LT Project Expression Of Interest Form
The purpose of this document is to collect basic information about the project that you or your community group / organisation are proposing. This is a preliminary step to help you shape your idea and explore its feasibility.

Loop Head Together will do its best to assist you with the delivery of your project. You can reach us at the following email address: Loopheadtogether@gmail.ie 

We will be in touch shortly to discuss how we maybe able to help.


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Email *
Project Name *
Project Proposer

(Name of Group or individual suggesting the project and their connection to it )
 *
Contact Details
(Name, Address, contact number)
 *
Project Description *
Project Location *
Is the project on private or public land *
Public
Private
Don't Know
Not Applicable
Select one:
Project Outcome

(A description of what the project will deliver)
 *
Project Users
(who will the users of the project be when completed?)
 *
Project Costs
(Do you know the approximate costs of the project?)
 *
Required
Project Timeline
(how long do you think this project will take to deliver)
Signature / Type Name
Submit
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