<p> Joint Award Initiative – Award completion form</p><p>The Award is the world’s leading youth achievement Award which gives 14-24 year olds the opportunity to be the best they can be. There are three progressive levels of programmes, which when successfully completed, lead to a Bronze, Silver or Gold Award.</p><p>Gaisce - The President’s Award and The Duke of Edinburgh’s Award work in partnership through the Joint Award Initiative (JAI) to offer Award participants in Northern Ireland a choice of recognition for their achievements. They can choose a Duke of Edinburgh’s Award, a Gaisce – The President’s Award or a Duke of Edinburgh’s International Award Certificate. </p><p>Please complete and enclose this form with your Participant Handbook when submitting to your Licensed Organisation for approval. Please print clearly in CAPITALS or type your details in. You must complete all of the questions.</p><p>Licensed Organisation (LO), Centre and group details: LO: Centre: Group: </p><p>Award level: Bronze Silver Gold </p><p>Have you registered for any previous levels of the programme? No Yes If yes Bronze Silver </p><p>If YES – please give the name of the Centre you were registered at: ID number (if known) : </p><p>Personal details: First name: Last name: </p><p>Gender: Male Female Date of Birth: / / </p><p>Date you started your programme (enrolment date): / / </p><p>Choice of certification/badge </p><p>Gaisce – The President’s The Duke of Edinburgh’s DofE Certificate and either Award Certificate and medal International Award Badge or Brooch Please select one: Certificate</p><p>AUTHORISATION Participant’s Signature: Name: Date: / / </p><p>FOR Date registered / / Username Password OFFICE onto online system USE ONLY</p><p>Award / / / / Email to LO to Award Approved / / Approved by approve: by DofE NI Office: LO: / / </p><p>Leader Recorded and input form For Gold Awards only</p><p>Presentation </p><p>Gaisce – The President’s Award: DofE In Northern Ireland (usually Hillsborough Castle) Please select one: In Dublin (usually Dublin Castle) In Scotland (usually the Palace of Holyroodhouse) </p><p>In London (usually St James’s Palace) </p><p>I do not wish to attend a Gold Award Presentation, please send me my certificate by post (please tick): </p><p>Contact details for Gold Award Presentation invitation: Email address: </p><p>Address (line1): </p><p>Address (line 2): </p><p>Town: Postcode: </p><p>Telephone: Mobile number: </p><p>If you have chosen London for your presentation, due to space restrictions at St James’s Palace, a maximum of one guest per young person is permitted. If you have chosen either Northern Ireland or Scotland, a maximum of two guests per young person is permitted and you should complete your second guest’s details.</p><p>FIRST PERSONAL GUEST DETAILS </p><p>Title: Mr / Miss / Ms / Mrs / Other (state) Address (if different to above): First Name: Surname: Town: Telephone No: County: Postcode: Email: Date of birth: / / Relationship of guest: Parent Spouse Sibling Friend Other (please state): If your guest is happy for the DofE/Gaisce – The President’s Award to contact them with information we feel may be of interest, please tick all of the following options that apply: By email: By post: By phone: By text: </p><p>SECOND PERSONAL GUEST DETAILS (due to space restrictions at St James’s Palace, a maximum of one guest per young person is permitted).</p><p>Title: Mr / Miss / Ms / Mrs / Other (state) Address (if different to above): First Name: Surname: Town: Telephone No: County: Postcode: Email: Date of birth: / / Relationship of guest: Parent Spouse Sibling Friend Other (please state): If your guest is happy for the DofE/Gaisce – The President’s Award to contact them with information we feel may be of interest, please tick all of the following options that apply: By email: By post: By phone: By text: </p><p>Leader Recorded and input form</p>