APPLICATION FORM
SCA Performance Support
Abstract
This form is for those who wish to be considered for performance support allocation from
mid September 2016 to mid September 2017. The information collected on this form will
provide valuable background for the Inclusion Panel
Deadline for application: 31 August 2016
Athletes should be aware that the Performance team will monitor results achieved between the
application deadline date and the date of the performance group meeting
General information
Parent’s information must be completed for all U18 applications (optional for Over 18s).
This form should be returned by email to [email protected]
Athletes
Full Name
Date of Birth (dd/mm/yyyy)
Place of Birth
Nationality
Address
Email address (optional for U18)
Phone number (optional for U18)
Discipline you are competing in
Club you are competing for
Parent / Guardian 1
Full Name
Address (only if different from Athlete)
Email address
Phone number
Relationship to applicant
Parent / Guardian 2
Full Name
Address (only if different from Athlete)
Email address
Phone number
Relationship to applicant
Which Performance Support are you applying for?
For details of the support available, please refer to the SCA Performance Support document
published on the Performance page of the SCA website – a copy of the main table is
inserted on the last page of this application form.
SCA Performance Programme (Full)
Yes
No
SCA training camps and race support1
Yes
No
2
Sportscotland Institute of Sport (SIS)
Yes
No
3
Winning Students
Yes
No
1
This is available to athletes competing in Olympic Disciplines and training on a daily basis in
their local environment. Athletes have the opportunity to access the SCA Performance
annual planner of activities for camps and race support.
2 This is available to athletes competing in Olympic and Paralympic disciplines, based on
distance from world best and athletes profile
3 This is available to eligible athletes in all competitive disciplines, based on distance from
world best and athletes profile
SCA Performance support – Application Form – 2016/2017
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Your goals and ambitions
Please list your major goals for the next three seasons
Year
Goals
Sport
2017
School
season
Other
Sport
2018
School
season
Other
Sport
2019
School
season
Other
Information considered for performance support selection/retention
Training Background
What is you current training regime?
Number of paddling sessions per week
Number of S&C sessions per week
Number of other land based sessions per week
How long have you been training with this regime?
Answer
What is your former training regime?
Number of paddling sessions per week
Number of S&C sessions per week
Number of other land based sessions per week
How long have you been training with this regime?
Answer
Additional questions
Which year did you specialise in your discipline
Which year did you start to train regularly (ie. > 5 times per week)
Your achievements
Please list your 5 most important canoeing achievements since 2015
Race / Ranking – Place - Date
Discipline/Event
e.g. National Regatta – Nottigham – 11/04/2015
e.g. J16 League – British Ranking – End of season 2016
K1 Women 500
C1 Men Slalom
SCA Performance support – Application Form – 2016/2017
Result
Final A - 4
3
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Growth mindset
Please provide an example of a challenge you planned to embrace this year and explain
how you overcame it:
Please provide an example of a setback you faced since 2015 and explain how you
overcame it:
Please explain the different sources of feedback you use and how this helps you to
improve:
Strength and conditioning
image
Description
Result
Number of pull ups in 1min
(Over hand grip, as if you are paddling - the chin
must pass over the bar at each rep – the arms must
come back straight at each rep)
Number of press ups in 1 min
(Chest must touch the floor at each rep. – arms
must be fully straight at each rep.)
Stretching: Standing on a box, legs locked, feet together,
reach to your toes by bending at the hip. The result is
the distance between your finger tips and point 0
“object you are standing on”. Use ruler in centimetres.
Put a negative if your fingers are above point 0.
SCA Performance support – Application Form – 2016/2017
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Training Process
Please explain how you ensure that you make the most of each training session to reach
world class level:
Training Environment
Please explain the support you receive from your family, club, school and others to
achieve your goals.
Club Coach endorsement (Optional)
This needs to be filled by your main coach:
Name:
Organsation/Club:
Coach Contact time with the athlete:
Endorsement:
Statement by applicant
I understand that the information I have provided will be used as part of the process to
assess my eligibility for performance support. I understand that where there are more
eligible athletes than places available the provision of performance support is reviewed with
reference to the overall targets of the SCA Performance programme. I understand that if I
am offered support I will be expected to sign and abide by the SCA Performance Athlete
Code of Conduct.
Signed
Date
Parent / Guardian signature (mandatory for U18)
Date
Please sign the form electronically by inserting your Full Name.
This form should be returned by email to [email protected]
Deadline 31 August 2016
SCA Performance support – Application Form – 2016/2017
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