Lisburn City Council ::

Please complete the following form:


Does your group have premises:		Yes No

Do you employ any paid staff?:		Yes No
How are they funded?:
What is their job title and role?:

Does your group have any of the following? (if so enter numbers)
ACE Staff:
Statutory:
Voluntary (including Management Committee):
What is their role?:

Please detail exact costs for administration within the past year
Administration costs:
Please list your group’s main sources of funding.
Administration costs:

Did your group attempt to raise additional funds?:		Yes No
Please give details of all funding sources applied to whether successful or not:

Has your group undertaken any new sources of funding within the past year? If so please give details.
New sources of funding:


Any further comments:


Thank you for completing this Evaluation Form.


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Lisburn City Council