Please fill out this form to apply to become an Approved Adventure Journey Provider with Gaisce – The President’s Award. If you applied last year there is no need to re-apply unless details have changed

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* 1. Business/Organisation Name

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* 2. Company Number/Charity Number

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* 3. Company Status/Legal entity type

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* 4. Business/Organisation Office Phone Number

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* 5. Postal Address

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* 6. CEO/Manager/Director

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* 7. CEO/Manager/Director's Email Address

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* 8. CEO/Manager/Director's Phone Number

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* 9. Accounts Contact's Name

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* 10. Accounts Contact's Email Address

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* 11. Gaisce Adventure Journey Advisor(s)

This is the person (s) in your organisation responsible for running, or having oversight of, the Adventure Journey planning and delivery liaising with the Gaisce participants PAL (President’s Award Leader).

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* 12. Gaisce Adventure Journey Advisor(s)Mobile

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* 13. PR/Communications/Media Contact's Name

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* 14. PR/Communications/Media Contact's Email Address

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* 15. Type of Adventure Journey Activities your business or organisation offers?

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* 16. How did you hear about Gaisce and why are you interested in becoming an Approved Adventure Journey Provider?

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* 17. What is your website address?

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* 18. I confirm that we have statutory compliant Health and Safety policies and procedures in place.

Gaisce will require copies of this to be lodged with its office should your application be successful

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* 19. All activities have a REC 3 First Aid or equivalent qualified staff member present

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* 20. I confirm that a Safe Guarding policy and procedure in accordance with the Children First Act (2015) is in place.

Gaisce will require copies of this to be lodged with its office should your application be successful

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* 21. I confirm all staff engaging with young people are vetted in accordance with the National Vetting Bureau Act 2012.

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* 22. I confirm that we have insurance in place relevant to the adventure journey activities we deliver for participants (young people and accompanying adults).

Gaisce will require copies of this to be lodged with its office should your application be successful

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* 23. I agree to work according to relevant National Governing Bodies code of ethics and policies in relation to the adventure activities we deliver

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* 24. Please tick which National Governing Bodies your organisation is a member of:

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* 25. Do you currently support Gaisce Adventure Journey participants?

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* 26. How many Gaisce participants do you support on the adventure journey annually?

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* 27. Name of person completing this form

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* 28. Title of person completing this form

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* 29. Date form completed

Date

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* 30. I confirm that I have the authority to complete this form on behalf of my organisation

Following submission, your application will be reviewed and a member of our team will contact you to discuss.

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