Active Dover Grant Application Form - Individual Sports Performers
Active Dover Grant Application Form - Individual Sports Performers
Active Dover Grant Application Form - Individual Sports Performers
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<strong>Grant</strong> <strong>Application</strong> for<br />
INDIVIDUAL SPORTS PERFORMERS (2013 - 2014)<br />
Applicants are eligible for one award per financial year (up to £300) for no more than 3<br />
consecutive years, based on the applicant meeting the grant criteria and scoring which can<br />
be read on the reverse of the form.<br />
PERSONAL DETAILS<br />
Name of Applicant<br />
Address & Post Code<br />
Date of Birth (Age)<br />
Telephone & Mobile No:<br />
Email Address<br />
If you are completing this form on behalf of the applicant, please provide your details below<br />
Name<br />
Relationship to the applicant<br />
(i.e. parent / sports coach)<br />
Address & Post Code<br />
Telephone & Mobile No:<br />
Email Address<br />
INFORMATION ABOUT YOUR SPORT<br />
Please state the sport that you (the applicant) are<br />
associated with, and the level at which you (the<br />
applicant) compete / perform<br />
e.g. county, national, international standard.<br />
Which National Governing Body of Sport are you<br />
(the applicant) affiliated to, and what is your<br />
affiliation number<br />
N.G.B. No:<br />
Are you (the applicant) a Kent F.A.N.S. member YES NO F.A.N.S. No:<br />
Page 1 of 4<br />
(<strong>Application</strong> form for the financial year 2013/14)
REASON FOR YOUR GRANT APPLICATION<br />
In no more than 30 words please describe the main reason for your grant application.<br />
(for example: to compete at the European Championships in Hungary on the 12 th July)<br />
COMPETITION / PERFORMANCE DETAILS & COSTS<br />
Considering the season ahead, please list all anticipated targets, with associated expenditure.<br />
(Please note it is best to apply pre-season or early to mid season, but applications listing an entire<br />
season that has passed will not be considered).<br />
Date Competition Location<br />
For example<br />
March<br />
2013<br />
ASA National Swimming<br />
Championships<br />
Sheffield<br />
Uk<br />
Entry or<br />
Qualification<br />
Status<br />
Qualification<br />
Confirmed<br />
Anticipated Cost<br />
Travel:<br />
Accommodation:<br />
Event Entry:<br />
£<br />
£<br />
£<br />
Additional Expenditure (i.e. equipment, coaching fees, affiliation, insurance, etc)<br />
GRAND TOTAL £<br />
Page 2 of 4<br />
(<strong>Application</strong> form for the financial year 2013/14)
ADDITIONAL INFORMATION<br />
Additional Information; please explain any additional information you feel necessary to make your<br />
application stand out or demonstrate your financial need.<br />
You, your Club and your Coach<br />
Please give the details of the sports-club / organisation that you (the applicant) are a member of<br />
Name of Club<br />
Name of Club Coach<br />
Telephone & Mobile No:<br />
Email Address<br />
FINANCIAL INFORMATION<br />
Please list all forms of income that will financially contribute towards your competition costs.<br />
£<br />
£<br />
£<br />
How much funding are you (the applicant) contributing £<br />
How much funding are you (the applicant) requesting from ‘<strong>Active</strong> <strong>Dover</strong>’ £<br />
TOTAL £<br />
CHECK LIST & BANK DETAILS<br />
Please tick which of the following documents are enclosed, those marked with an * are compulsory.<br />
Most relevant Competition / Race Results *<br />
Supporting letter from; <strong>Sports</strong> Coach / NGB / School / Employer *<br />
Qualification Confirmation letter from your NGB<br />
Copies of Press Coverage<br />
Signature<br />
Date<br />
Applicants will be notified of the success of their application within 15 working days after the<br />
submission deadline (please see dates below). If your application is successful a BACS transfer will<br />
be made to the appropriate Bank Account.<br />
Bank Account Name<br />
Bank Account No<br />
Sort Code<br />
Name of Bank<br />
SUBMISSION DEADLINE for applications: Wednesday 31 st July 2013 & Monday 23 rd January 2014.<br />
COMPLETED APPLICATIONS should be sent to: Communication & Engagement Team,<br />
<strong>Dover</strong> District Council, White Cliffs Business Park, <strong>Dover</strong>, CT16 3PJ<br />
Page 3 of 4<br />
(<strong>Application</strong> form for the financial year 2013/14)
<strong>Grant</strong> <strong>Application</strong> for<br />
INDIVIDUALS SPORTS PERFORMERS (2013 – 2014)<br />
PLEASE NOTE<br />
<strong>Individual</strong> performers are only eligible to apply for the ‘<strong>Active</strong> <strong>Dover</strong>’ grant for no more than 3<br />
consecutive years.<br />
CRITERIA<br />
<strong>Individual</strong>s applying for grant aid must;<br />
Participate at sport at a county, national or international standard<br />
Reside within the <strong>Dover</strong> District (<strong>Dover</strong>, Deal, Sandwich, Aylesham and Rural Area),<br />
Be affiliated to a relevant National Governing Body of Sport,<br />
Demonstrate that additional funds/grants have been sourced, i.e. through fund raising activities,<br />
sponsors and applications to other funding bodies,<br />
Provide evidence of sporting achievements / goals,<br />
Provide a supporting letter from either; the National Governing Body of Sport, or a appropriate<br />
School Official / Employer.<br />
SCORING<br />
Assessment of applications will be based upon the above criteria and the following;<br />
The level at which the individual performs/competes,<br />
The extent to which participation/performance in sport/active recreation will be increased,<br />
Financial need and the amount of fundraising achieved by the individual.<br />
Demonstration that the applicant has applied to other grant bodies or is seeking sponsorship.<br />
Officer responsible for processing grant<br />
Date application received<br />
Date submitted to <strong>Grant</strong>s Panel<br />
Previous applications made to ‘<strong>Active</strong> <strong>Dover</strong>’<br />
(FOR OFFICE USE ONLY)<br />
<strong>Grant</strong>s Panel Recommendation Approved / Not Approved<br />
And additional notes/advice<br />
Date applicant notified of decision<br />
Page 4 of 4<br />
(<strong>Application</strong> form for the financial year 2013/14)