Sport Scholarship – Application Form

Please complete these details as fully as possible

PREVIOUS SCHOOL/COLLEGE ATTENDED School/College

REPRESENTATIONPlease give details of current levels of sporting honours including county, regional or international:

Please give details of current training schedules and venue (home club):

PERFORMANCEPlease state your highest achievements over the last three years, most recent first including dates:

AMBITIONSPlease advise of your ambitions and goals for the future. If appropriate please express selections, rankings and medals:

PERSONAL DETAILSSurnameForename(s)Title (circle) Miss Mrs Ms Mr

Sex (circle) Male Female

Date of Birth d d / m m / y y y y

ADDRESS Street & No.Town

Post Code

EmailMobile/Home NumberCourses applied for

12 Sport Scholarship you are applying for?

(Tick)Thanet Athletics Club Other Sport Thanet Road Club (Cycling) EKC Football Club Thanet Swim Club Thanet Wanderers (Rugby)

REFERENCESPlease provide the name and contact details of two referees. One must be a Club Coach or National Governing Body representative.Name

Position

Email

Tel No

Name

Position

Email

Tel No

Please read the statement on the back of this form as it explains how the College will use the information that you provide

In no more than 200 words please state why you think you should be considered to be on the sport scholarship scheme:

LEARNER’S SIGNATURE ‘I understand that East Kent College may use my details to contact me about courses and learning opportunities’

I have read and completed the above and agree they are correct LEARNER’S SIGNATURE

Date:

If you have any queries or you require any assistance in completing this form, please contact stephanie.howard@eastkent.ac.uk or call 01843 605040 ext 5612.

Completed application forms should be returned to Stephanie Howard, College Sport Maker, East Kent College, Ramsgate Road, Broadstairs, Kent, CT10 1PN

DATA PROTECTION and YOUR PERSONAL INFORMATION - How We Use Your Personal InformationEast Kent College endeavours to interact with all of our customers in line with current legislation such as the Data Protection Act 1998 and in accordance with their wishes.

We will only use the personal information you provide to deliver the services you have requested, for internal statistical analysis and/or to contact you by mail, telephone or (if you give us your e-mail address) electronic communication about other services or events offered by East Kent College. We will not make your personal details available outside our organisation (which includes affiliates and authorized agents), without your consent, unless obliged by law. Please be aware that completing this form gives consent for the College to hold and use information about you as stated above.

(1) East Kent College will use your contact details (postal address, email address, telephone, and mobile number) to contact you regarding the product and/or services you have requested.(2) East Kent College offers you the chance to opt out of receiving additional information from us by post or email.(3) Information gathered from East Kent College contact forms will not be sold/ passed on to any third party organisations for marketing or sales purposes.