Application for a Sports Scholarship Award (Club)

To be completed by the Chairman or Secretary of the Club or Society.
You MUST, in the box provided write a simple statement of why the Association should grant this application, and the benefits that the members of the Club will derive from it.
If this is an ‘emergency application’, you MUST fill in the section which covers this.

Full name of club*

Founded*

Nature of Club/Sport*

Number of Members*

Full Names of Officers & Date of appointment

Chairman*

Secretary*

Treasurer*

Name of normal contact for this application*

Web URL*

Tell us about your membership and activities.

Normal Meeting Place

Age Range

Frequency of Meetings

No of Teams/participants established*

Male/Female/Both*

Competitions entered in last two years and successes*

If outside Lakes Parish state when your members have participated in Ambleside Sports if applicable. Note that we do have records.

(1) Year*

Event and Result*

(2) Year*

Event and Result*

What is this application for?*

Approximate value including any VAT and delivery charges £*

If applying to someone else, when will that body determine your application and do you need both to achieve the purpose of this bid?*

How is this collected e.g.: Subscriptions/coffee mornings etc.*

How Much? *

Have you applied to anyone else for funding or is anyone else also contributing?*

Who?

How much?

If applying to someone else, when will that body determine your application and do you need both to achieve the purpose of this bid?*

NET VALUE OF Application

Names/addresses of any referees/supporters (1)

E-mail

Names/addresses of any referees/supporters (2)

E-mail

Emergency Application Tell us why this is an ‘Emergency Application’ and why you did not apply at the correct time. NB, Having only just found out about this scheme does not constitute an emergency for these purposes.

In submitting this application you are confirming that you have read and understood the terms of the Scheme. In signing this application you are personally confirming that you too have read and understood the terms of the scheme and that that everything in this application is truthful. You are also confirming that you personally accept all legal responsibility for it.

Please send your most recent annual accounts and copies of your Bank Statements for the last three months. If an award is made, funds will not be released to individuals and must be paid into your bank account.

AMBLESIDE SPORTS ASSOCIATION LIMITED, a Company limited by Guarantee.