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Username:
*
Your preferred username; punctuation is not allowed except for periods, hyphens, and underscores.
E-mail address:
*
This is your organisations registered email address. This should be the same as the email address stated in your letter of authorisation from an officer or trustee. Licence confirmations will be sent exclusively to this address.
Confirm e-mail address:
*
Please re-type your e-mail address to confirm it is accurate.
Password:
*
Confirm password:
*
Provide a password for the new account in both fields.
Organization Activity
Activity Type:
*
Select an activity type.
Religious Activities
Schools, Colleges and Related Activities
Libraries
Cultural, Historic of other Educational Activities
Other Instructions and Training Activities
Health Services and Related Activities
Scientific Research Activities
Business and Professional Organisations
Farming and Related Activities
Mutual organisations
Employee of Membership Benefit Organisations
Sports, Athlethic, Recreational and Social Activities
Youth Activities
Conservation, Environmental and Beautification Activities
Housing Activities
Inner City or Community Activities
Civil Rights Activities
Litigation and Legal Aid Activities
Legislative and Politicial Activities
Advocacy, Attempt to influence Public opinion concerning:
Other Activities directed at individuals
Activities purposes and activities
Other Purposes and Activities
Other
Select your organization's primary activity type.
Activity Code:
*
Select an activity code.
Church, synagogue, etc
Association or convention of churches
Religious order
Church auxiliary
Mission
Missionary activities
Evangelism
Religious publishing activities
Other religious or caste based activities
School, college, trade school, etc.
Special school for persons with disabilities
Day Care Centre
Faculty group
Alumni association or group
Parent or parent-teachers association
Other student society or group
Student loans
Student housing activities
Other student aid
Student exchange with foreign country
Student operated business
Private school
Other school related activities
Charity library
Commemorative event (centennial, festival, pageant, etc.)
Fair
Community theatrical group
Singing society or group
Cultural performances
Art exhibit
Literary activities
Cultural exchanges with foreign country
Genealogical activities
Other cultural or historical activities
Publishing activities
Radio or television broadcasting
Producing films
Discussion groups, forums, panels lectures, etc.
Study and research (non-scientific)
Giving information or opinion (see also Advocacy)
Apprentice training
Other instruction and training
Hospital
Hospital auxiliary
Nursing or convalescent home
Care and housing for the aged
Community health clinic or health post, not including government-registered hospitals
Rural medical facility
Blood bank
Cooperative hospital service organisation
Rescue and emergency service
Nurses register or bureau
Aid to persons with disability
Scientific research (diseases)
Other medical research
Health insurance (medical, dental, optical, etc.)
Prepared group health plan
Community Health Planning not including government-registered hospitals
Mental health care
Group medical practice association
In-faculty group practice association
Hospital pharmacy, parking facility, food services, etc.
Other health services
Contact or sponsored scientific research for industry
Scientific research for government
Other scientific research activities
Business promotion
Real estate association
Board of trade
Regulating business
Promotion of fair business practices
Professional association
Professional association auxiliary
Industry trade shows
Convention displays
Research, development and testing
Professional athletic league
Underwriting municipal insurance
Assigned risk insurance activities
Tourist bureau
Other business or professional group
Mutual ditch, irrigation, telephone, electric company
Credit union
Reserve funds or Insurance
Mutual insurance company
Corporation organized under an Act of Congress
Other mutual organization
Fraternal Beneficiary society, order, or association
Improvement of conditions of workers
Association of municipal employees
Association of employees
Employee or member welfare association
Sick, accident, death, or similar benefits
Strike benefits
Unemployment benefits
Pension or retirement benefits
Vacation benefits
Other services or benefits to members or employees
Country Club
Hobby Club
Dinner club
Variety club
Dog club
Women's club
Hunting or fishing club
Swimming or tennis club
Other sports club; Note: Boys Club, Little League, etc
Community centre
Community recreational facilities (park, playground, etc)
Fundraising athletic or sports event
Other sports or athletic activities
Other recreational activities
Other social activities
Boy Scouts, Girl Scouts, etc.
Boys Club
YMCA, YWCA, YMCA, etc.
Camp
Care and housing of children (orphanage, etc)
Prevention of cruelty to children
Combat juvenile delinquency
Other youth organisation or activities
Preservation of natural resources (conservation)
Combating or preventing pollution (air, water, etc)
Land acquisition for preservation
Soil or water conservation
Preservation of scenic beauty
Wildlife sanctuary or refuge
Garden club
Other conservation, environmental or beautification activities
Low-income housing
Low and moderate income housing
Housing for the aged
Instruction and guidance on housing
Other housing activities
Area development, redevelopment of renewal
Homeowners association or Residents Welfare Association
Other activity aimed t combating community deterioration
Attracting new industry or retaining industry in an area
Community promotion
Crime prevention
Voluntary firemen's organisation or auxiliary
Community service organisation
Other inner city or community benefit activities
Defense of human and civil rights
Elimination of prejudice and discrimination
Lessen neighborhood tensions
Other civil rights activities
Public interest litigation activities
Other litigation or support of litigation
Legal aid to disadvantaged
Propose, support, or oppose legislation
Voter information on issues or candidates
Voter education (mechanics of registering, voting etc.)
Support, oppose, or rate political candidates
Provide facilities or services for political campaign activities
Other legislative and political activities
firearms control
selective service system
National defense policy
Weapons systems
Government spending
Taxes or tax exemption
Separation of church and state
Government aid to parochial schools
SA foreign policy
SA military involvement
Pacifism and peace
Economic-political system
Right to work
Zoning or rezoning
Location of motorway or transportation system
Rights of criminal defendants
Capital punishment
Stricter law enforcement
Ecology or conservation
Protection of consumer interests
Medical care service
Welfare systems
Urban renewal
Busing student to achieve racial balance
Racial integration
Use of intoxicating beverage
Use of drugs or narcotics
Use of tobacco
Prohibition of erotica
Sex education in public schools
Population control
Birth control methods
Legalised abortion
Other matters
Supplying money, goods or services to the poor
Gifts or grants to individuals (other than scholarships)
Other loans to individuals
Marriage counseling
Family planning
Credit counseling and assistance
Job training, counseling, or assistance
Draft counseling
Vocational counseling
Referral service (social agencies)
Rehabilitating offenders or ex-offenders
Rehabilitating alcoholics, drug abusers, compulsive gamblers, etc.
Day care center
Community Chest or funds
Gifts, grants, or loans to other organisations
Non-financial services of facilities to other organisations
Cemetery or burial activities
Perpetual care fund (cemetery, crematorium etc) not run by a religious organisation)
Emergency or disaster aid fund
Community Chest or funds
Testing products for public safety
Consumer interest group
Veterans activities
patriotic activities
Domestic organisation with activities outside Ireland
Foreign organisation
Prevention of cruelty to animals
Achievement prizes or awards
Erection or maintenance of public building or works
Second hand shops, retail outlets etc
Advertising
Association of employees
Endowment fund or financial services
Indigenous People
Fundraising
Private or Family Trust
Prepaid legal services holding tax exempt status
State sponsored worker's compensation reinsurance
Stokvels
Qualified state-sponsored tuition
Other
Farming
Farm Bureau
Agricultural group
Horticultural group
Farmers cooperative marketing or purchasing
Financing crop operations
Dairy herd improvement association
Breeders association
Other farming and related activities
Educational Services
Literacy Tuition
Arts and Culture
Arts Education
Visual Arts
Performing Arts Schools
Humanities
Historical Organisations
Historical Societies & Historic Preservation
Arts Services
Employment Preparation & Procurement
Reproductive Health Care not including government-registered hospitals
Family Planning not including government-registered hospitals
Farmland Preservation
Scholarships for children of employees
Scholarships (other)
Select your organization's primary activity code.
Organization Contact
First name:
*
Enter the first name for your organization's primary contact.
Last name:
*
Enter the last name for your organization's primary contact.
Job title:
*
Enter the job title for your organization's primary contact.
Phone number:
Enter the phone number for your organization's primary contact.
E-mail address:
*
This email address is a secondary email address that will be used for queries regarding your organisation and details of order progress. We will not send licence information to this email address.
Organization registered identifiers
Organization registered identifiers
CHY number
*
This is a mandatory field that allows us to verify your organisations nonprofit status with the Irish Revenue Commissioners. You must have a valid CHY number to be eligible for the ENCLUDEit programme.
Organization registration
Organization registration
Organisation Name
*
Street Address
*
Street Address 2
City
*
Postal Code
State
- select -
Carlow
Cavan
Clare
Cork
Donegal
Dublin
Galway
Kerry
Kildare
Kilkenny
Laois
Leitrim
Limerick
Longford
Louth
Mayo
Meath
Monaghan
Offaly
Roscommon
Sligo
Tipperary
Waterford
Westmeath
Wexford
Wicklow
Country
*
- select -
Ireland
Phone
*
Fax
Website
Please start the website address with 'http://' (e.g. 'http://www.YourOrganization.org')
Budget
*
Please enter your
organisation's approximate annual budget
. This information is a requirement of our donor partners.
Please enter only figures in this field, and no letters. For example, enter 5000000
.
Qualification Status
Not Started
Eligibility Guidelines
Eligibility Guidelines
Organisation is non-exclusionary and non discriminatory
*
Yes
No
I am willing and able to provide evidence that my organisation is non-exclusionary and non discriminatory.
Terms of eligibility
*
Yes
No
I confirm that my organisation meets all the
Eligibility Criteria.
Equipment request is authorized
*
Yes
No
I am willing and able to provide evidence that a Director or Trustee of my organisation has requested the equipment.
IT Budget
*
Yes
No
I am willing and able to provide evidence that my organisation has an identified IT budget:
Additional Organisation Information
Additional Organisation Information
Do you wish to receive:
Updates on the ENCLUDEit Programme?
ENCLUDE News
How did you hear about us?
*
- select -
Microsoft Referral
Cisco Referral
Web Search
Newsletter
Word of Mouth
Media
IT Consultant or Reseller
Other
Please Specify
*
Please specify source of referral.
Mission Statement
Please enter your organisation's mission statement .
Number of computers for staff
*
Library survey questions
Library survey questions
Community served
- select -
Rural
Suburban
Urban
Tribal
Size of community served
- select -
0-4999
5000-24999
25000-49999
50000+
What type of internet connection does the library have?
- select -
Dial-up
Broadband: DSL
Broadband: T1
Broadband: Wireless
Broadband: ISDN
Broadband: Unknown
Other
Does your library have?
Ethernet LAN
Wireless LAN
VPN (virtual private network)
None of the above
Do you provide public access to the internet?
Yes
No
Number of public terminals
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