Survey Form Organisations: Add Listing Are you a member of AONTAS?* Yes No Not Sure Are you a member of the Community Education Network (CEN)?* Yes No Not Sure Are you a Community Education Facilitator?* Yes No Organisation / Voluntary Group* (Please note: If your organisation or voluntary group goes by more than one name, please choose the name you use publicly or in communications) Describe the purpose and aim(s) of the organisation/voluntary group* Organisation/Voluntary Group website URL Social Accounts Location of your organisation/voluntary group* (Please be as specific as you can. Location refers to the main location of your centre, project, activity. An Eircode is required to accurately place your organisation on the map. You can use the Eircode Finder website to find and check an Eircode) County* — Select — Antrim Armagh Carlow Cavan Clare Cork Derry / Londonderry Donegal Down Dublin Fermanagh Galway Kerry Kildare Kilkenny Laois Leitrim Limerick Longford Louth Mayo Meath Monaghan Offaly Roscommon Sligo Tipperary Tyrone Waterford Westmeath Wexford Wicklow Address Line 1 Address Line 2 Town/City* Eircode* Find on map Current location Clear map Enter geolocation info manually Latitude Longitude Main/General Phone Number Organisation Email Address Select the learners you most commonly work with (please select all options relevant to your organisation)* We are asking for this information as it will help community organisations and members to identify other projects and organisations that will be of interest to them in their locality. Home carers Lone parents Men Members of LGBTQI communities Members of Traveller communities Members of ROMA communities Migrants Older learners People and/or their families living with addiction/in recovery People experiencing homelessness People experiencing rural isolation People living in areas of high unemployment and deprivation People living in border counties People who are unemployed People who left school early People with disabilities People with experience of the prison system People with literacy difficulties People with mental health challenges Refugees and/or people seeking international protection Women Women returning to the workplace Young Adults Any other special interest groups that we have not mentioned above Types of programmes or courses you offer Civic & democratic engagement (eg. voting rights & awareness, legal rights courses) Community engagement programmes (personal development programmes through creative, social or manual activities eg. flower arranging) Computer skills Employment skills Health and wellbeing programmes Parenting programmes Other (please elaborate) Level of courses you offer Non-accredited Accredited levels 1 - 3 Accredited levels 4 - 5 Accredited levels 6 - 7 Types of frontline service provided, if any We are asking for this information as it will help to show the level of community support provided in the area through community education programmes and will also to make people aware of the additional supports available in community education. Childcare Drop in centre Family support services Financial support services Food or meal provision services (e.g. foodbanks, meals on wheels, free lunch) Information and guidance services Mental health supports (e.g. counselling, or mental health awareness activities, support groups, resource, etc.) Resources (digital library, lending schemes, books) Travel Other (please elaborate) Approximate number of learners you engage with annually 0 - 50 50 - 100 100 - 200 200+ Can you please tell us your name and contact information in case we have any follow up questions in relation to this questionnaire (this is not for display on the map)? Name* Email Address Phone Number Logo File Name File Size No entries found Max file size 2MB. Supported file formats: gif jpeg jpg png Choose File Data protection disclaimer* Agree Submit
