I confirm that the applicant is currently competing at a regional level or above and I support this Bursary application. Signed Date CHECKLIST Do you live in the Aylesbury Vale District? Is your sport in the list of Sport England recognised sports? Do you currently compete at a regional level as defined by your sport’s NGB? Have you provided details of recent competitions you have taken part in? Have you included a signature from a representative of your NGB or equivalent ? Have you provided a breakdown of what the funding would be spent on? Signatures Declaration (to be signed by the individual applicant) I have completed this application correctly to the best of my knowledge and understand that payment of a talented athletes bursary is subject to the success of this application. Sign: Date: ..................... ……………………………… ……………………….. Applicant Declaration (to be signed by parent/ guardian if applicant is under the age of 16) I confirm that I support this application. Sign: Date: ..................... ……………………………… ……………………….. Parent/ Guardian Email to: . Post to: AVSPAN Sport Bursaries, C/O Leisure Services, AVDC Council Offices, The Gateway, Gatehouse Road, Aylesbury, Bucks, HP19 8FF Form updated October 2013. AVSPAN Bursaries Equalities Monitoring In accordance with our equalities policy please complete this information. The information will not be used to inform any funding decisions but will help us to ensure that we are promoting the scheme as widely as possible. What is your ethnic group? Please tick to indicate your ethnic group. A : British Any other White background (please write in)
I confirm that the applicant is currently competing at a regional level or above and I support this Bursary application. Signed Date CHECKLIST Do you live in the Aylesbury Vale District? Is your sport in the list of Sport England recognised sports? Do you currently compete at a regional level as defined by your sport’s NGB? Have you provided details of recent competitions you have taken part in? Have you included a signature from a representative of your NGB or equivalent ? Have you provided a breakdown of what the funding would be spent on? Signatures Declaration (to be signed by the individual applicant) I have completed this application correctly to the best of my knowledge and understand that payment of a talented athletes bursary is subject to the success of this application. Sign: ……………………………… ……………………….. Date: ..................... Applicant Declaration (to be signed by parent/ guardian if applicant is under the age of 16) I confirm that I support this application. Sign: ……………………………… ……………………….. Date: ..................... Parent/ Guardian Email to: . Post to: AVSPAN Sport Bursaries, C/O Leisure Services, AVDC Council Offices, The Gateway, Gatehouse Road, Aylesbury, Bucks, HP19 8FF Form updated October 2013. AVSPAN Bursaries Equalities Monitoring In accordance with our equalities policy please complete this information. The information will not be used to inform any funding decisions but will help us to ensure that we are promoting the scheme as widely as possible. What is your ethnic group? Please tick to indicate your ethnic group. A : British Any other White background (please write in)
AVSPAN-Athletes-Bursary-Application-Form-November-2013.docx