Membership Guidelines and Application Form

Similar documents
Reaching Higher Harvard Summer School 2018 Scholarship

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

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

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

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

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

APPLICATION FOR ASSESSMENT AS A MEDICAL PHYSICIST FOR MIGRATION PURPOSES

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

RESTORATION FORM POST 1 JULY

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

Recognition of Environmental Health qualifications obtained overseas

MANAGER S CERTIFICATE OR RENEWAL OF MANAGER S CERTIFICATE

Open University Undergraduate on Study Bursary

New Zealand. Regional Development Scholarships. Application Form

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

Dear Prospective Member,

Registration prescribed information handbook

Information Page 2 / 3

CHC30113 Certificate III in Early Childhood Education and Care

BNS/BNT: DIRECT APPLICATION FORM:

FOOD SAFETY SUPERVISORS COURSE

irtec Assessor Award Application Form

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

Sheffield City Council Short Break Grants Guidance Notes 2014/15

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

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

Disabled Students Allowances 2010/11

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

OLSH College Bentleigh 2020 Scholarship Information

THIRD COUNTRY Route of Registration

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

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

CHCPRT001 Identify and respond to children and young people at risk

Visa lecture 2: completing your application. Student Immigration Service

Application form for Certification

IRISH AID IRISH AID IDEAS PROGRAMME: STRAND II

SCHOLARSHIPS A.Y. 2018_2019 Regulations & Application Form

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

Article 3(3) Certification

Lottery Capital Programme. Help Notes. Feasibility Study

REIT Course Registration Form

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

ALBERTA PRACTICAL NURSE STUDENTS TEMPORARY & CPNRE REGISTRATION

Summer Camp Registration Form

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

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

Diploma in Enrolled Nursing Application Checklist

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

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

APPLICATION FORM LICENSED OCCUPATIONS

Application to Access Health Records (DPA1)

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

Application for a Bursary for Year 2018

DISCLOSURE & BARRING SERVICE POLICY AND PROCEDURES

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

Application Form Mauritius-Africa Scholarship

Food Handlers Program

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

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

Would a UNISON Learning Grant help?

REGISTRATION FORM Easter Holidays 2018

CC1 - COMMUNITY CHEST APPLICATION FORM

Scholarship application for entry in 2018

Registration as a pharmacy technician

Would a UNISON Learning Grant help?

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

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

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

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

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

Your Charity for BSUH NHS Trust. Fundraising Pack

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

Government Bursary Scheme

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

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

Guernsey Finance Funding - How to make a submission

Application to vote by emergency proxy based on disability

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

2017 CAGT DISTINGUISHED STUDENT AWARDS

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

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

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

Archimedes Distinctions for High-level Research Work

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

How to Apply for your Health Records

Fuchs Doctoral Scholarships

JIB UK-PHMES SMARTCARD CSCS Registration Application

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

Homoeopathic association of South Africa

Qualification Approval for delivery Level 6 & Interpreter qualifications

if known Passport Driving licence Credit/Debit card Birth certificate

PART I To Be Completed by Applicant

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

Application Form for Data Access (subject access request)

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

Carsington Sailing Club Flag Officers/ Officers Job Descriptions

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

Overseas Pharmacists Assessment Programme (OSPAP)

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

Financial Support Office Postgraduate Research Scholarship Application Form

Transcription:

Membership Guidelines and Application Form

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 01 673 0205 or email membership@sghc.ie Yours faithfully, Ray Mooney General Manager

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 01 673 0205 or email membership@sghc.ie We would be delighted to show candidates around and answer any questions.

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 18 25 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.

Membership Application Form

1: Personal Details Title Given Names Date of Birth Surname Preferred Name Nationality Home Address Telephone Mobile Email 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 Email Nature of Business / Industry Length of Time wih Company Position Held

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

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

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 email 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 email

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 900084 IBAN ie24b0fi90008412446712 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?

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

9 St Stephen s Green, Dublin 2 t: +353 1 677 4744 f: +353 1 677 4202 e: info@sghc.ie w: www.sghc.ie St. Stephen s Green Shopping Centre Grafton Street Dawson Street Kildare Street St. Stephen s Green your home in the city since 1840