Tipperary Children & Young People's Services Committee (CYPSC)- Dec 2021

PPN Representative Nomination Form

CYPSC is a county level committee that brings together the main statutory, community and voluntary providers of services to work together for better outcomes for children and young people, aged 0 – 24 years.

It provides a forum for identification of key priority issues, for joint strategic planning to address these and for co-ordination of planned actions to ensure that the key needs of children, young people and their families in the areas of health, education and learning, employment, welfare and safety, and of inclusion in community and society are identified and are addressed through inter-agency work.

There is currently a PPN Vacancy on CYPSC for 2 PPN Representatives

One North Tipperary Rep
One All County Rep

if you would like to nominate someone in your organisation then you must complete this nomination form

If more than one person is nominated, the results will then be released to the linkage group and an online voting will commence.

Any further queries contact Ruth on coordinator@ppntipperary.ie or phone 087 456 7111

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* 1. Does your organisation operate within County Tipperary

Yes

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* 2. Which PPN Rep position do you wish to nominate for?

North Rep

All County Rep

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* 3. Proposing Organisation details

Name

Address

Telephone No.

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* 4. Selected Nominee Details

Name

Address

Telephone No.

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* 5. Organisations experience relevant to being the CYPSC PPN Representative
(Note: This script will be used as a short bio to be circulated to the linkage group for the elections)

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* 6. Nominee's interest/ expertise in being a PPN Rep for CYPSC
(Note: This script will be used as a short bio to be circulated to the linkage group for elections)

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* 7. Please list any previous community representation on boards/ committees
(Note: This script may be used as a short bio to be circulated to the linkage group for elections)

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* 8. Other relevant experience
(Note: This script may be used as a short bio to be circulated to the linkage group for elections)

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* 9. By ticking the boxes below you are agreeing to the following statements:

Our organisation are active members of Tipperary Public Participation Network (PPN)

The proposed nominee has the support of the organisation

The nominee agrees to work with the PPN, Secretariat and any other PPN Linkage Groups

The nominee will represent the views of the wider linkage group and geographical area not just their own views

We have read the nomination guidelines for the PPN and understand our candidate to be eligible (see above)

You have the permission of the nominee to share their details with the PPN

Name of proposing contact in organisation and name of nominee who have agreed to these statements (must not be the same person)

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* 10. Do you agree to share your contact details with PPN members? Please tick all that apply
(If completing application on behalf of nominee please only supply details if you have permission to do so)

Yes

Question Title

* 1. Does your organisation operate within County Tipperary

Question Title

* 2. Which PPN Rep position do you wish to nominate for?

Question Title

* 3. Proposing Organisation details

Question Title

* 4. Selected Nominee Details

Question Title

* 5. Organisations experience relevant to being the CYPSC PPN Representative (Note: This script will be used as a short bio to be circulated to the linkage group for the elections)

Question Title

* 6. Nominee's interest/ expertise in being a PPN Rep for CYPSC(Note: This script will be used as a short bio to be circulated to the linkage group for elections)

Question Title

* 7. Please list any previous community representation on boards/ committees(Note: This script may be used as a short bio to be circulated to the linkage group for elections)

Question Title

* 8. Other relevant experience(Note: This script may be used as a short bio to be circulated to the linkage group for elections)

Question Title

* 9. By ticking the boxes below you are agreeing to the following statements:

Question Title

* 10. Do you agree to share your contact details with PPN members? Please tick all that apply(If completing application on behalf of nominee please only supply details if you have permission to do so)

* 5. Organisations experience relevant to being the CYPSC PPN Representative
(Note: This script will be used as a short bio to be circulated to the linkage group for the elections)

* 6. Nominee's interest/ expertise in being a PPN Rep for CYPSC
(Note: This script will be used as a short bio to be circulated to the linkage group for elections)

* 7. Please list any previous community representation on boards/ committees
(Note: This script may be used as a short bio to be circulated to the linkage group for elections)

* 8. Other relevant experience
(Note: This script may be used as a short bio to be circulated to the linkage group for elections)

* 10. Do you agree to share your contact details with PPN members? Please tick all that apply
(If completing application on behalf of nominee please only supply details if you have permission to do so)