Application for Consultants' Directory

To be included in the Dóchas Consultants' Directory, you may fill out and submit the form below. The annual registration fee is €50 for individuals and €150 for companies. See below for further details.

1. Contact Details

Notes:
Please enter your full name (first, last) for individual applications, or company name for companies.
If your address contains a postcode (e.g. Dublin 2), please enter that for City.
Non-Irish applicants may leave County blank, and use City for entering their country.

Full Name (or Company)		Day-time Tel No:
Address:		Mobile Tel No:
		Email:
		Website (*):
City / Postcode:		CV (*):
County:	Select... Antrim Armagh Carlow Cavan Clare Cork Derry 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	Company Application?

* If you do not have a website, or your website does not hold your CV information, please attach a CV in a standard format (Word, PDF, etc) in the space provided above. If your website does contain your CV information, you may leave the CV field blank.

2. Areas of Expertise

Tick all that apply:

Administration Administration Advocacy / Campaigning Advocacy Campaigning Business Planning / Strategic Planning Business Planning Strategic Planning Development Education Development Education Editing / Copywriting / Proof-Reading Editing Copywriting Proof-Reading Environment / Climate Change Environment Climate Change Event Management Event Management Facilitation Facilitation Financial Management Financial Management Fundraising / Marketing / Funding Applications Fundraising Marketing Funding Applications Gender Gender Governance / Institutional Strengthening Governance Institutional Strengthening

Interim Management Interim Management Media / Communications Media Communications Mentoring / Coaching Mentoring Coaching Monitoring and Evaluation Monitoring and Evaluation Organisational Development / Organisational Learning Organisational Development Organisational Learning Overseas Programme Design and Appraisal Overseas Programme Design and Appraisal Overseas Programme Evaluation Overseas Programme Evaluation Publications / Design Publications Design Research Research Teambuilding / Human Resources / Stress Management Teambuilding Human Resources Stress Management Training / Distance Learning / Course Materials Training Distance Learning Course Materials Website Creation / Management / Information Technology Website Creation Management Information Technology

Please list any other areas of expertise not listed above:

3. Organisations Worked For

4. Personal Profile (max. 100 words)

5. References

Dóchas will verify with referees that they are happy to provide a reference. If they have any concerns about the ability of the consultant, their entry will be removed from the Register. No refund will be given in this instance.

Referees' details will not appear on the Directory website and the onus will be on the consultant to provide these details for prospective clients.

	Referee 1	Referee 2
Name:
Job Title:
Address:
Tel. No:
Email:
Description of your contract (max. 50 words):

Payment

Inclusion in the Register costs €50 per year for individuals, and €150 for companies. Please make your cheque payable to Dóchas and post to Consultants' Directory, C/O Information Officer, Dóchas, 1-2 Baggot Court, Lower Baggot Street, Dublin 2.

No refund will be given if membership of the Register is withdrawn by either party.

Contact

If you have any queries regarding the Consultants' Directory, please contact the Dóchas office using our contact form.