Public Participation Network Registration Form

TELL US ABOUT YOU
Organisation Name
First Name
Street:
Area/Town:
City/County:
Eircode:
Geographical area your group covers

Facebook page:
Twitter page:
Please give us the details of your alternate representative for your organisation for plenary meetings of the PPN. Only the named Representative, or in their absence, the Alternate Representative, will have voting rights at Plenary meetings.
Alternate Contact First Name:
Alternate Contact Last Name:
Alternate Contact Phone:
Alternate Contact Mobile:
Alternate Contact Email:
Alternate Contact Position:
TELL US ABOUT YOUR ORGANISATION
Please select a Pilar which most closely represents the activities of your organisation:
Please select a cause which most closely represents the work of your organisation:
Does your group have rules or a constitution?
Date/Year your organisation was established:
What is your organisations structure?
If other group structure, describe:
Tell us about your aims:
Number of paid staff in org:
Number of volunteers in org:
Number of other staff in org:
Number of members in org:
Is Membership open to everyone:
Dublin City Public Participation Network (PPN) intends to publish a directory of participating organisations and groups. The directory will include: Organisation or Group Name; Organisation Website/facebook; Organisation or group e-mail.
Can we include you in the community directory?