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Fermanagh Rural Community Network Awards 2018 Celebrating Your Achievements Please complete this form in full and return to: FRCN The Intec Centre 36 East Bridge Street Enniskillen BT74 7BT By 12 noon Monday 1 st October 2018 1. Award for: Local Community Activity (in the last 12 months) Nominating Group Details: Name: ________________________________________________________ Address: ____________________________________________________________ _____ ____________________________________________________________ _____ Daytime Telephone Number:__________________________________________ Details about the Group you wish to nominate: Name:_______________________________________________________ _____ Address:____________________________________________________ ______ ____________________________________________________________ _____ The Intec Centre 36 East Bridge Street Enniskillen Co Fermanagh BT74 7BT Tel: 028 6632 7006 E-mail: [email protected] Website: www.fermanaghrcn.org Company Registration No.: NI050070 HMRC Charity No.: XR69041 Registered with the Charity Commission for Northern Ireland NIC 100161

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Fermanagh Rural Community NetworkAwards 2018Celebrating Your Achievements

Please complete this form in full and return to:

FRCN The Intec Centre 36 East Bridge Street Enniskillen BT74 7BT

By 12 noon Monday 1st October 2018

1. Award for: Local Community Activity (in the last 12 months)

Nominating Group Details:

Name: ________________________________________________________

Address: _________________________________________________________________

_________________________________________________________________

Daytime Telephone Number:__________________________________________

Details about the Group you wish to nominate:

Name:____________________________________________________________

Address:__________________________________________________________

_________________________________________________________________

Main Contact:______________________________________________________

Daytime Telephone Number:__________________________________________

What Local Community Activity has this Group undertaken that deserves recognition?

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The Intec Centre 36 East Bridge Street Enniskillen Co Fermanagh BT74 7BT Tel: 028 6632 7006 E-mail: [email protected] Website: www.fermanaghrcn.org

Company Registration No.: NI050070 HMRC Charity No.: XR69041 Registered with the Charity Commission for Northern Ireland NIC 100161

How have local people been involved in the Community Activity?

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How did this Group contribute to increased Local Community Activity?

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Is there any other information that supports why this group should be considered for an Award?

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Signed:___________________________________ Date:_______________

Position in Group:__________________________________________________