1) What is the name of your club? * 2) What is your club's designated email address? * 3) What is your clubs designated phone no.? * 4) What is your Club Mark Officer's name, email address and phone no.? * 5) Does your club have a Constitution? (Please upload)? Files must be less than 20 MB.Allowed file types: gif jpg jpeg png txt rtf html pdf doc docx odt ppt pptx odp xls xlsx ods xml. 6) What is the name of your club's Chairperson? * 7) What is the name of your club's Secretary? * 8) What is the name of your club's Treasurer? * 9) Does your club have public liability insurance? (Please upload) Files must be less than 20 MB.Allowed file types: gif jpg jpeg png txt rtf html pdf doc docx odt ppt pptx odp xls xlsx ods xml. 10) Does your club record minutes of all committee meetings?(please upload minutes of last meeting) Files must be less than 20 MB.Allowed file types: gif jpg jpeg png txt rtf html pdf doc docx odt ppt pptx odp xls xlsx ods xml. 11) Please upload the minutes of your last Annual General Meeting Files must be less than 20 MB.Allowed file types: gif jpg jpeg png txt rtf html pdf doc docx odt ppt pptx odp xls xlsx ods xml. 12) Does your club comply with FAI Goalpost Safety Guidelines? (Please upload a picture of the goal post safety poster on display in your club) Files must be less than 20 MB.Allowed file types: gif jpg jpeg png txt rtf html pdf doc docx odt ppt pptx odp xls xlsx ods xml. 13) Does your club have an active member that has an up to date First Aid Certificate? (Please upload certificate) Files must be less than 20 MB.Allowed file types: gif jpg jpeg png txt rtf html pdf doc docx odt ppt pptx odp xls xlsx ods xml. 14) Does your club have a first aid kit available at all training sessions and matches? * SelectYesNo 15) Does your club have a bank account? (Please upload a recent bank statement) Files must be less than 20 MB.Allowed file types: gif jpg jpeg png txt rtf html pdf doc docx odt ppt pptx odp xls xlsx ods xml. 16) Does your club have a Volunteer Recruitment Policy?(please upload) Files must be less than 20 MB.Allowed file types: gif jpg jpeg png txt rtf html pdf doc docx odt ppt pptx odp xls xlsx ods xml. 17) Name of affiliated League (no.1 ) (Please Upload Letter of Support) Files must be less than 20 MB.Allowed file types: gif jpg jpeg png txt rtf html pdf doc docx odt ppt pptx odp xls xlsx ods xml. 18) Name of affiliated League (no.2 ) (Please Upload Letter of Support) Files must be less than 20 MB.Allowed file types: gif jpg jpeg png txt rtf html pdf doc docx odt ppt pptx odp xls xlsx ods xml. 19) Name of affiliated League (no.3 ) (Please Upload Letter of Support) Files must be less than 20 MB.Allowed file types: gif jpg jpeg png txt rtf html pdf doc docx odt ppt pptx odp xls xlsx ods xml. 20) Does your club have a certified coach with each team? * Yes No 21) Does your club have a coach and assistant coach with each team? * Yes No 22) Please upload your clubs completed coaches/volunteers registration sheet Files must be less than 20 MB.Allowed file types: gif jpg jpeg png txt rtf html pdf doc docx odt ppt pptx odp xls xlsx ods xml. 23) Is your club compliant with the FAI Player Development Plan? * Yes No 24) Is your club compliant with Child Welfare and Garda Vetting Legislation? * Yes No 25) What date did your club run the Parent Education Workshop? * Year Year19231924192519261927192819291930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 26) What is the name and email of your designated Child Welfare Liaison Officer? 27) Please upload your club’s child welfare risk assessment Files must be less than 20 MB.Allowed file types: gif jpg jpeg png txt rtf html pdf doc docx odt ppt pptx odp xls xlsx ods xml. 28) Please upload your club’s Child Safeguarding Statement Files must be less than 20 MB.Allowed file types: gif jpg jpeg png txt rtf html pdf doc docx odt ppt pptx odp xls xlsx ods xml. 29) I declare on behalf of the club committee that the information provided in this form is true and accurate * Yes No 30) Is your club up to date with registration of players on FAInet? Yes No
