Course Information Section 1. Course Code 016AUG008 Teaching Aquatics Course 9th to 11th August 2016 Coaching Swimming Discipline Course Aquatics Centre, ASV (please Coaching Diving tick) X Course Tutor Neal Rayner Coaching Water Polo Course Organiser Nikki Drever Coaching Synchronised Swimming Yes – Please complete section 3 Are you applying for Bursary? Please tick No Candidate Information Section 2. Please ensure this section is completed in capitals to avoid certification errors. There will be **required for certification a charge for any certification changes/ re-issues. First Name(s) Surname to appear on certificate DOB Gender SASA Mship No. ** Address Post Code Previous Address (please complete applicable) Email Address Tel No. ** Special Provisions: SCN (9 digits) ** SCN Numbers have been allocated by the SQA since 1979, if you think that you have a number your SCN details can be generated by 0345 279 1000 calling the SQA helpdesk on Bursary Information Section 3. CONFIRMATION OF UNIT 2 ASSESSMENTS MUST BE RECEIVED BEFORE BURSARY APPLICATION WILL BE PROCESSED BURSARY PAYMENT FORMS MUST BE RECEIVED WITHIN 3 MONTHS OF THE COURSE START DATE – Amount of Bursary Applied Payment Method BACS for Bank Details Required for payment to be processed Account No. Sort Code Name of Account holder If you would like confirmation of payment to be sent please complete contact name and details below. PLEASE CONTINUE FORM OVERLEAF Scottish Swimming use only Unit 6 assessed 90% attendance achieved SASA Member Amount Awarded Nominal Code Description UKCC L1 Bursary 7104 Authorised by Date to Finance
Section 1. Course Information Discipline (please tick) Teaching Aquatics Course Code 016AUG008 Coaching Swimming Course 9th to 11th August 2016 Coaching Diving Course Aquatics Centre, ASV Coaching Water Polo X Course Tutor Neal Rayner Coaching Synchronised Swimming Course Organiser Nikki Drever Are you applying for Bursary? Please tick Yes – Please complete section 3 No Section 2. Candidate Information Please ensure this section is completed in capitals to avoid certification errors. There will be a charge for any certification changes/ re-issues. **required for certification First Name(s) to appear on certificate Surname DOB ** Gender SASA Mship No. Address Post Code Previous Address (please complete applicable) Email Address ** Tel No. Special Provisions: SCN (9 digits) ** SCN Numbers have been allocated by the SQA since 1979, if you think that you have a number your SCN details can be generated by calling the SQA helpdesk on 0345 279 1000 Section 3. Bursary Information CONFIRMATION OF UNIT 2 ASSESSMENTS MUST BE RECEIVED BEFORE BURSARY APPLICATION WILL BE PROCESSED – BURSARY PAYMENT FORMS MUST BE RECEIVED WITHIN 3 MONTHS OF THE COURSE START DATE Amount of Bursary Applied for Payment Method BACS Bank Details Required for payment to be processed Account No. Sort Code Name of Account holder If you would like confirmation of payment to be sent please complete contact name and details below. PLEASE CONTINUE FORM OVERLEAF Scottish Swimming use only Unit 6 assessed 90% attendance achieved SASA Member Amount Awarded Nominal Code 7104 Description UKCC L1 Bursary Authorised by Date to Finance
016AUG008%20L1%20WP%20Learner%20reg%20form.docx