Active Dover Grant Application Form - Individual Sports Performers

Grant Application for
INDIVIDUAL SPORTS PERFORMERS (2013 - 2014)
Applicants are eligible for one award per financial year (up to £300) for no more than 3
consecutive years, based on the applicant meeting the grant criteria and scoring which can
be read on the reverse of the form.
PERSONAL DETAILS
Name of Applicant
Address & Post Code
Date of Birth (Age)
Telephone & Mobile No:
Email Address
If you are completing this form on behalf of the applicant, please provide your details below
Name
Relationship to the applicant
(i.e. parent / sports coach)
Address & Post Code
Telephone & Mobile No:
Email Address
INFORMATION ABOUT YOUR SPORT
Please state the sport that you (the applicant) are
associated with, and the level at which you (the
applicant) compete / perform
e.g. county, national, international standard.
Which National Governing Body of Sport are you
(the applicant) affiliated to, and what is your
affiliation number
N.G.B. No:
Are you (the applicant) a Kent F.A.N.S. member YES NO F.A.N.S. No:
Page 1 of 4
(Application form for the financial year 2013/14)

REASON FOR YOUR GRANT APPLICATION
In no more than 30 words please describe the main reason for your grant application.
(for example: to compete at the European Championships in Hungary on the 12 th July)
COMPETITION / PERFORMANCE DETAILS & COSTS
Considering the season ahead, please list all anticipated targets, with associated expenditure.
(Please note it is best to apply pre-season or early to mid season, but applications listing an entire
season that has passed will not be considered).
Date Competition Location
For example
March
2013
ASA National Swimming
Championships
Sheffield
Uk
Entry or
Qualification
Status
Qualification
Confirmed
Anticipated Cost
Travel:
Accommodation:
Event Entry:
£
£
£
Additional Expenditure (i.e. equipment, coaching fees, affiliation, insurance, etc)
GRAND TOTAL £
Page 2 of 4
(Application form for the financial year 2013/14)

ADDITIONAL INFORMATION
Additional Information; please explain any additional information you feel necessary to make your
application stand out or demonstrate your financial need.
You, your Club and your Coach
Please give the details of the sports-club / organisation that you (the applicant) are a member of
Name of Club
Name of Club Coach
Telephone & Mobile No:
Email Address
FINANCIAL INFORMATION
Please list all forms of income that will financially contribute towards your competition costs.
£
£
£
How much funding are you (the applicant) contributing £
How much funding are you (the applicant) requesting from ‘Active Dover’ £
TOTAL £
CHECK LIST & BANK DETAILS
Please tick which of the following documents are enclosed, those marked with an * are compulsory.
Most relevant Competition / Race Results *
Supporting letter from; Sports Coach / NGB / School / Employer *
Qualification Confirmation letter from your NGB
Copies of Press Coverage
Signature
Date
Applicants will be notified of the success of their application within 15 working days after the
submission deadline (please see dates below). If your application is successful a BACS transfer will
be made to the appropriate Bank Account.
Bank Account Name
Bank Account No
Sort Code
Name of Bank
SUBMISSION DEADLINE for applications: Wednesday 31 st July 2013 & Monday 23 rd January 2014.
COMPLETED APPLICATIONS should be sent to: Communication & Engagement Team,
Dover District Council, White Cliffs Business Park, Dover, CT16 3PJ
Page 3 of 4
(Application form for the financial year 2013/14)

Grant Application for
INDIVIDUALS SPORTS PERFORMERS (2013 – 2014)
PLEASE NOTE
Individual performers are only eligible to apply for the ‘Active Dover’ grant for no more than 3
consecutive years.
CRITERIA
Individuals applying for grant aid must;
Participate at sport at a county, national or international standard
Reside within the Dover District (Dover, Deal, Sandwich, Aylesham and Rural Area),
Be affiliated to a relevant National Governing Body of Sport,
Demonstrate that additional funds/grants have been sourced, i.e. through fund raising activities,
sponsors and applications to other funding bodies,
Provide evidence of sporting achievements / goals,
Provide a supporting letter from either; the National Governing Body of Sport, or a appropriate
School Official / Employer.
SCORING
Assessment of applications will be based upon the above criteria and the following;
The level at which the individual performs/competes,
The extent to which participation/performance in sport/active recreation will be increased,
Financial need and the amount of fundraising achieved by the individual.
Demonstration that the applicant has applied to other grant bodies or is seeking sponsorship.
Officer responsible for processing grant
Date application received
Date submitted to Grants Panel
Previous applications made to ‘Active Dover’
(FOR OFFICE USE ONLY)
Grants Panel Recommendation Approved / Not Approved
And additional notes/advice
Date applicant notified of decision
Page 4 of 4
(Application form for the financial year 2013/14)