NIEL Membership Application Form

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* 1. Name of Organisation

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* 2. Nominated Representative

Position

Address

Postcode

Telephone

E-mail

Website

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* 3. Alternative Contact

Position

Address

Postcode

Telephone

E-mail

Website

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* 4. Mission/Aims of the Organisation

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* 5. Year established

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* 6. Are you a Limited Company?

Yes

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* 7. Are you a registered Charity? If so, please provide your NIC number

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* 8. What are your environmental interests?

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* 9. Do you manage land? If so, how much and for what purpose?

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* 10. Do you have staff/volunteers? If so, how many paid staff/volunteers work with your organisation?

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* 11. What is your management structure?

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* 12. Are you affiliated to a parent body?

Yes

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* 13. Do you have local subgroups/members?

Yes

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* 14. How is your organisation funded?

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* 15. What is your organisation’s annual income/turnover for Northern Ireland?

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* 16. What do you hope to contribute to NIEL?

Please include the following with your application:

Constitution, Current Annual Report and Accounts, and any other relevant information

Please e-mail these to connor@nienvironmentlink.org