Coach Bursary Fund Application Form

Instructions

Please complete the form as fully as possible.

Section 1
Contact Details: please complete this section with your personal details as fully as possible.

Section 2
Organisation Details: If you are involved with an organisation (sports club, leisure centre, school) please complete this section.

Section 3
Project Details/Grant Allocation: In these sections please explain the project you
are involved with, how the project will work and the costs/outcomes that are associated.

Section 4
Referee: The reference that you give may be contacted for further details on your application. Please complete this section fully.

For further information please call 01773 571222.

Once you have completed the form, please click onto the SUBMIT button at the bottom of the page to send your information to Derbyshire Sport. This form must be completed by the coach applying to the Coach Bursary fund.

Contact Details (Section 1)
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    (day-month-year) Required field 
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  Ethnic Origin  *
 
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Organisation Details (Section 2)
     
  What is your role?    
  How long have you been part of the organisation?    
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Project Details & Grant Allocation (Section 3)
  What project(s) are you involved in?  
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  Please give details for the above  
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  When will this take place?  
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  How much is coming from other organisations? (please give details)    
  How will this benefit sport in Derbyshire?  
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  How will this add value to your project/organisation?  
*
 
Referee (Section 4)
Please give details of a Referee we can contact linked to the project you are working on
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