Project Referral Form

Thank you for your interest in helping Urban Soul find opportunities to serve the needs of people in central Dublin.

Please provide the following information so that we can make informed decisions regarding the best way for a team of young people (ages 15+) to address these needs in the afternoons of 7-9 July.

Our goal will be to visit the project site and make an assessment before moving forward so as to create the best opportunity possible for the need to be met and for our young people to have a favourable and memorable service experience.

(Alternatively, download a PDF version of this form to print off and give to others.)

The Form

Your Details

Name Organisation (if any) Address Phone Email

Project Details (if different)

Venue Name (school, church, etc.) Address Project Category Select a Category DIY (painting, home repair, etc.) Sports Crafts Environmental (gardening, etc.) Other

Other Details

Briefly describe how you found out about Urban Soul? Please provide the name of the person(s) who will be present during the project, if other than yourself: What else might make this project successful (other than completing the required tasks)? Contact details of the person who will be present during the project

If you think any other information would be helpful to us, please or ring us on 085 761 0487.