. This form can be downloaded from www.galway.ie/cathaoirleachawards
Please state the Category
you are nominating

Section A: Details of the Group* or Person being Nominated

Name of Group or Person

What area of the County

does the Group or Person
cover:

Contact Details for Group

or Person: (name,
address, email & mobile)

Please state how the

Group or Person is funded
in their work:

Seirbhs Custaimara Chomhairle Chontae na Gaillimhe Caighden agus seachadadh seirbhs custaimara a fheabhs
Galway County Council Customer Services To enhance quality customer services and delivery

GCC-CE-02(E)-00

1/4

Please describe the

general activities of the
Group or Person:

*Groups includes schools and organisations where relevant to the category

Please state why the
Group or Person should
win the above mentioned
category.

Seirbhs Custaimara Chomhairle Chontae na Gaillimhe Caighden agus seachadadh seirbhs custaimara a fheabhs
Galway County Council Customer Services To enhance quality customer services and delivery

GCC-CE-02(E)-00

2/4

Give examples of their

achievements and
contributions in 2015
relevant to the category.

Please describe the

difference the Group or
Person has made to the
Community during 2015:

Seirbhs Custaimara Chomhairle Chontae na Gaillimhe Caighden agus seachadadh seirbhs custaimara a fheabhs
Galway County Council Customer Services To enhance quality customer services and delivery

GCC-CE-02(E)-00

3/4

Section B: Details of Person Nominating the Group* or Person

Name:
Address:

Postcode:
Email:
Mobile No:
What is your link to the
person or group you are
nominating?

You may include photos and any additional information with this form to help inform the judges. Please do not
send emails bigger than 8MB.
Please email this form, photos and any additional information to: awards@galwaycoco.ie before 4pm Friday 30th
October 2015. Or you can post to Valerie Kavanagh, Community & Enterprise, Galway County Council, Prospect Hill,
Galway. If you have any queries you can phone Valerie on 091 509580.
This Nomination Form and information can be downloaded from www.galway.ie/cathaoirleachawards.

Please save this application form before closing it.

Seol an fhoirm ar ais chuig:

An tAonad Forbartha Pobail, Fiontair
agus Eacnamaochta,
Comhairle Contae na Gaillimhe,
ras an Chontae,
Cnoc na Radharc,
Gaillimh

Return to:
Planning & Sustainable
Development Unit
Galway County Council
ras an Chontae
Prospect Hill
Galway

Tel. (091) 509580

awards@galwaycoco.ie
gradaim@cocogaillimh.ie
www.galway.ie/cathaoirleachawards

Seirbhs Custaimara Chomhairle Chontae na Gaillimhe Caighden agus seachadadh seirbhs custaimara a fheabhs
Galway County Council Customer Services To enhance quality customer services and delivery

GCC-CE-02(E)-00

4/4