Applicants must be aged under 21 at time of application – although under certain circumstances this provision can be waived – see below.
The Charity provides young persons with the opportunity to achieve through sport, whatever their abilities or disciplines. We are particularly supportive in providing grants for those seeking professional coaching qualifications in their discipline.
There is a specific interest in providing support for the training of adultcoaches to officially approved levels.
Mr / Mrs / Miss / Ms (please circle) Surname ………………………………………………......
First Names……………………………......
Address …………………………………………………………………………………………......
…………………………………………………………………...... Post Code ………………......
Date of birth ……/…../……...
Telephone:- Home...... Mobile......
Email Address......
Name of Parents/Guardians.………………………………………………………………………………………......
Address.………………………………………………………………………………………………………………......
…………………. ………………………………………………………………………………Post Code …………………..
Daytime Phone Number …………………………. Evening Phone Number…………………………………………
Mobile Number ………………………......
Email address……………......
No of dependant Children
Name ...... Date of Birth ……./……./…….
Name ...... Date of Birth ……./……./…….
Name ...... Date of Birth ……./……./…….
How much money is required in total?£……………………..
Please show a breakdown of these costs below
Item/Description
Cost 1 ………………………………………………………………….£……………………...
Cost 2 …………………………………………………………………..£……………………...
Cost 3 …………………………………………………………………..£……………………...
Cost 4 …………………………………………………………………..£……………………...
Cost 5 ……………………………………………………………………£……………………...
Please provide a copy of quotations where appropriate.
Please delete
Total earning of Parents / Guardians£……………….. Per annum/per month/per week
Additional IncomeBenefits£……………….. Per annum/per month/per week
Pension£……………….. Per annum/per month/per week
Maintenance£……………….. Per annum/per month/per week
Other£……………….. Per annum/per month/per week
Account Name ……………………………………………….
Account number ……………………………………………….
Sort Code………………….
Bank/Building Society Name………………………………………
Address………………………………………………
………………………………………………
Cheque made payable to:- …………………………………………………
How will the Grant help you achieve your aims?
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Mmm Are you applying for financial help from other sources?
If so from whom......
Should your application be successful we would expect you to display the Sir Stanley Matthews CoachingLogo. You will be ambassadors of the Sir Stanley Matthews Coaching Charity and be expected to carry out ‘Sportsmanship’ in all your sporting activities, following the ideals of Sir Stanley Matthews. We reserve the right to observe how your grant is used and would expect you to provide us with evidence of your sporting progress.
I agree with the above Yes or No (Please circle)
May we use your image and details in publicity material produced by you or the Charity?
- In printed publications? Yes / No
- In video and audio format? Yes / No
- On websites/in electronic format? Yes / No
THANK YOU FOR COMPLETING THIS FORM, WE WILL CONTACT YOU TO CONFIRM RECEIPT AND WILL CONSIDER YOUR APPLICATION AT OUR NEXT MEETING
Please send this completed application form to:-
Jean Gough, Sir Stanley Matthews Coaching
21 Franklin Court
Wormley, Godalming
Surrey
GU8 5US
Or Email to
All information contained in this form will be treated totally confidentially and will not be disclosed to any third party