Application Form

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* 1. Company details

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* 2. Category of Workplace

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* 3. Have you participated in PSYCHED in previous years? 

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* 4. Description of your Business

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* 5. Please describe what your company is doing to improve wellness and mental health in the work place? (Not more than 500 words please) 

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* 6. Upload photos or supporting documentation here

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* 7. Upload photos or supporting documentation here

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* 8. Upload photos or supporting documentation here

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PLEASE NOTE - APPLICATIONS CLOSE ON MAY 1, 2019.

TERMS & CONDITIONS 
Data: 
By submitting this application form you agree to our storage, handling and use of your details, PSYCHED will not share these details with any third party. 

Judging / assessment process: 
All application forms will be initially reviewed by members of the PSYCHED steering group
Entrants who meet the criteria will be awarded the 2019 PSYCHED Certificate of Recognition. 
Judges decisions are final, any canvassing on behalf of any organisation will not be entertained and may result in the disqualification of the nominee. 

Dates: 
Applications must be registered by 5pm on Wednesday May 1st 2019
Certificates will be presented in Cork County Hall on May 8th 2019

Photography:
Photographs will be taken on the night of the awards and may be used for the purposes of publicising and promoting the values and activities of PSYCHED. By submitting this application form you are agreeing to the use of any images taken at the awards ceremony in the manner described.

Queries:
If you have any questions or queries in relation to the application process please email 
Denise.Cahill@hse.ie 

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