TeamBath Support ProgrammeApplication Form 2013-14

Name______Gender: Male Female Sport______

D.o.B ______(Are you happy for your D.o.B to be used in media reports Y/N)

Are you a current University of Bath Student? YES NO

If, YES

Course______Year of Study ______

Academic Progress (A Level Results/ End of Yr %) ______

University (BUCS) E-Mail address______

IF NO-

Email Address ______

Performance Details

Achieved / Level / Competition/Teams / Date
BUCS 1st
Regional
National League
English Universities
British Universities
Junior Int/ Superleague
Senior International
Olympic/ Worlds/ Commonwealth

Additional Information (Funding / Trials / Future Competitions)

______

______

Athlete Signature______Date______

Coaches name ______Coaches signature______Date______

Please return to Lynne Algarvia e-mail post to:

Lynne Algar

University of Bath

Founders Hall

Claverton Down

Bath

BA2 7AY

The grading criteria is at the discretion of the TeamBath Support Programme panel.

TeamBath Athlete Support Agreement

This athlete support agreement sets out the terms and conditions upon which you as a TeamBath athlete will receive support from the University of Bath. Details of the specific support are set out in appendix 1. The support is provided annually for the period of one year and will expire on the 31st July 2013.

In consideration of the support given you agree to the following conditions:

1. You will work on annually agreed performance targets set by your head coach or designated other.

2. You will abide by the rules of your sport and the code of conduct / ethics that has been agreed or recognised by your National Governing Body (NGB).

3. Adhere to your NGB’s anti-doping policies and regulations in addition to complying with the requirements of the WADA code.

4. You will abide by the day-to-day rules and regulations, as displayed in the respective areas, governing the use of facilities and equipment of the Department of Sports Development and Recreation of the University of Bath.

5. You will comply with reasonable requests to attend certain promotional events and ‘athlete

appearances’ in support of the TeamBath brand.

6. As a TeamBath athlete if you are engaged in an academic or vocational programme you will be expected to meet the demands of your course.

7. You will represent the University of Bath in BUCS (BritishUniversity and College Sport) competition where eligible and required to do so.

Amendment, suspension and termination provisions

• The University of Bath may terminate this agreement immediately or suspend any support or

benefits if:

a. You fail to comply with or otherwise breach any of the terms and conditions in this agreement.

b. If you cease to be a fully participating TeamBath athlete due to sickness, injury, change in personal circumstances, or other incapacity lasting for more than three consecutive months.- Should this be longer six months?

c. If you act or speak in a manner which in the reasonable opinion of the Director of Sport or their equivalent might cause the University of Bath, its official partners, yourself or your sport to be brought into disrepute.

Please sign below confirming your agreement to these terms and conditions

Signed…………………………………………Date......

Full (print) name……………………………………………………………………

TEAMBATH SUPPORT PROGRAMME

Potential LEVEL 1 applicants ONLY Complete

(Senior International/ Olympic/ Commonwealth/ Worlds/Euros)

PARKING PERMIT APPLICATION

NAME: / SPORT:
EMAIL: / CONTACT NUMBER:
STUDENT /EXTERNAL
POSTCODE:
NUMBER OF TRAINING DAYS ON CAMPUS PER YEAR /
PLEASE INDICATE YOUR REASONS FOR APPLYING FOR PARKING:
VEHICLE DETAILS:
Registration:
Make:
Model:
Colour:
ATHLETES SIGNATURE:
DATE:

Office use only:

Team Bath Application form received:YesNo

Athlete Agreement received:YesNo

Parking permit granted: YesNo

Permit Cost______

Authorised by: ______Date______

NON-Student Applicants ONLY complete

APPROVAL FOR A VOLUNTEER OR OTHER INDIVIDUAL TO BE PLACED ON PERSON FINDER AND ACCESS MANAGER (Internet Access)

Please complete this form which must be authorised by the appropriate Head of Department or Dean

Details of Volunteer or individual to be placed onto Person Finder and Access Manager:
Full Name:
Date of Birth:
Role within the University:
Reason for carrying out role:
Period in role: / From: / To:
An end date is mandatory
Supervised by: / Name of Supervisor: / Supervisor’s job title:
Agreement by Volunteer / Individual requesting placement on Person Finder and access to IT Services:
I confirm my request to be placed on Person Finder and to be given access to appropriate IT Services. I agree to comply with the University’s Acceptable Use Policy ( and handle any data in line with the Data Protection Act (1998) at all times and understand the consequences if I fail to do so.
I confirm that I will follow all other relevant University policies and procedures including the Policy and Procedure on the Dignity and Respect for Staff and Students (
Signed………………………………………………………… Date………………
Supervisor: (Athlete Support Officer
I request that the above named individual be placed on Person Finder and be given access to appropriate IT Services to fulfil their role. I will ensure that this individual is supervised appropriately.
Signed…………………………..Date………………
Name……………………………………………….. Post………………………………
Approval by Head of Department or Dean:
I confirm my approval forabove named individual be placed on Person Finder and be given access to appropriate IT Services to fulfil their role in line with the above details.
Signed……………………………………………………………… Date………………
Name……………………………………………….. Post………………………………