LEADER - Expression of Interest (EOI) Form

This Expression of Interest (EOI) form MUST be completed to confirm the eligibility of your Project Proposal in accordance with the LEADER Operating Rules of the Rural Development Programme 2014–2020 and to check that your proposal complies with the Monaghan Local Development Strategy. If and when your proposal is confirmed as eligible you will receive a full LEADER Application Form and guidance notes.

The submission of this EOI form does NOT constitute an application for funding.

Review ‘EOI form guidance notes’ booklet before completing this form (also on )
Please complete this form in full, all fields are mandatory.
This form can be completed electronically, signed, scanned and e-mailed/posted to Monaghan Integrated Development CLG.,
A hardcopy of this form can be obtained from Monaghan Integrated Development CLG, Monaghan Road, Castleblayney, County Monaghan. Tel. 042 9749500
A Development Officer from Monaghan Integrated Development will contact you when your Expression of Interest Form has been reviewed.

Contact Information

Project Name/Title
Applicant Name:
Business/Community Group Name
Contact Name
Address
Eircode(postcode)
Home Phone
Mobile Phone
E-Mail Address
Address of project location if different to above

Applicant Type;

Please CROSS Xthe appropriate box below and include copies of supporting governing documents with this Expression of Interest form.

Sole Trader
Private Individual
Community Council
Farmer (if yes) Insert herd number here:
Trust
Constituted Community / Voluntary Group
Partnership
Company Limited by Guarantee (without share capital)
Limited Company
Designated Activity Company limited by shares
Registered Charity
Cooperative society registered under the Industrial & Provident Societies Act
Local Action Group
Other: (please provide some information)
Charitable Status Number (if applicable):
Company Registration Office No. (if held) here:

Previous Funding/ Grant-aid

Have you received any funding within last 3 years?(please CROSS X& add detail)

Yes / No
Total Received: € / Year Final Payment Received:
Do you receive 50% or more of your operating costs from public sources? / Yes / No
Name of the funding body & what elements of your operations are funded.

Project Information

Please provide some detail about the project you are proposing.

Estimated Total Cost of Project:
Expected Grant-Aid:
How do you intend to finance the outstanding balance? (from bank loans, savings etc.)
How long will it take to complete your project? / No. of Months;
Does your proposed project require planning permission? / Yes No
Insert Planning Permission Ref Number.:
Does your proposed project have a business or marketing plan? / Yes No
If Yes, please include a copy. If NO, outline if you are currently preparing a plan or have other documentation to support your project proposal below:
Please provide a brief description of your proposed project here:
Use additional sheet & attach to this form if required.

Signed for and on behalf of the Applicant/Group:

I/We confirm that the details supplied are true correct to the best of my/our knowledge; I/We have read understand the statement below and give consent to Monaghan LAG for the use/disclosure of data & information as outlined;

Signature
Name Printed
Date
Part or all of the information you provide will be held on computer and hard copy format. This information will be used for the administration of Expression of Interests producing monitoring returns. LAG’s may share information with each other and Government Departments/Agencies to enable them to prevent fraudulent applications or for detecting crime and to co-ordinate processing of complementary applications. It may also be subject to meeting obligations under the Freedom of Information Act as amended. This policy does not affect your rights and your information will be held as prescribed under the Data Protection Acts 1988 2003.
Disclaimer:This Expression of Interest is a preliminary step towards a full application for funding under the LEADER Programme 2014-2020. This EOI form is NOT an application for funding.
Monaghan Integrated Development is the implementation partner to deliver the LEADER RDP 2014-2020 in County Monaghan on behalf of Monaghan Local Community Development Committee (LCDC). Monaghan County Council is the financial partner in the delivery of the LEADER Programme.

Please return completed Expression of Interest (EOI) form to:

Monaghan LEADER. Monaghan Integrated Development CLG,
Monaghan Road, Castleblayney, County Monaghan. A75 NA02
Email: bsite: Telephone: 042 9749500
Thank you for completing this Expression of Interest form. A Development Officer will be in touch with you when your form has been reviewed.

For Office Use ONLY;

EOI Reference ID:
Call Type:
LEADER Theme
LDS Strategic Action
LAG Officer Signature
LAG Officer Name
E-Mail Address
LAG Date Stamp: