Club Volunteer Registration

Step 1: Club Details

Club Name*:
County*:—Please choose an option—AntrimArmaghCavanDerryDonegalDownFermanaghMonaghanTyrone

Club Address*:

Council Area*:

Antrim and Newtownabbey Borough CouncilArds and North Down Borough CouncilArmagh City, Banbridge and Craigavon Borough CouncilBelfast City CouncilCauseway Coast and Glens Borough CouncilCavan County CouncilDerry City and Strabane District CouncilDonegal County CouncilFermanagh and Omagh District CouncilLisburn and Castlereagh City CouncilMid and East Antrim Borough CouncilMid Ulster District CouncilMonaghan County CouncilNewry, Mourne and Down District Council

Step 2: Your Information

Your Name*:

Position in Club*:

Your Contact Number*:

Your Contact Email*:

Step 3: Volunteering Information

1. Is your Club involved in a COVID-19 Community Response Scheme? *:

YesNo

[group community-response-scheme-no]

Thank you for responding. Keep safe.

[/group]

[group community-response-scheme-yes]

2. Is the COVID-19 Community Response Scheme hosted by the GAA club or by a wider group *:

Hosted by the GAA clubHosted by a wider group

[group hosted-by-wider-group]
Please specify detail of the group*:

[/group]

3. What service(s) are being offered by the COVID-19 Community Response Scheme? Select all that apply*:

Collection / delivery of groceriesCollection / delivery of prescriptions / medical suppliesMeal deliveriesPhone-calls to check-in with neighbours by volunteers who are known to each otherOther

[group services-offered-other]
Please provide details of the other services*:

[/group]

4. Please state the operating hours of your scheme - days of week, and hours of the day*:

5. Please include contact details for the member who is co-ordinating your club’s services/ involvement. Please include:*:

6. All GAA volunteers active in the scheme must be recorded including:

The Co-ordinator should hold this record confidentially on behalf of the club. Is this information being held by the Club as outlined?*:

YesNo

7. Any clubs involved in a COVID-19 Community Response Scheme must inform the Risk & Insurance Dept. within Croke Park by emailing sinead.leavy@gaa.ie
Has your club informed Risk & Insurance Dept. of it's involvement in a COVID-19 Community Response Scheme?*:

YesNo

8. How are the services on offer being promoted to the community e.g social media/leaflets?*:

9. Has the club applied for any funding support during the COVID-19 crisis? Please select one of the following*:

Applied for and awaiting responseApplied for and successfulApplied for and unsuccessfulNo applications have been made

10. Any other relevant information?*:

[/group]

Please tick here to confirm that you are happy for the details provided to be shared with other COVID-19 community support agencies for planning purposes