Sports Bursary Application Form

Are you an Undergraduate or Postgraduate applicant? * UndergraduatePostgraduate

Undergraduate UCAS Personal ID (if applicable)

Postgraduate Application Number (if applicable)

Surname *

Forename(s) *

Date of Birth

Home Address *

Post Code

Mobile / Contact telephone no.

Email address *

Title of course applied for

Course code

What is your sport? *

1. Sporting Achievements: please list your sporting achievements over the last 2 years, including the level attained, representative honours (including natinoal rankings, tournament / competition results etc). Please include dates. *

2. Performance Goals: please provide your sport-related goals over the next 3 years, along with details about how you will achieve your objectives. *

3. Membership: please give details of any sporting clubs you have been a member of, or coaching you have received, and evidence of higher level coaching during the last 2 years. Please include dates. *

4. Injuries: please indicate whether you have suffered any injuries / illness that has kept you from training and competing during the last 2 years. If so, please include details. *

5. Further Details: in no more than 500 words, please provide any other details you believe support your application for a Sports Bursary at Aberystwyth. Please also include details of your current training programme. *

REFERENCE:

Please supply a letter of support from a referee. That person should be someone who can comment on your sporting achievements, and who can confirm that your sporting goals are realistic and achievable, e.g. a coach or instructior / National Governing Body.

I understand that I need to submit a reference to support my application. *

You may attach a scanned copy of your reference to this form if you wish

You may attach any further supporting evidence if you wish

DECLARATION: I declare that the details given in this application form are a true and accurate representation of my status and sporting achievements. If successful, I commit to abide by the conditions of the award, and understand that my details may be used in University publicity materials unless I request otherwise. *

Date *