Scholarship Application Form

Please select which Scholarship applied for:
Tier 1
Tier 2
Tier 3

Please select which Sports Council your clubs affiliated to:
Aberdeen City Sports Council
Aberdeenshire Sports Council
Sport Moray

Name:

Address:

Home Telephone:

Work Telephone:

Mobile Telephone:

Email:

Your Sport:

Your Club:

Highest current qualification:
None
Introduction Course
Level 1
UKCC Level 1
Level 2
UKCC Level 2
Level 3
UKCC Level 3
Level 4
UKCC Level 4

Any other sports related training/conferences attended?

Coaching Activity:

How many voluntary coaching hours per week?

How many paid coaching hours per week?

Are you in receipt of any other grant/expenses or sponsorship in connection with this application, including club support? (Provide all details if yes)

Would you be interested in being mentored or becoming a mentor?

Course Name:

Venue:

Course Date:

Cost:

Travel (Tier 2 and 3)

Accommodation (Tier 2 and 3)

Total Expenditure

Two References: e.g. Club Chairman; Office Bearer

First Referee Details:

Second Referee Details:

DECLARATION: I understand that any misinformation will result in my application being rejected.

Please indicate if you wish your name to be held on the coaching database:
Yes
No

Grampian Coaching, Aberdeenshire Council, Education, Learning & Leisure, Gordon House, Blackhall Road, Inverurie AB51 3WA
Tel: 01467 628283 | Email: info@grampiancoaching.org.uk

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