TEAM TEAM ITU 2017 – ITU DEVELOPMENT PROJECT
Nat ion a l Fed er at io n
NF C on ta ct
E -m a i l:
Nam e /d eta i l s o f p r o p o sed ath lete
Fa mi ly n a m e :
Dat e o f
Bi rth :
Fir s t Na m e :
dd
mm
yyy y
G en d er :
Mal e
Fe m al e
E - mai l :
He ad Co ach o f p r o p o s e d ath let e
Fa mi ly n a m e :
Fir s t Na m e :
E - mai l :
T EA M I T U - E ven t b e in g Ap p l ied for (m ar k y es/n o)
2017 Chengdu ITU Triathlon World Cup
date: 6-7 May, format: semi-finals-finals
2017 Madrid ITU Triathlon World Cup
date: 27-28 May, format: sprint distance
2017 Tiszaujvaros ITU Triathlon World Cup
date: 22-23 July, format: semi-finals-finals
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
2017 Salinas ITU Triathlon World Cup*
date: 28-29 October, format: standard distance
2017 Buenos Aires ITU Triathlon World Cup*
date: 4-5 November, format: sprint distance
2017 Tongyeong ITU Triathlon World Cup**
date: 28-29 October, format: sprint distance
2017 Miyazaki ITU Triathlon World Cup**
date: 4-5 November, format: standard distance
*j o in t p r o ject in A m er ic a / * * j oin t p r o ject in A si a
Ath let e - b a ck gr o u n d in sp o r t *
How m an y ye ar s h a ve y o u p ar t ic ip a ted in o th er sp or t s b e for e st ar t in g t r iat h lo n ?
Sp or t:
Y ear s in sp ort :
Sp or t:
Y ear s in sp ort :
How m an y ye ar s h a ve y o u p ar t ic ip a ted in Tr iat h lon ?
I T U D e v e l o p m e n t │ T E A M I T U │ E l i t e At h l e t e D e v e l o p m e n t P r o j e c t │ 2 0 1 7
TEAM TEAM ITU 2017 – ITU DEVELOPMENT PROJECT
Cu r r en t tr a in i n g fr eq u e n cy & vo lu m e
C u r r e n t k m’ s p e r
week
C u r r e n t S e s s i on s p e r
week
S wi m
Bik e
Ru n
Ath let e - Pr im ar y sp o r t in g a ch i ev em en t * (T W O RE S UL T S M U ST B E A T C ON TIN E NT A L
CU P E V ENT IN T H E L AS T 12 M O NT H S)
E ven t
Resu lt
Da te ( y y y y)
Pl ace
* NFs can supplement this information with the athlete’s sporting CV if available
Ath let e - Par t ic ip at io n in IT U an d /or Con t in en t al D ev el op m en t Pr o jec t s
Ha ve y o u p ar ti cip ated i n an y I T U or Con t in en t a l
De ve lo p m en t Pr o j ect s ( sch o lar sh ip , ca m p , Te a m IT U) ?
Yes
No
Wh e r e ?
Wh e n ?
If, y e s … p l ea s e sp ec ify .
Proj e ct
Op t ion a l At tach m en t s
E n clo s ed
( wil l fa ci lit at e ap p ro va l p roc ed u r e i f su b m itt ed )
1. Lon g T e r m S trat e gi c P la n of th e Nat ion al F ed era tion
Yes
No
2. De tai l ed sp o rtin g cu r ri c u lu m o f a th l et e
Yes
No
3. Cop y of ath l et e’ s p a s sp ort
Yes
No
I T U D e v e l o p m e n t │ T E A M I T U │ E l i t e At h l e t e D e v e l o p m e n t P r o j e c t │ 2 0 1 7
TEAM TEAM ITU 2017 – ITU DEVELOPMENT PROJECT
No m in at ion for Coac h in g Su p p or t
Nom in ated Co ach :
Fa mi ly n a m e :
Fir s t Na m e :
Coa ch ’ s E - ma il :
Pr oj ect ( s) n o m in at ed fo r (P lea se u se YE S o r N O in y ou r an s we r) :
2017 Chengdu ITU Triathlon World Cup
2017 Madrid ITU Triathlon World Cup
2017 Tiszaujvaros ITU Triathlon World Cup
2017 Salinas ITU Triathlon World Cup*
2017 Buenos Aires ITU Triathlon World Cup*
2017 Tongyeong ITU Triathlon World Cup**
2017 Miyazaki ITU Triathlon World Cup**
* j o i n t p r o j e c t i n A m e r i c a / * * j o i n t p ro j e c t in As ia
I, the unde r sig ned, c e rt i fy that the in fo rmat ion pro vide d abo ve is ac c u r ate.
(Name, Function and Signature)
(Date)
Stamp
P l e a s e s u b m i t t h e a p p l i c a t i o n f o r m t o Z i t a C s o ve ly a k a t z it a @ t r ia t h l o n . o r g o n o r b e f o r e d u e d a t e s .
I T U D e v e l o p m e n t │ T E A M I T U │ E l i t e At h l e t e D e v e l o p m e n t P r o j e c t │ 2 0 1 7