Talented Athlete Support Programme
2015/2016
Application Form
Please complete clearly in block capitals (black ink) or type. Additional information can be submitted on separate sheets if necessary.
Section 1: Personal Details
Forename:Surname:
Date of Birth:
Gender:
Female
Male
Course of Study:
Type of Study:
Diploma
Undergraduate
Postgraduate (taught)
Postgraduate (research)
Level of Study:
1
2
3
4
Student Status:
Full-time
Part-time
Nationality:
Are you in receipt of a Maintenance Grant?
Yes
No
Do you pay your own fees?
Yes
No / Sport:
Home Address:
Telephone Number:
Term – time Address:
E-mail Address:
Telephone Number:
Matriculation Number:
Country of Residence:
Section 2: Sporting Achievements
Provide details of your sporting achievements during the last 3 years.Section 3: Training and Competition Details
Give details of training activities i.e. location, frequency, type etc. Attach where possible details of your annual training programme.Give details of future major competitions you are preparing for this year.
Section 4: Constraints
List any constraints that you expect to experience over the next year in trying to achieve your sporting ambitions, for example, finance, time, opportunity, disability, etc.Section 5 : Training and Competition Cost
Estimate the costs involved in completion of your training and competition schedule for the forthcoming year, for example, accommodation, travel, subsistence, entry fees, coaching fees, etc.Section 6 : Details of Financial Assistance
Give details of all financial assistance received and expected from other sources, for example, Governing Bodies, Sports Council sponsors, prize money, earned income, etc.Section 7: Academic Advisor
Please provide and Academic Advisor / Personal TutorName: ______Position: ______
Contact Tel No: ______Department: ______
Section 8 : Declaration
I certify that the information included in this application is accurate and represents a true picture of my performance, training and future competition details together with an accurate financial forecast.Signed ______Date ______
Section 9 : Enclosures
Please enclose:- Letter of Award or your fee notification from SAAS
- Governing Body Reference Form (enclosed form)
Please return to:
Kathleen Anderson
Arc
GlasgowCaledonianUniversity
Cowcaddens Road
Glasgow
G4 0BA
Closing Date: 31st October 2014
(no late applications accepted)
Governing Body/ Coach Reference
The Talented Athlete Support Programme is a joint initiative between Glasgow Caledonian University and Glasgow City Council. The programme has been designed to assist the University’s most promising athletes in developing their sporting potential while studying at Glasgow Caledonian.
This section should be completed by the coach who works most closely with the athlete and will help to ascertain the level at which the athlete is competing and their future potential.
Please give as much information as possible. Comments to include an appraisal of the applicant’s achievements and potential and the need for financial assistance.
Name Of Applicant: ______Sport:______
ACHIEVEMENTS
FUTURE POTENTIAL
NEED FOR FINANCIAL ASSISTANCE
Signature: ______
Name: ______
Position: ______
Contact Tel No: ______
Please return to:
Kathleen Anderson
Arc
Glasgow Caledonian University
Cowcaddens Road
Glasgow G4 0BA
For further information or any queries contact 0141-331-3116/3822
Closing Date: 31stOctober 2014