Membership Guidelines and Application Form

Size: px
Start display at page:

Download "Membership Guidelines and Application Form"

Transcription

1 Membership Guidelines and Application Form

2 From time to time we welcome applications for membership of the Stephen s Green Hibernian Club. These guidelines help to outline the essential requirements for an application. Our aim is to assist both candidates and their sponsors as much as possible. Members are reminded that in proposing or seconding a candidate for election to membership they owe a duty of care to their fellow members by accepting responsibility for their candidate. If you have any queries, the Membership Team will be delighted to assist you. Please call or membership@sghc.ie Yours faithfully, Ray Mooney General Manager

3 The Election process Key Requirements and Points of Note Please post your completed application form and relevant accompanying documentation (see below) to the Membership Department of the Stephen s Green Hibernian Club. You may also hand deliver your application form to Reception at the Club You will receive a letter acknowledging receipt of your application form Only correctly completed application forms will be placed in the waiting list to be reviewed by the Elections Committee Should your application form be incorrectly completed, you will be contacted by the Club and advised appropriately. The first step involves your application going through the Nomination process. If successful at this stage, your application may then proceed to the Election process. The entire election process takes a minimum of three months from receipt of your application form. The Club will write to you, advising you of the outcome of your application. Accompanying documentation A cover letting giving a deeper understanding of you and outlining the reasons why you wish to become a member A recent utility bill A passport sized photo Proposers and Seconders A proposer must be a Full Member of the Club for 5 years A seconder must be a Full Member of the Club for at least one year A member of the candidate s own family may act as a proposer or seconder Proposers and seconders are only required to sign their relevant sections of the form. However, the proposer and/or seconder shall, if so requested by the General Committee, attend a meeting of the General Committee in order to provide any other additional information required. Club Tours Whilst all candidates are actively encouraged to visit the Club with their proposer and seconder, we are happy to assist potential candidates by providing informal tours of the facilities to help them familiarise themselves with the our elegant house and all it has to offer. Should you wish to arrange a tour, please contact the Membership Office on or membership@sghc.ie We would be delighted to show candidates around and answer any questions.

4 Full town Membership Categories Over the age of 34 years and living within a 60 km radius of the Club. Goes through the full nomination and election process, requiring both a proposer and seconder. Equity Member of the Club. Full CountrY Over the age of 34 years and lives on the island of Ireland (including Northern Ireland) outside a 60km radius of the Club. Goes through the full nomination and election process and requires proposer and seconder. Equity Member of the Club. Junior Town Between the ages of 21 and 34 and lives within a 60 km radius of the Clubhouse. Goes through the full nomination and election process and requires proposer and seconder. Junior Country Between the ages of 21 and 34 and lives on the island of Ireland outside a 60km radius of the Club. Goes through the full nomination and election process. Requires proposer and seconder. Provincial Over the age of 21 and resides outside a 160 km radius of the Club. Goes through the full nomination and election process as per Country membership. Candidates can opt for this category if they wish to be a non-equity member. This membership category has no voting rights. House Spouse of a Full Member. Applications made direct to General Committee by the full member though a standard letter Cadet Daughter or Son of an Ordinary Member between the ages of years. Applications made direct to General Committee by the parent member though a standard letter Overseas Is a permanent resident outside Ireland when applying for membership. Election is by approval of the General Committee only. An Overseas member does not have access to the reciprocal clubs in their country of residence. Club Member A person residing on the island of Ireland over the age of 21 years can apply for Club membership. Election is by approval by the General Committee. A Club Member cannot remain a Club member for more than four years. A Club Member can apply for Ordinary membership by going through the normal election process at any period during their four year membership. Club membership carries no voting or equity rights. Affinity Member A candidate who qualifies through the Stephen s Green Hibernian Club Affinity Programme. Please contact the Club for details.

5 Membership Application Form

6 1: Personal Details Title Given Names Date of Birth Surname Preferred Name Nationality Home Address Telephone Mobile Address Schools, Colleges, Universities Attended Professional Qualifications Marital Status Spouse/Partner s Name Name and Age of Children (optional) Please tick this box if you would like your spouse to become a House member Please tick this box if you would like your children (over 18 years of age) to become Cadet members 2: Business & Professional Details Retired (Complete this section in relation to your last job) Student Company / Business Name Company Address Company Telephone Company Website Company Nature of Business / Industry Length of Time wih Company Position Held

7 2: Business & Professional Details (continued) Please give a short account of your career to date 3: Club Information Please list any other Clubs of which you are a member or have been a member, including the date of your election/joining Have you ever been refused membership or been asked to resign of any other Club? Yes No Please provide details

8 3: Club Information (continued) Have you ever been a member or applied for membership of this Club? Yes No If yes, please give details 4: Interests Please tick if you wish to participate or have an interest in any of the following Snooker Dining Golf Wine Bridge/Cards Chess Horse Racing Rugby Music Shooting Fishing Sailing Networking Computers Opera History Cinema GAA Other If Other, Please Specify Please state Handicaps, level of qualification and interest in respect of those ticked above (if applicable) The Club currently has several Societies within the Club, which each new member is encouraged to join and participate in. If you would like to register your interest in any of these clubs, please indicate below: Snooker & Billiards Arts & Opera Sailing Film Club Wine Horse Racing Young Member s Club Golf Chess Business Club Bridge Shooting & Fishing

9 5: Qualifying Category of Membership Full Town Full Country Junior Town Junior Country Provincial Club Member Overseas House Cadet Hon. Annual Affinity 6: Sponsors To be completed by your proposer Name Year Elected Membership Number Relationship with Candidate How many years have you known the candidate (not applicable if related) I hereby would like to recommend this candidate for membership of the Stephen s Green Hibernian Club Signature Date To be completed by your Seconder Name Year Elected Membership Number Relationship with Candidate I hereby would like to recommend this candidate for membership of the Stephen s Green Hibernian Club Signature Date 7: Your Signature & Declaration I hereby apply to become a member of the Stephen s Green Hibernian Club and agree to be bound by its Rules and Bye-Laws. By signing this form you are certifying that the information you have provided is accurate and correct Signature Date The Club regularly sends out information to members via and text regarding Club activities, special offers etc. By applying for membership and signing above you are agreeing to accept this form of communication. Please tick the box if you do not wish to be contacted by the Club via text or

10 8: Payment Details please Select your Payment Method for Annual Subscription Credit Card Cheque Bank Transfer If paying by cheque please make payable to: The Stephen s Green Hibernian Club If you are paying by Bank Transfer please ensure you state your full name as the reference: Account Name The Stephen s Green Hibernian Club Bank Bank of Ireland Sort Code IBAN ie24b0fi BIC b0fiie2d credit card details (Mandatory) Visa Mastercard AMEX Laser Card Number Expiry CSV I hereby authorise the sum of to be deducted from my account Please note that by signing this section you are authorising the Stephen s Green Hibernian Club to take payment from this credit/laser card should you inadvertently have any outstanding charges on your account at the end of the month. Signature Date Checklist Have you followed the guidance notes? Please note that failing to comply with the guidelines may result in your application being delayed Have you completed ALL sections of the form, with the exception of any fields marked optional? Have you got two suitable members to act as your proposer and seconder? Have your proposer and seconder signed and completed their relevant sections? Please remember to include the following documentation with the application form : - A short cover letter outlining why you wish to become a member - A recent utility bill - Passport photos Have you signed the form?

11 for office use only Application Received on Date of Nomination Application No/ID Date of Election Category of Membership Comments

12 9 St Stephen s Green, Dublin 2 t: f: e: info@sghc.ie w: St. Stephen s Green Shopping Centre Grafton Street Dawson Street Kildare Street St. Stephen s Green your home in the city since 1840

Reaching Higher Harvard Summer School 2018 Scholarship

Reaching Higher Harvard Summer School 2018 Scholarship Reaching Higher Harvard Summer School 2018 Scholarship Application Form Please ensure you read the Application information document before you start filling in this form. If you have any questions regarding

More information

DEPARTMENT OF TRANSPORT, TOURISM AND SPORT APPLICATION FOR A CERTIFICATE OF PROFICIENCY (OIL/CHEMICAL/LIQUEFIED GAS TANKER)

DEPARTMENT OF TRANSPORT, TOURISM AND SPORT APPLICATION FOR A CERTIFICATE OF PROFICIENCY (OIL/CHEMICAL/LIQUEFIED GAS TANKER) DEPARTMENT OF TRANSPORT, TOURISM AND SPORT SIS FORM 5 Application No.: FOR OFFICIAL USE ONLY: Certificate Type: Certificate Number: APPLICATION FOR A CERTIFICATE OF PROFICIENCY (OIL/CHEMICAL/LIQUEFIED

More information

Application for Initial Assessment of Overseas Qualified Dental Prosthetist AS-3 V1

Application for Initial Assessment of Overseas Qualified Dental Prosthetist AS-3 V1 Application for Initial Assessment of Overseas Qualified Dental Prosthetist AS-3 V1 Office Use Only Ref No: Z / You MUST refer to the Explanatory Notes and Checklist to complete the application form. Ensure

More information

GHANA INSTITUTE OF PLANNERS (GIP) (EST. 29 TH March 1969)

GHANA INSTITUTE OF PLANNERS (GIP) (EST. 29 TH March 1969) GHANA INSTITUTE OF PLANNERS (GIP) (EST. 29 TH March 1969) CHECK LIST APPLICATION PACKAGE FOR GIP MEMBERSHIP EXAMINATION Applicants are expected to submit a set of application materials comprising of all

More information

Form. No. RPPL.F.054. Page No. 1 of 6 Issue Date: 18/07/2011

Form. No. RPPL.F.054. Page No. 1 of 6 Issue Date: 18/07/2011 Page No. 1 of 6 Please complete the form in BLOCK CAPITALS having read the guidance notes attached to this form. 1. APPLICANTS DETAILS Applicants Licence No. (if known) Surname:...First Name(s) :... Title

More information

You MUST refer to the Explanatory Notes & Checklist to complete the application form.

You MUST refer to the Explanatory Notes & Checklist to complete the application form. Application for Initial Assessment of Office Use Only Professional Qualification in General Dentistry AS-1 V11 Ref No: / Section A You MUST refer to the Explanatory Notes & Checklist to complete the application

More information

APPLICATION FOR ASSESSMENT AS A MEDICAL PHYSICIST FOR MIGRATION PURPOSES

APPLICATION FOR ASSESSMENT AS A MEDICAL PHYSICIST FOR MIGRATION PURPOSES OFFICE USE ONLY APPLICATION NUMBER: DATE RECEIVED: APPLICATION FOR ASSESSMENT AS A MEDICAL PHYSICIST FOR MIGRATION PURPOSES Notice to Applicants The Australasian College of Physical Scientists and Engineers

More information

PRINCIPAL S SCHOLARSHIPS BRIGHTON CAMPUS For students entering Years 5 to 11 in 2019 and 2020

PRINCIPAL S SCHOLARSHIPS BRIGHTON CAMPUS For students entering Years 5 to 11 in 2019 and 2020 PRINCIPAL S SCHOLARSHIPS BRIGHTON CAMPUS For students entering Years 5 to 11 in 2019 and 2020 Applications are invited from girls for the award of Principal s Scholarships. Firbank Grammar and external

More information

RESTORATION FORM POST 1 JULY

RESTORATION FORM POST 1 JULY RESTORATION FORM POST 1 JULY This form must be completed if your name has been removed from the Register of Nurses and Midwives for non-payment of Annual Retention Fee(s) and you have not restored before

More information

6. Important information, you can click on these links provided for further advice, if required, otherwise click on Continue. Applicant s Details

6. Important information, you can click on these links provided for further advice, if required, otherwise click on Continue. Applicant s Details Online Tier 4 visa application from outside the UK 1. Register an account with Visa4UK 2. When registered, follow the email instructions. 3. Accept terms and conditions. 4. Fill in the Immigration Health

More information

Recognition of Environmental Health qualifications obtained overseas

Recognition of Environmental Health qualifications obtained overseas Recognition of Environmental Health qualifications obtained overseas Application for registration as an Environmental Health Practitioner (EHP) (Non EU) PLEASE COMPLETE THIS FORM IN BLOCK CAPITALS OR ELECTRONICALLY

More information

MANAGER S CERTIFICATE OR RENEWAL OF MANAGER S CERTIFICATE

MANAGER S CERTIFICATE OR RENEWAL OF MANAGER S CERTIFICATE MANAGER S CERTIFICATE OR RENEWAL OF MANAGER S CERTIFICATE Sections 219 or Section 224, Sale and Supply of Alcohol Act 2012 Receipt Number: You must apply to renew your Manager s Certificate on or before

More information

Open University Undergraduate on Study Bursary

Open University Undergraduate on Study Bursary Student Fees The Open University PO Box 6055 Milton Keynes MK10 1NH Phone +44 (0)1908 653411 Email: studentfees@open.ac.uk Open University Undergraduate on Study Bursary 2017-18 On Study Bursary Funding

More information

New Zealand. Regional Development Scholarships. Application Form

New Zealand. Regional Development Scholarships. Application Form New Zealand Regional Development Scholarships Application Form NOMINATING AUTHORITY/SPONSOR USE ONLY ID No: Male Female Family Name: Given Name: Village/Province: Country: Satisfies country criteria: Yes

More information

Extending your student visa within the UK Tier 4 (General)

Extending your student visa within the UK Tier 4 (General) Extending your student visa within the UK Tier 4 (General) If you have any questions about this information booklet, please contact the International Student Advisers on internationalstudentsupport@glasgow.ac.uk

More information

Dear Prospective Member,

Dear Prospective Member, Dear Prospective Member, Thank you for your interest in becoming a new member of the Captiva Island Yacht Club. The enclosed materials highlight our membership program as well as the boating, dining, and

More information

Registration prescribed information handbook

Registration prescribed information handbook Registration prescribed information handbook Guidance for registered providers submitting prescribed information as part of a registration pack or a registration notification form. October 2016 Page 2

More information

Information Page 2 / 3

Information Page 2 / 3 ROTA PACIFIC STUDY TOUR TO AUCKLAND, NEW ZEALAND ROTA PACIFIC INFORMATION FOR APPLICANTS OBJECTIVES Rota Pacific is a two week educational study tour to Auckland, New Zealand in June and July of each year,

More information

CHC30113 Certificate III in Early Childhood Education and Care

CHC30113 Certificate III in Early Childhood Education and Care ENROLMENT APPLICATION FORM CHC30113 Certificate III in Early About this application Use this Enrolment Application to apply for enrolment in CHC30113 Certificate III in Early. Before completing this Enrolment

More information

BNS/BNT: DIRECT APPLICATION FORM:

BNS/BNT: DIRECT APPLICATION FORM: BNS/BNT: DIRECT APPLICATION FORM: University Use Only The categories of applicants listed below who are seeking admission to the University, are required to apply directly to DCU using this form. Please

More information

FOOD SAFETY SUPERVISORS COURSE

FOOD SAFETY SUPERVISORS COURSE 91397 Barrington Training Services Pty Ltd Please complete all sections of this form and return to Barrington Training Services. FOOD SAFETY SUPERVISORS COURSE Options: Please Tick Course: Cost per Participant

More information

irtec Assessor Award Application Form

irtec Assessor Award Application Form irtec Assessor Award Application Form When complete, please forward to: bookings@theimi.org.uk A. Personal Details * indicates mandatory information Title* Surname* Forenames* Date of Birth * Gender *

More information

A. Personal details (as they appear in the postgraduate application that you have already submitted) Home address:

A. Personal details (as they appear in the postgraduate application that you have already submitted) Home address: School of Media, Film and Music MA Scholarship UK/EU and Overseas Application Form Important: Please read the notes on page 5 before completing this form. To be eligible to apply, you must have been offered

More information

Sheffield City Council Short Break Grants Guidance Notes 2014/15

Sheffield City Council Short Break Grants Guidance Notes 2014/15 Sheffield City Council Short Break Grants Guidance Notes 2014/15 The Short Break Grant Programme provides a one off payment up to a maximum of 400 per family to support parents/carers of disabled children

More information

2. PROOF OF DATE OF BIRTH: Proof of date of birth is required. Photocopies of birth certificate, passport or driver s licence are accepted.

2. PROOF OF DATE OF BIRTH: Proof of date of birth is required. Photocopies of birth certificate, passport or driver s licence are accepted. Name of Applicant (please print) Date of Application INSTRUCTIONS FOR COMPLETING APPLICATION 1. APPLICATION APPROVAL: Please allow four to eight weeks for processing your application from the date of receipt

More information

Visa Guide. Your step-by-step guide to applying for a Tier 4 General Student visa from within the UK.

Visa Guide. Your step-by-step guide to applying for a Tier 4 General Student visa from within the UK. Visa Guide Your step-by-step guide to applying for a Tier 4 General Student visa from within the UK. Version 04/2018 2 Contents Step 1 Check if you are eligible to apply for a Tier 4 Visa... 4 Step 2 How

More information

Disabled Students Allowances 2010/11

Disabled Students Allowances 2010/11 Disabled Students Allowances 201011 Application Form DSASL SFEDSASL1011 This form is also available on our website www.direct.gov.ukstudentfinance What do I need to do to get Disabled Students Allowances

More information

Application for: Short Programme. Nelson Mandela Metropolitan University: 20. Prog. 1. Name: Prog. 2. Name:

Application for: Short Programme. Nelson Mandela Metropolitan University: 20. Prog. 1. Name: Prog. 2. Name: Please attach a recent passport size photograph of yourself Application for: Short Programme Prog. 1. Name: Prog. 2. Name: Nelson Mandela Metropolitan University: 20. SURNAME INITIALS STUDENT NUMBER For

More information

OLSH College Bentleigh 2020 Scholarship Information

OLSH College Bentleigh 2020 Scholarship Information OLSH College Bentleigh 2020 Scholarship Information Flame Scholarship The Flame Scholarship will be awarded to students who best demonstrate their lived commitment to the four pillars of Our Lady of the

More information

THIRD COUNTRY Route of Registration

THIRD COUNTRY Route of Registration THIRD COUNTRY Route of Registration Application Booklet for Registration as a Pharmacist under Section 14 and Section (2) (b) of the Pharmacy Act 2007 Third Country Route Pharmaceutical Society of Ireland

More information

TUITION BURSARY 2018 APPLICATION FORM. Closing date: 31 October Please see instructions on last page.

TUITION BURSARY 2018 APPLICATION FORM. Closing date: 31 October Please see instructions on last page. St Joseph's Theological Institute NPC (Non-Profit Company 2003/009125/08; PBO 930007111; Private Higher Education Institute 2003/HE08/003 ) Tel: 0873538940 TUITION BURSARY 2018 APPLICATION FORM Closing

More information

Guidance Notes. Guidance Note. Please read this document carefully before completing application form REG-01

Guidance Notes. Guidance Note. Please read this document carefully before completing application form REG-01 Guidance Note Please read this document carefully before completing application form REG-01 1 V.2/2018 Contents General Guidelines 1. Registration Regulations 3 2. Application Process 3 3. Incomplete Applications

More information

CHCPRT001 Identify and respond to children and young people at risk

CHCPRT001 Identify and respond to children and young people at risk ENROLMENT APPLICATION FORM CHCPRT001 Identify and respond to children and young people at risk About this application Use this Enrolment Application to apply for enrolment in CHCPRT001 Identify and respond

More information

Visa lecture 2: completing your application. Student Immigration Service

Visa lecture 2: completing your application. Student Immigration Service : completing your application Student Immigration Service Student Immigration Service Student Services Centre, 4 West Jessica Scott Sabine Bachinger Adam Flint Natasha Tiley Diane Bye student-immigration-advice@bath.ac.uk

More information

Application form for Certification

Application form for Certification Application form for Certification The following information is important. Please read it carefully before filling in your application form. If you need any help in completing it, please contact an IRCA

More information

IRISH AID IRISH AID IDEAS PROGRAMME: STRAND II

IRISH AID IRISH AID IDEAS PROGRAMME: STRAND II IRISH AID The government of Ireland s official programme of assistance to developing countries is managed by Irish Aid, a division within the Department of Foreign Affairs and Trade. The aid programme

More information

SCHOLARSHIPS A.Y. 2018_2019 Regulations & Application Form

SCHOLARSHIPS A.Y. 2018_2019 Regulations & Application Form SCHOLARSHIPS A.Y. 2018_2019 Regulations & Application Form ACM Scholarships A.Y. 2018_19 Accademia Costume & Moda (ACM) scholarships for Academic Year 2018_2019 are available for the following courses:

More information

ANNEX. Application to attend the. 9 th Course on Women in Port Management Le Havre, France, From 26 June to 07 July 2017

ANNEX. Application to attend the. 9 th Course on Women in Port Management Le Havre, France, From 26 June to 07 July 2017 ANNEX Application to attend the 9 th Course on Women in Port Management Le Havre, France, From 26 June to 07 July 2017 Part I Nomination (to be completed by a duly authorized officer of the nominating

More information

Article 3(3) Certification

Article 3(3) Certification Kingram House, Telephone: +353 1 4983100 Kingram Place, Facsimile: +353 1 4983102 Dublin 2, Email: registration@mcirl.ie www.medicalcouncil.ie Article 3(3) Certification Application Form and Guidelines

More information

Lottery Capital Programme. Help Notes. Feasibility Study

Lottery Capital Programme. Help Notes. Feasibility Study Lottery Capital Programme Help Notes Feasibility Study Arts Council of Wales March 2017 The Arts Council of Wales is committed to making information available in large print, Braille, British Sign Language,

More information

REIT Course Registration Form

REIT Course Registration Form REIT Course Registration Form To register: Fax: (03) 6223 7748 Mail: GPO Box 868, HOBART, 7001 Email: james.jackson@reit.com.au All registrations close 10 Business days prior to course commencement date

More information

Application form. Affiliate Delegate. DEADLINE: 22 June Access to Conference Hall

Application form. Affiliate Delegate. DEADLINE: 22 June Access to Conference Hall Application form It s faster and easier to apply online; you can access the application form at: www.labevents.org/ac2018affiliatedelegate Before you start Affiliate Delegate Access to Conference Hall

More information

ALBERTA PRACTICAL NURSE STUDENTS TEMPORARY & CPNRE REGISTRATION

ALBERTA PRACTICAL NURSE STUDENTS TEMPORARY & CPNRE REGISTRATION ALBERTA PRACTICAL NURSE STUDENTS TEMPORARY & CPNRE REGISTRATION APPLICATION INSTRUCTIONS Effective Date: January 1, 2018. This instruction guide provides general information to assist you in the application

More information

Summer Camp Registration Form

Summer Camp Registration Form SUBMIT AGREEMENT PAYMENT CAMP DETAILS MEMBERSHIP PARTICIPANT INFO INSTRUCTIONS Be sure to read event registration details before registering. Please print clearly with blue/black ink or type. Forms cannot

More information

Application for registration as a Veterinary Specialist in New Zealand (Under the Veterinarians Act, 2005)

Application for registration as a Veterinary Specialist in New Zealand (Under the Veterinarians Act, 2005) Application for registration as a Veterinary Specialist in New Zealand (Under the Veterinarians Act, 2005) Specialist Registration Procedures The Veterinary VCNZ of New Zealand (VCNZ) considers and makes

More information

Scottish Joint Industry Board for the Electrical Contracting Industry Application for the Issue of a Provisional SJIB Grade (ECS) Card

Scottish Joint Industry Board for the Electrical Contracting Industry Application for the Issue of a Provisional SJIB Grade (ECS) Card Scottish Joint Industry Board for the Electrical Contracting Industry Application for the Issue of a Provisional SJIB Grade (ECS) Card Please ensure all sections are completed to the best of your ability

More information

Diploma in Enrolled Nursing Application Checklist

Diploma in Enrolled Nursing Application Checklist T e T a r i M ā t a u r a n g a H a u o r a F a c u l t y o f N u r s i n g a n d H e a l t h S t u d i e s Diploma in Enrolled Nursing Application Checklist Name of Student... Nursing & Health Studies:

More information

Grant Application. Friends of the Elderly Ebury Street London SW1W 0LZ

Grant Application. Friends of the Elderly Ebury Street London SW1W 0LZ Grant Application Friends of the Elderly 40-42 Ebury Street London SW1W 0LZ Before completing this application form please confirm that the individual you are representing is eligible for support, and

More information

AccessNI evetting steps. 1) The applicant completes the AccessNI ID Validation form and online application form (below).

AccessNI evetting steps. 1) The applicant completes the AccessNI ID Validation form and online application form (below). AccessNI evetting steps 1) The applicant completes the AccessNI ID Validation form and online application form (below). 2) The applicant presents their original Identification documentation to their Club

More information

APPLICATION FORM LICENSED OCCUPATIONS

APPLICATION FORM LICENSED OCCUPATIONS LICENSED OCCUPATIONS SECTION A Applicant Document Checklist INSTRUCTIONS FOR APPLICANTS: Please review the application and document guidelines located on the website Information for Applicants You may

More information

Application to Access Health Records (DPA1)

Application to Access Health Records (DPA1) Application to Access Health Records (DPA1) Before completion please read our accompanying leaflet Accessing Health Records for important information on your rights to access, fees and timescales PLEASE

More information

Extending your Tier 4 visa in the UK: Pre-sessional students

Extending your Tier 4 visa in the UK: Pre-sessional students Extending your Tier 4 visa in the UK: Pre-sessional students Who are we? The Student Immigration Team We can help you with any visa queries or concerns. We will check your visa application for your main

More information

Application for a Bursary for Year 2018

Application for a Bursary for Year 2018 Application for a Bursary for Year 2018 Please read the following before filling in the application form 1. Khulisa Academy has a limited number of bursaries, which have been made available to people who

More information

DISCLOSURE & BARRING SERVICE POLICY AND PROCEDURES

DISCLOSURE & BARRING SERVICE POLICY AND PROCEDURES DISCLOSURE & BARRING SERVICE POLICY AND PROCEDURES Updates Who Updated Comments September annually Lewis, Bridget TABLE OF CONTENTS GENERAL PRINCIPLES... 3 TYPES OF DISCLOSURE AND BARRING SERVICE... 4

More information

yes No Maybe, please indicate anticipate date that family will join the applicant

yes No Maybe, please indicate anticipate date that family will join the applicant Simplified Student Visa Framework (SSVF) Genuine Temporary Entrant (GTE) Assessment Form Note: Please access and read the international student section, policy and procedures section at www.mgit.edu.au

More information

Application Form Mauritius-Africa Scholarship

Application Form Mauritius-Africa Scholarship REPUBLIC OF MAURITIUS MINISTRY OF EDUCATION AND HUMAN RESOURCES, TERTIARY EDUCATION AND SCIENTIFIC RESEARCH Application Form Mauritius-Africa Scholarship 2018 Edition Reference Number Received on Received

More information

Food Handlers Program

Food Handlers Program Enrolment Application Form Food Handlers Program 1800 617 455 info@goodstart.edu.au PO Box 12089 George Street Brisbane Qld 4003 About this Application Use this Enrolment Application to apply for enrolment

More information

Application for registration in New Zealand for orthodontic auxiliaries with prescribed qualifications

Application for registration in New Zealand for orthodontic auxiliaries with prescribed qualifications Application for registration in New Zealand for orthodontic auxiliaries with prescribed qualifications April 2018 This application is to be used by applicants with prescribed qualifications for the orthodontic

More information

Application form. Notice of intention to manage the financial affairs of a resident and application for Certificate of Authority

Application form. Notice of intention to manage the financial affairs of a resident and application for Certificate of Authority Notice of intention to manage the financial affairs of a resident and application for Certificate of Authority For care service providers or limited registration services Application form August 11 - Version

More information

Would a UNISON Learning Grant help?

Would a UNISON Learning Grant help? Are you a Care Worker? Do you want to learn something new? Are you keen to develop your career? Would a UNISON Learning Grant help? UNISON Learning Grants For CARE WORKER MEMBERS who provide social care

More information

REGISTRATION FORM Easter Holidays 2018

REGISTRATION FORM Easter Holidays 2018 REGISTRATION FORM Easter Holidays 2018 To register a place: Please complete in capitals all sections and return with payment to our holiday schools team on summer@windermereschool.co.uk. 1. Student Details

More information

CC1 - COMMUNITY CHEST APPLICATION FORM

CC1 - COMMUNITY CHEST APPLICATION FORM For office use only Application Ref No. Organisation Ref No: Date of receipt: Amount Requested : CC1 - COMMUNITY CHEST APPLICATION FORM 1. To determine the eligibility of your project, please read the

More information

Scholarship application for entry in 2018

Scholarship application for entry in 2018 Scholarship application for entry in 2018 Diocesan offers a range of scholarships for new students to Diocesan. Scholarships are awarded to motivated students who display outstanding academic, sporting,

More information

Registration as a pharmacy technician

Registration as a pharmacy technician Registration as a pharmacy technician Send your completed application to: Pharmacy Technician Applications to Register Customer Service Team General Pharmaceutical Council 25 Canada Square London E14 5LQ

More information

Would a UNISON Learning Grant help?

Would a UNISON Learning Grant help? Are you a Care Worker? Do you want to learn something new? Are you keen develop your career? Would a UNISON Learning Grant help? UNISON Learning Grants For CARE WORKER MEMBERS who provide social care in

More information

Application for Renewal of Manager s Certificate Section 224, Sale and Supply of Alcohol Act 2012

Application for Renewal of Manager s Certificate Section 224, Sale and Supply of Alcohol Act 2012 Application for Renewal of Manager s Certificate Section 224, Sale and Supply of Alcohol Act 2012 Fill this form out with the assistance of the guide attached 1. Certificate Details Date Stamp Manager

More information

APPLICATION FOR AN ORAL EXAMINATION LEADING TO THE ISSUE OF CERTIFICATE OF COMPETENCY (STCW)

APPLICATION FOR AN ORAL EXAMINATION LEADING TO THE ISSUE OF CERTIFICATE OF COMPETENCY (STCW) MSF 4278 REV 01 / 2016 APPLICATION FOR AN ORAL EXAMINATION LEADING TO THE ISSUE OF CERTIFICATE OF COMPETENCY (STCW) Engineer Officers on Commercially and Privately Operated Yachts YE IMPORTANT - BEFORE

More information

Family doctor services registration Postcode:... To be completed by your doctor

Family doctor services registration Postcode:... To be completed by your doctor Family doctor services registration GMS1 GSM1 Patient s details Please complete in BLOCK CAPITALS and tick as appropriate Mr Mrs Miss Ms Date of Birth NHS No. Surname Male Female Town and country of birth

More information

I have attached one of the following forms of identification to confirm these details (please specify)

I have attached one of the following forms of identification to confirm these details (please specify) SIGN UP ELIGIBILITY & REQUEST FORM Trainee & Apprentice About this application Use this Enrolment Application to apply for enrolment in a traineeship or apprenticeship. Before completing this Enrolment

More information

Application form for a VLIR funded International Course (ICP) or a VLIR funded International Training Programme (ITP)

Application form for a VLIR funded International Course (ICP) or a VLIR funded International Training Programme (ITP) (to be completed by VLIR) Staple two photos here. Write your name on the back. VI-number xxxx O complete O not complete DEADLINE FOR SUBMISSION: 1 FEBRUARY xxxx TO BE COMPLETED VERY CAREFULLY AND TO BE

More information

Your Charity for BSUH NHS Trust. Fundraising Pack

Your Charity for BSUH NHS Trust. Fundraising Pack Your Charity for BSUH NHS Trust Fundraising Pack Welcome to your fundraising pack Thank you for your support of Brighton and Sussex University Hospitals Charity. We want to improve the experience of every

More information

Registration, renewal and variation application handbook. Guidance for registered providers completing a registration application pack.

Registration, renewal and variation application handbook. Guidance for registered providers completing a registration application pack. Registration, renewal and variation application handbook Guidance for registered providers completing a registration application pack. October 2017 Page 2 of 33 About the The (HIQA) is an independent authority

More information

Government Bursary Scheme

Government Bursary Scheme Chelmsford County High School Government 16-19 Bursary Scheme 2015 2016 The Government 16 19 Bursary Scheme is intended to assist students to continue in full time education, and will be managed internally

More information

Tourvest Bursary Programme 2018 Application INFORMATION LETTER NPO IT 3895/11. This Bursary Programme is funded by Tourvest

Tourvest Bursary Programme 2018 Application INFORMATION LETTER NPO IT 3895/11. This Bursary Programme is funded by Tourvest Bursary Programme 2018 Application 000-601 NPO IT 3895/11 This Bursary Programme is funded by INFORMATION LETTER invites bursary applications from dependants of employees earning R50 000-00 cost to company

More information

DSA. Disabled Students Allowances Application Form 2018/19. This form is also available at

DSA. Disabled Students Allowances Application Form 2018/19. This form is also available at DSA Disabled Students Allowances Application Form 201819 This form is also available at www.studentfinanceni.co.uk NIDSASL1819A 1 What do I need to do to get Disabled Students Allowances (DSAs)? Here is

More information

Guernsey Finance Funding - How to make a submission

Guernsey Finance Funding - How to make a submission www.guernseyregistry.com enquiries@guernseyregistry.com Guernsey Finance Funding - How to make a submission Guernsey Finance Levy submissions need to be made by all GFSC licenced entities during January

More information

Application to vote by emergency proxy based on disability

Application to vote by emergency proxy based on disability Voting by proxy Proxy voting means that if you aren t able to cast your vote in person, you can have someone you trust cast your vote for you. If you have had a medical emergency that took place after

More information

Guide to Completing the Tier 4 (General) Student Online Application Form (Last updated 6 July 2017)

Guide to Completing the Tier 4 (General) Student Online Application Form (Last updated 6 July 2017) Guide to Completing the Tier 4 (General) Student Online Application Form (Last updated 6 July 2017) Tier 4 Application Overview When you apply in your home country for a Tier 4 student visa you need to

More information

2017 CAGT DISTINGUISHED STUDENT AWARDS

2017 CAGT DISTINGUISHED STUDENT AWARDS 2017 CAGT DISTINGUISHED STUDENT AWARDS Colorado Association for Gifted and Talented (CAGT) is pleased to announce the CAGT Distinguished Student Awards program for the 2016 2017 school year. This awards

More information

South African Nursing Council (Established under the Nursing Act, 2005)

South African Nursing Council (Established under the Nursing Act, 2005) South African Nursing Council (Established under the Nursing Act, 2005) 602 Pretorius Street, Arcadia, Pretoria, 0083 Private Bag X132, Pretoria, 0001 Telephone 012 420-1000 Fax 012 343-5400 (24-hour line)

More information

INTRODUCTION. If you have any queries concerning the contents of this booklet you should contact the Student Bursary Manager at: PLEASE NOTE

INTRODUCTION. If you have any queries concerning the contents of this booklet you should contact the Student Bursary Manager at: PLEASE NOTE INTRODUCTION This document has been produced as a guide to your bursary and provides other information which you will need during your course. This information is updated as and when required. If you have

More information

APPLICATION FOR TITLE AND DESIGNATION AS A CHARTERED MANAGER (C.Mgr.) Procedure M 111(16) GIVEN NAME(S)

APPLICATION FOR TITLE AND DESIGNATION AS A CHARTERED MANAGER (C.Mgr.) Procedure M 111(16) GIVEN NAME(S) PLEASE PRINT OR TYPE IN BLOCK LETTERS AND PROVIDE ALL DATA REQUESTED Established Under Federal and Provincial Charter HST # 127177145 CANADIAN INSTITUTE OF MANAGEMENT INSTITUT CANADIEN DE GESTION Dr. Mr.

More information

Archimedes Distinctions for High-level Research Work

Archimedes Distinctions for High-level Research Work European Commission Community Research Information Package Information Brochure Call Specific Archimedes Distinctions for High-level Research Work Edition September 2001 Call identifier: IHP-ARP-01-1 http://www.cordis.lu/improving

More information

APPLICATION FOR PERMIT TO PRACTICE AS A PARTNERSHIP, CORPORATION OR OTHER ENTITY

APPLICATION FOR PERMIT TO PRACTICE AS A PARTNERSHIP, CORPORATION OR OTHER ENTITY APPLICATION FOR PERMIT TO PRACTICE AS A PARTNERSHIP, CORPORATION OR OTHER ENTITY Legal Name of Organization Business License / Registration Number Mailing Address City Phone Postal Code Email The above

More information

How to Apply for your Health Records

How to Apply for your Health Records How to Apply for your Health Records A Guide for Service Users A Guide for Service Users This leaflet explains how you can apply to Hertfordshire Partnership University NHS Foundation Trust to have access

More information

Fuchs Doctoral Scholarships

Fuchs Doctoral Scholarships Fuchs Doctoral Scholarships - 2013 Conditions governing the Carl & Emily Fuchs Doctoral Scholarships and Application Process Guidelines ELIGIBILITY The Carl Fuchs and Emily Fuchs Doctoral Scholarships

More information

JIB UK-PHMES SMARTCARD CSCS Registration Application

JIB UK-PHMES SMARTCARD CSCS Registration Application JIB UK-PHMES SMARTCARD CSCS Registration Application Return to: JIB-PMES. Lovell House, Sandpiper Court, Phoenix Business Park, Eaton Socon, St Neots, Cambs. PE19 8EP Section 1 Your details Title (Mr,

More information

Washington and Lee University School of Law. Alumni Weekend 2015 april 17-19

Washington and Lee University School of Law. Alumni Weekend 2015 april 17-19 Washington and Lee University School of Law Alumni Weekend 2015 april 17-19 Greetings from Lewis Hall, What should you be doing April 17 19, 2015? Come to Law Alumni Weekend! Welcome Join your classmates

More information

Homoeopathic association of South Africa

Homoeopathic association of South Africa Homoeopathic association of South Africa PO Box 752347 Gardenview 2047 Tel: 0861114547 Fax: 0866728417 www.hsa.org.za info@hsa.org.za HSA BURSARY FUND APPLICATION FORM Applicant Surname: Applicant First

More information

Qualification Approval for delivery Level 6 & Interpreter qualifications

Qualification Approval for delivery Level 6 & Interpreter qualifications Qualification Approval for delivery Level 6 & Interpreter qualifications This form is to be completed by all existing IBSL and new centres applying to become approved to deliver IBSL Level 6 programmes,

More information

if known Passport Driving licence Credit/Debit card Birth certificate

if known Passport Driving licence Credit/Debit card Birth certificate Entry fm 2017 Diplomas: UK/Ireland Please use this entry fm f: n Music Perfmance, Music Direction and Instrumental/Vocal Teaching Diplomas at DipABRSM, LRSM and FRSM levels This fm is f Diploma candidates

More information

PART I To Be Completed by Applicant

PART I To Be Completed by Applicant HASS INTERNATIONAL PHD SCHOLARSHIP (HIPS) HIPS DOCUMENT #3 APPLICATION FORM FOR HIPS (Please submit your completed application form, together with all required materials, to HIPS Office, HASS, through

More information

NHMC. Homecare Medicines Services: National Homecare Medicines Committee. History

NHMC. Homecare Medicines Services: National Homecare Medicines Committee. History NHMC National Homecare Medicines Committee Homecare Medicines Services: History Version Date Reason for change Person responsible for change V1 12/06/2018 New NHMC RPS Handbook for Homecare Services -

More information

Application Form for Data Access (subject access request)

Application Form for Data Access (subject access request) Application Form for Data Access (subject access request) Request for Access to Data under the Data Protection Acts, 1988 and 2003 Before completing this form, read: Data Protection - Your Rights from

More information

S/1649/ July 2018 ENGLISH only NOTE BY THE TECHNICAL SECRETARIAT

S/1649/ July 2018 ENGLISH only NOTE BY THE TECHNICAL SECRETARIAT OPCW Technical Secretariat S/1649/2018 10 July 2018 ENGLISH only NOTE BY THE TECHNICAL SECRETARIAT INVITATION TO APPLY FOR A FORUM ON THE PEACEFUL USES OF CHEMISTRY: POTENTIAL CONTRIBUTION OF THE OPCW

More information

Carsington Sailing Club Flag Officers/ Officers Job Descriptions

Carsington Sailing Club Flag Officers/ Officers Job Descriptions Introduction: The Flag Officers / Officers Job Description s serve as a guide and help the officer to perform their duties. Notwithstanding, a flag officer might be asked to cover for duties when a colleague

More information

Grants for the Arts How to apply. 15,000 and under

Grants for the Arts How to apply. 15,000 and under Grants for the Arts How to apply 15,000 and under Contents Welcome... 4 Eligibility... 8 Using our online system an introduction... 17 Using our online system applicant profiles... 19 Your applicant profile...

More information

Overseas Pharmacists Assessment Programme (OSPAP)

Overseas Pharmacists Assessment Programme (OSPAP) Overseas Pharmacists Assessment Programme (OSPAP) Application and Guidance notes Send your completed application to: International Applications General Pharmaceutical Council 25 Canada Square LONDON E14

More information

2019 SCHOLARSHIP APPLICATION FOR M. Late applications will not be accepted. Please address all applications and enquires to:

2019 SCHOLARSHIP APPLICATION FOR M. Late applications will not be accepted. Please address all applications and enquires to: 2019 SCHOLARSHIP APPLICATION FOR M SPORTS SCHOLARSHIP St Paul s Scholarships are awarded to those who are most able to demonstrate their capacity to make an exceptional contribution to the School community

More information

Financial Support Office Postgraduate Research Scholarship Application Form

Financial Support Office Postgraduate Research Scholarship Application Form Financial Support Office Postgraduate Research Scholarship Application Form l 2014-15 Please read the accompanying Guidance Notes before completing this form. This form requires you to provide detailed

More information