County Kildare Heritage Forum Nominations

Kildare PPN are currently seeking nominations for a PPN Environmental Representative on the County Kildare Heritage Forum. Please fill out the form below to submit a nomination on behalf of your organisation.

Closing date for nominations is 5:00pm Thursday the 12th of June 2025.

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* 1. Please choose the appropriate seat

County Kildare Heritage Forum (Environmental Seat)

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* 2. Nominating Organisation

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* 3. Details of Nominee

Name *

Address

Email Address *

Phone Number

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* 4. Candidate Statement (Maximum 150 words). This will be circulated to member groups ahead of the election . Please state why you may be the most suitable candidate for the role.

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* 5. Upload Image/Headshot

(Optional) The image supplied will be included in the voting ballot

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

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* 6. This nomination must be authorised by the nominee’s organisation. The Authorised Officer should be the organisation’s Chairperson or Secretary. Please provide the contact email address of the group's Chairperson or Secretary for verification of nomination

Name

Position

Email Address

Phone Number

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* 7. The information provided in this form will be held by the Kildare Public Participation Network. View Kildare PPN's Private Policy here to see how your data is processed: https://bit.ly/3n6zGnX

I Consent