Sports Council - Application Form

DOB:

First name

Last name

Address

Phone

Email Address

Sport:

Sports Club:

Please provide a breakdown on how the money will be spent including: Travel, Coaching Fees, Equipment, Sports Kit & Competition Fees. Include as much detail as possible

Please provide details of your competition record from the last 12 months: Include details of the event, The level of competition and your placing if applicable.

Please provide the following details: Length of time involved in the sport, Details of your training schedule and details of your sporting aims and ambitions?

Have you received any other grants or sponsorships in the last 2 years? If Yes please provide details

Does the applicant: (Please tick all that apply)

Live in Hartlepool

Train in Hartlepool

The Sports Concil my need to share this information regarding yor appication with third parties to verify your details: Please confirm yo agree to this?

Yes

Letter of support from yor sports coach or equivilant:

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Upload supported file (Max 15MB)

Any other relevant supporting documents

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Any other relevant supporting documents

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I certify to the best of my knowledge that the information given on this form is correct. I understand that deliberately giving false or incomplete information would disqualify me from further funding and this information will be shared with similar groups within Hartlepool.

Thank you! We’ll be in touch.

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