SCA Performance - Application form – General Information
General information
This form is for those who wish to be considered for membership of SCA Performance programmes for the 2015/2016 season. The information needed on this form will provide valuable background information for the Inclusion Panel.
Name (Athlete) / Date of birth (Athlete) / Place of birth (Athlete)/ Gender (Athlete)
Address (Athlete)
E-mail (Athlete) – Optional for U18 / Phone (Athlete) – Optional for U18 / SCA licence No.
Passport No. (Athlete) / Passport Expiry. (Athlete) / Nationality (Athlete)
If you have been a member an SCA Performance Programme please put the year of membership and the programme name (e.g. 2011 Invite; 2012NDS; 2013Horizon; ) / Club you are compete for(Athlete)
Name (Parent/Guardian 1) / E-mail (Parent/Guardian 1) / Phone (Parent/Guardian 1)
Name (Parent/Guardian 2) / E-mail (Parent/Guardian 2) / Phone (Parent/Guardian 2)
1. Personal details
· Parent’s information must be filled for all Under 18 application. It is optional for Over 18
· A copy of your passport will be asked if you are included in one of the SCA Performance programmes.
2. Programme applying for:
Programme Name / Yes - No / DescriptionHorizon Programme / To support Junior athletes and to encourage them to build strong basic skills in order to be selected into the Junior GB Team within 2~3 years and being ready to manage all the steps leading to world class level in targeted Olympic disciplines
Vision Programme / To support athletes showing the potential to be selected for the GB team, and to reach finals and podiums at Junior and U23 World and European Championships in order to access the GB Podium Potential programmes over the next 2~3 years in targeted Olympic disciplines
3. Discipline applying for:
Among all the following disciplines, which one are you applying for? (Please indicate YES in the grey area for the discipline(s) you are applying for)
Disciplines / Slalom K1 / Slalom C1 / Slalom C2 / Sprint K1 / Sprint C1 / Paracanoe K1 / Paracanoe Va’a4. Element of the programme you are applying for:
The SCA Performance programme is comprised of 2 elements aiming to run with synergy: A) Coaching and Canoeing specific preparation support, and B) Sportscotland Institute of Sport (SIS) support based on the Package agreement set between SCA Performance and SIS.
I apply for the full SCA Performance programme including elements A) and B)I apply for the element B only. the element A) of my preparation, is delivered by a third party (private coach or club or any identifiable structure)
5. Your goals and ambitions
Please list your major goals over the next three seasons (Canoeing Goal and School/work goal for each year)
Year / Goals2014 season / Sport
School
Other
2015 season / Sport
School
Other
2016 season / Sport
School
Other
SCA Performance/Programmes Application Form – February 2015 Page 4 of 8
SCA Performance - Application form – information considered for selection in the Performance programme
Information considered for selection in the Performance programme
6. Your Training Process
In addition to filling the table below, please enclose a copy of your last month’s training plan and training diary.
Question / Answer / Comment?What is your current training regime? / Number of Canoeing training sessions / week
Number of Strength and Conditioning training sessions / week
Number of other land based training sessions (running/swimming/…) / week
How long have you been training with this regime?
Question / Answer / Comment?
What is your former training regime? / Number of Canoeing training sessions / week
Number of Strength and Conditioning training sessions / week
Number of other land based training sessions (running/swimming/…) / week
How long have you been training with this regime?
7. Your achievements
- Racing
Please fill the table below with your 5 most important canoeing achievements since 2012.
Race / British ranking / world ranking – Place – Date / Discipline/Event / resulte.g. Prem div. – HPP – 15/06/2012 / C1 Men / 12
e.g. Junior worlds – Wasau – 16/06/2012 / K1 Women / 21
e.g. National Regatta – Nottingham – 11/04/2013 / K1 Men 200 / Final B - 9
e.g. International Regatta – Piestiani – 16/07/2013 / K4 Women 500 / Final A - 6
e.g. J16 League – British ranking – end of season 2012 / C1 Women / 5
1
2
3
4
5
- Physiological
In addition to filling the table below, please enclose copies of any physiological tests you have taken in the last six months or other supporting evidence.
Description / Result / Description / ResultNumber of pull ups in 1min
(Over hand grip, as if you are paddling - the chin must pass over the bar at each rep – the arms must come back straight at each rep) / / Number of press ups in 1 min
(Chest must touch the floor at each rep. – arms must be fully straight at each rep.) /
Running time for 3k (in minutes, seconds)
The best is to do the test on a track. / / Stretching
(Standing on a box, legs locked, feet together, reach to your toes by bending at the hip. The result is the distance between your finger tips and point 0 “object you are standing on”. Use ruler in centimetres. Put a negative if your fingers are above point 0.) /
8. Your training environment:
Where are you currently located for your training? Please indicate the name of the place, the postcode,
What facilities do you use on a day to day basis?
Do you have any plans/aspirations to engage with one of the identified Regional Excellence Hubs? Sprint: East SCA Excellence Hub – EICA Ratho / Sprint West SCA Excellence Hub – Pinkston Glasgow / Slalom: West Excellence Hub –Pinkston Glasgow / Slalom: T&F Excellence Hub – Aberfeldy/Grandtully. Please describe arrangements made / anticipated / needed (Travel, School, etc…)
For Athletes applying for the element B) of the SCA Performance programme, can you explain how the element A) of your programme will be delivered. How you will be supported.
SCA Performance/Programmes Application Form – February 2015 Page 4 of 8
SCA Performance - Application form – information considered for retention in the Performance programme
Information considered for retention into the Performance programme
9. mind-set
Please provide an example of a challenge you were planning to embrace and how you have managed it:
Please provide an example of a setback you faced and how you overcame it:
Please explain which different sources of feedback you use and how this helps you to improve:
Please provide an example of team collaboration and how you contributed to the team’s success:
10. Motivation
Please give a brief explanation of why you want to be part of the SCA Performance programme, what you expect from the programme, what you expect to give to the programme, and what your canoeing ambitions are.
SCA Performance/Programmes Application Form – February 2015 Page 4 of 8
SCA Performance - Application form – information considered for retention in the Performance programme
Statement by applicant
I understand that the information I have provided will be used as part only of the process of assessing my eligibility for inclusion. I understand that where there are more eligible athletes than places available the squad is reviewed with reference to the overall targets of the SCA Performance Programmes. I understand that if I am offered a place on the programme I will be expected to sign and abide by SCA Performance Programmes Athlete Code of conduct.
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Signed Dated
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Parent or Guardian if under 18
This form should be returned via e-mailed to
Applications by email are preferred, but postal applications can be sent to: Margaret Winter, Scottish Canoe Association, Caledonia House, 1 Redheughs Rigg, South Gyle, Edinburgh, EH12 9DQ
SCA Performance/Programmes Application Form – February 2015 Page 4 of 8