SPORT AND RECREATIONAL GRANT AID
APPLICATION FORM
Sports Development Unit
APPLICANTS DETAILS
Name
Gender
Date of Birth
Address
Postcode
Telephone
Mobile
Email
Are you registered disabled?
Yes
No
What is your ethnicity?
SPORTS CLUB / ORGANISATION DETAILS
Name of sports club / organisation you belong to
Website address
Please briefly explain how this course / qualification will benefit your club or organisation?
COURSE DETAILS
Course title
Awarding body
Date of course (From)
(To)
Total number of days the course ran
Venue Address
Postode
COURSE ORGANISER
Contact name
Contact telephone number
Contact email address
Version 1 – September 2014
NOT PROTECTIVELY MARKED
PLYMOUTH CITY COUNCIL
COST OF ATTENDANCE
Total cost of course
Number of nights accommodation (if applicable)
NOTE: Accommodation costs will only be considered if the course is two or more days long
Overall mileage (if applicable)
NOTE; Mileage will be considered by the most direct route using the AA Route Planner
CHECKLIST
Please ensure you supply the following information with this application:
Proof of completion eg. Certificate
Proof of course eg. Receipt
Proof of accommodation costs(if applicable) eg. Receipt
NOTE: This information MUST be submitted with your application form. If you do not supply the additional
information requested, your application will not be considered by the Grants Committee and will be returned.
DECLARATION
The information you have supplied on this application form will be stored on a database for use by Plymouth
City Council in administering this scheme, in accordance with the Data Protection Act 1998. By signing or
writing your name below you are consenting to the Council using the information you have supplied in the
manner stated above.
I confirm that the information given in this application form is correct, and that I have read the guidance and
standard conditions relating to this grant aid scheme
Sign/Write name (parent or guardian if under 16)
Date
NOTE: All grant awards are paid by BACS transfer, so if your application is successful you will need
to provide your bank details so that we can make payment.
Please return this completed application form, with any additional information required to the Sports
Development Unit by email to [email protected] or post to Sports Development Unit, Plymouth
City Council, Windsor House, Tavistock Road, Plymouth PL6 5UF.
SPORT AND RECREATIONAL GRANT AID APPLICATION FORM
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