First Name* Last Name*  
 
 
Email* Your Mobile Number*  
 
 
Your School Name & Address Roll Number*  
 
 
Charity Organisation* Name of the Programme you are Participating in*  
 
 
Location of Programme you are Participating in: * Duration of Programme (Departure & return dates)*  
 
 
Programme Contact Name* Programme Contact Email Address*  
 
 
Programme Weblink*    
 
Indicate other voluntary work you are/have been involved in at home or abroad (Name organisation, capacity and when)*  
 
How will you use your experience abroad to good effect on your return to Ireland?*  
 
Why do you and your chosen charity deserve to be awarded €1,000? (200 words or less)*  
 
Where did you hear about this opportunity?*  
 
If other, please specify  
 
I agree to the*
   
 
   
 
   
I agree to participate in related PR activity*
 
 
NB: By giving Folens your information, you are entering the competition and we will only use this information to contact you if you are the winner of one of the five individual awards.  For more information, please see our Competition Terms & Conditions and Privacy Policy