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SCOTTISH SPORTS AID TRUST

GRANT APPLICATION FORM

INSTRUCTIONS:

  1. Please complete this form in full, as a Microsoft Word document on a PC or laptop(not I-phone, I-pad or tablet),and then email it toyour sport’s Scottish governing body, for them to check the accuracy of the information provided. The governing body will thenemail the form to SportsAid Scotland, for consideration by their Grants Committee.
  1. To apply, you must be aged from 12 to 22 years oldon 1stDecember 2016, unless you are applying as a disability athlete, where the upper age limit is 45 on 1st December 2016.

SECTION 1 –PERSONAL DETAILS OF APPLICANT

First Name

Surname

Date of Birth DD/MM/YY

Age

Home Address (line 1)

Home Address (line 2)

Home Address (line 3)

Home Address (line 4)

Post Code

Landline phone no.

Mobile phone no.

Email address

Sport Discipline

Current Address (if different from home address):

Please state whether you area school pupil, a student, employed,unemployedor a full time athlete:

Please give name and address of employer, school, college or university:

SECTION 2 - SPORTING ACHIEVEMENTS:

Please give details of your current Scottish and/or GB ranking, and what age-group applies to the ranking:

Please state whether you represent, or hope to represent Scotland in your chosen sport, or whether you represent, or hope to represent a different country:

Using the table below, please list your sporting successes during the last 2 years, stating whether they were senior events, or what age-group category was applicable to each of the events:

Name and Date of Competition / Place and Country where held / Placing eg 1st, 2nd 3rd etc

Use a separate sheet for more competition results, if necessary

Please listthe main competitions you anticipate competing in during the coming year:-

Name of Competition / Country / Is this a Scottish /British or World Status event?

Name of Coach: Qualifications:

SECTION 3 – ANNUAL TRAINING AND COMPETITION COSTS

1. Coaching costs not paid for by your NGB: / £
2. Competition entry fees: / £
3. Travel expenses for training and competing: / £
4. Costs of competition accommodation: / £
5. Otherrelated expenses: / £
Total Estimated Costs for the next 12 months / £

SECTION 4 – DETAILS OF FINANCIAL ASSISTANCE RECEIVED

Give details of all financial assistance received in the last 12 months, including amounts received from your sport’s governing body, sportscotland APAs,lottery funded ‘World Class Athlete’ personal awards, Winning Students’funding, other scholarships, prize money and any other sources:-

By submitting this grant application form to SportsAid Scotlandthrough my sport’s National Governing Body, I declare that the information that I have provided in this form is wholly true and accurate.