CUMANN NA mBUNSCOL

                    NATIONAL AWARDS 2003

CATEGORY: CUMANN NA mBUNSCOL SCHOOL OF THE YEAR

SCHOOL: _____________________________________________________________

ADDRESS: _____________________________________________________________

PHONE NO: ___________________________

E-MAIL ADDRESS: _____________________________________________________

TEACHER CONTACT: __________________________________________________

IS YOUR SCHOOL: URBAN _____ RURAL _____

NO. OF CHILDREN ON ROLL: __________________________________________

DO YOU GET ASSISTANCE FROM LOCAL G.A.A. CLUB/S? YES ___ NO ___

NAME OF CLUB/S:

OTHER DETAILS, IF APPROPRIATE: __________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

PLEASE COMPLETE THE FOLLOWING:

SIGNATURE OF TEACHER: __________________________________

SIGNATURE OF PRÍOMHOIDE: ______________________________

SIGNATURE OF CHAIRPERSON,

BOARD OF MANAGEMENT: ______________________________

SUBMISSIONS IN THIS CATEGORY SHOULD NOT EXCEED A3 SIZE

CLOSING DATE: SEPTEMBER 27^th. 2003