Application Form - Developing Women in The Community Programme Phase Three – 2025 - 2027 - Page 1 of 12 - NI Direct

Contact Details

Please provide details of one named contact within your organisation.

The named contact should be able to provide further information about your application and be available during normal working hours.

They should have official permission from your organisation’s Board/Management Committee to provide information relating to your organisation and/or any proposed projects.

Personal information must not be provided.

1. Contact Name:

2. What is their position within your organisation?

Position

3. Contact address, including postcode:

4. Office Contact Telephone Number:

5. Work Mobile telephone Number:

6. Work Email address:

7. Please specify whether your contact listed has communication needs e.g. text phone, sign language or different language requirement: