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GLL Sport Foundation - Support Develop Achieve

Application Form 2011

Athlete Applicant Criteria can be found on the Awards & Criteria Page .

Please read the criteria and the guidelines for applications before completing the form. All 2011 applications will be submitted through to Sports Aid for verification. Closing date for all applications is 13 February 2011.

Personal Details








    (e.g. dd mm yyyy)










Award *            Ambassador  Talent  Development  Potential  Regional

'Applicants who meet the criteria for more than one category are able to tick muliple boxes. Please read the athlete application criteria before ticking appropriate award/s

Sporting Details









Are you currently receiving any funding from other sources? (please state)


Achievements to date in chosen Sport (attach separate sheet if required)

Date (dd/mm/yyyy)CompetitionDisciplineResult

Personal Statement *

Please provide a statement to support application detailing future aspirations

Equality Monitoring

I am a person with disabilities




I would describe my ethnic origin as:


      British
      Irish
      Other White


      White & Black Caribbean
      White & Black African
      White & Asian
      Other mixed background


      Indian
      Pakistani
      Bangladeshi
      Other Asian


      Caribbean
      African
      Other Black Background


      Chinese
      Any other

My preferred language:

Support of Application

Contact information of coach/club official/school teacher/university lecturer who can support your application as a referee (may be contacted for further information if required)







How did you hear about the GLL Sport Foundation Application?

Website
Email communication
Poster advertisement
National Governing Body
Sports Club
Press
Word of mouth

Do you have any sporting coaching qualifications?


Would you be interested
in gaining a coaching qualification

If successful, as part of your Athlete Award do you wish to receive a free training membership for use in all GLL & Partners leisure facilities? Yes No


I have read and accept terms & conditions of my Award from GLL Sport Foundation


The information on this form contains your personal data. GLL will record, process and hold your personal data in accordance with the Data Protection Act. We may from time to time contact you regarding other events and activities which we believe will be of interest. If you do not wish to receive such information please tick here.


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