Elite Sports Performance Scheme 2017/18 Application Form

All applications are considered and reviewed against set criteria by the Sport Sheffield Awards Committee. You will be informed of the result of your application as soon as possible after the closing date of Monday 16th October 2017.

Applications are accepted from students who are studying in all years including undergraduate and postgraduate, and part-time studies.

Please note that you will be required to re-apply each year of your studies, this isn't a rolling award. Also, any applications received without the required references/evidence will not be considered for selection.

Please fill in all required fields with as much detail as possible. Any questions please contact Simon Vardy, Performance Sport Development Officer on 0114 222 6981 or

Personal Information

Name, address, academic details etc.

Personal Information / Answer
Full Name
Date of Birth
Nationality
Non Term-Time (Home) Address
Term-Time Address
Contact E-mail Address (@sheffield.ac.uk where possible)
Contact Number
Academic Information / Answer
Year of Study in 2017/18 (delete as appropriate) / Applicant / 1st / 2nd / 3rd / 4th / Masters / PhD / Other
Faculty (delete as appropriate) / Arts & Humanities / Engineering / Medicine, Dentistry & Health / Science / Social Sciences
9-Digit Registration Number
UCAS Number (1st year applicants only)

Sporting Information

Details of your sport, club and achievements etc.

Sporting Information / Answer
Sport (including specific position where applicable)
Details of Level of Representation (e.g. full international, national, junior international/national, county, semi-professional, development squad etc.)
Current Ranking (if applicable)
Current Club (or alternative)
List up to 5 Recent Sporting Achievements (within the last 12-14 months) / 1.
2.
3.
4.
5.
List up to 5 Goals for 2017/18 Onwards / 1.
2.
3.
4.
5.

Supporting Statements

What level of ESPS are you applying for? (delete as appropriate)
Note: You will automatically be considered for other levels if you are unsuccessful in selection for your chosen level / Development Pathway / Level 1 / Level 2
In no more than 500 words, please provide details of why you feel you should be part of the ESPS, how this scheme will help you achieve your sporting aspirations and what you would spend the monetary award on if you are applying for Level 2.
Statement:

Coaches Supporting Statement

Your application will not be accepted without a supporting statement from your coach (normally your national coach or equivalent). Statements must include the coaches name, contact details, position and a statement to support your selection including ratification of your achievements and future potential. These statements are accepted as word or PDF files, preferably letter-headed, emailed to . This should be submitted at the same time as your application form so on or before the 16th October 2017.

Extras

Extra details for if your application is successful.

T-Shirt Size (delete as appropriate) / XS / S / M / L / XL
Profile Picture / When submitting your application, please also submit a profile picture that can be used by Sport Sheffield if your application is successful.

Signature:

Please date and sign below in order to confirm that you understand the information you are submitting and is a true reflection of your sporting capabilities, achievements and potential.

Applicants Signature: …………………..Date: DD/MM/YY

Data Protection

The University of Sheffield and Sport Sheffield will only use the personal data supplied here in order to respond and reference your application to the Elite Sports Performance Scheme and as such remains private and confidential. If you have any queries with regards to this please contact Simon Vardy, Performance Sport Development Officer on 0114 222 6981 or via e-mail at