Middlesbrough & Teesside Philanthropic Foundation Newsletter
Teesside University€¦ · Web viewThis form is for regional, national and international athletes...
Transcript of Teesside University€¦ · Web viewThis form is for regional, national and international athletes...
Teesside University Athlete Support Schemes: Application Form
This form is for regional, national and international athletes who can contribute positively to Student Union sport and / or develop the reputation of Teesside University
through international level sports performance.
NOTE: Places are limited and will go to the strongest applicants and all offers are subject to enrolment on a course at Teesside University during the 2018 – 2019 academic year.
Return completed forms to [email protected] & ensure e-mail is titled: Athlete Support Scheme: Application
Athlete Information
First Name
Last Name
Phone
Date of Birth
Student Status
I am enrolled as a current student at Teesside University
I have an offer and due to enroll on a course at Teesside University during the 2018 – 2019 Academic year.
Full course title
For example BA (hons) History
Sport and level
Sport:
Full international (e.g. representing your country at senior international level, such as Olympic or Commonwealth games)
Junior international (e.g. representing your country at age group international level, such as a World Junior Championships)
Student international (e.g. English students)
Teesside University Athlete Support Schemes: Application Form
National level (e.g. Competing against individual or teams across the country at a very high level, such as FA Women’s Super League)
Regional level (here you may be part of regional squads, North East of England, or a “North East champion” for example)
Other (please specify)
Athletic achievements
Please indicate your key achievements to date. Note that these achievements need to be verifiable so please provide sufficient information e.g. dates, venues, web links etc.
Future ambitions
What are your short-term goals?Please use SMART (specific, measurable, achievable, realistic, timed) goal setting layout. (Please keep to 300 characters)
Teesside University Athlete Support Schemes: Application Form
What are your long-term goals?Please use SMART (specific, measurable, achievable, realistic, timed) goal setting layout. (Please keep to 300 characters)
Teesside University Athlete Support Schemes: Application Form
Personal characteristics
What do you need to do to achieve your goals?Please indicate the processes that are required for you to develop as a performance athlete, e.g. Training, nutrition and lifestyle etc…
How will you balance your athletic development with your academic studies and social aspects of the student experience?
How will you enhance the reputation of Teesside University student sport? Please think not only about your sporting and academic performance but also about your role as a leader and role model for student sport and as an ambassador for the University and Students Union.
Teesside University Athlete Support Schemes: Application Form
Teesside University Athlete Support Schemes: Application Form
Guidance
What types of services, information and guidance can we provide to help you achieve your goals?
Please indicate if you feel any of the following services would be beneficial to you:
Strength and conditioning (coaching / programming)
Physiological or biomechanical (fitness testing)
Training monitoring
Lifestyle and nutrition guidance
Sports psychology
Physiotherapy
Other (please specify)
Reference
Please provide contact details for the most suitable reference to verify your current level and future potential. E.g. A National Governing Body representative or National Coach)
First Name
Teesside University Athlete Support Schemes: Application Form
Last Name
Job title (role)
Most appropriate contact details
Other
Is there anything else you wish to add to your application?
Note: Your data will to be held securely on a Teesside University server and will not be passed on to any 3rd party. Processing of personal data respects the essence of data protection and provides suitable and specific measures to safeguard the rights and interests of the data subject in full compliance with the General Data Protection Regulation and the Data Protection Act 2018.
I confirm that all information provided is both up-to-date and accurate
Signed Date:
Teesside University Athlete Support Schemes: Application Form
I give my consent for the information provided here to held, as described above, for the period of time that I am a student at Teesside University.
Signed Date: