DFI Nominating Body – Application Form  Strands and Eligibility (Updated 2015)

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(Note: (1) Please read the ‘Notes for DFI Nominating Bodies’ document

(2) DFI Staff members will be happy to assist with the application process

 

_______________________________________ is applying to DFI to become a
            (name of organisation)

 

‘Nominating Body’, pursuant to Article 2 of the Articles of Association.

 

Representatives of the organisation

 

CEO Details

Chairperson Details

Name: ________________

Name: ________________

Phone (Landline): ________________

Phone (Landline): ________________

Phone (Mobile): ________________

Phone (Mobile): ________________

Fax: __________________

Fax: __________________

Email: ________________

Email: ________________

Address: __________________

Address: __________________

                __________________

                __________________

                __________________

                __________________

 

 

Outline briefly the reasons that your organisation has for wanting to become a DFI ‘Nominating Body’:

 

 

Please enclose a copy of:

 

  • Minutes recording decision of Board to apply for ‘Nominating Body’ status

 

On receipt of the application further information may be sought.

 

 

I have read the attached ‘Notes for applicants to become DFI Nominating Bodies’ and I __________________ (name), authorised on behalf of the board of the organisation named in the attached application form, hereby apply for Nominating Body status with DFI, in keeping with the terms and conditions as set out in the Articles of Association, or as amended from time to time.

 

Signed: ______________________________

 

On behalf of [organisation name]: _________________________

 

Date: _________________

 

Completed application form and supporting documentation to be returned to:

Chief Executive Officer,
Disability Federation of Ireland,
Fumbally Court,
Fumbally Lane,
Dublin 8

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