Request form
Member Association: ______
Project description:
- Course topic: ______
- Course level: ______
- Age group of participants: ______
- Course objectives: ______
______
______
______
- Proposed course venue/s: ______
- Proposed course dates: ______
- No. of regions involved: ______
(e.g. nationwide, regional etc.)
- No. of participants (max. 30 to 35): ______
(list of participants to be provided 30 days prior to the start of the course)
Contact person(s) at the MA: ______
______
Financial and organisational
arrangements: as described in our circular letter no. 893
Customs restrictions: ______
(for material) ______
Other partners involved: ______
(e.g. confederation etc.) ______
______
Date:______Signature:______
(General Secretary of the Member Association)
Approved by FIFA:
Date:______Signature:______