Northampton Energy Elite Athlete Scholarship form

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Northampton Energy Elite Athlete Scholarship

Title*

Gender*

Male

Female

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Other

Name*

First Last

Date of Birth*

Address*

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Nationality*

Email*

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Contact Number*

Course Details

Year of study*

Course applied to/ studying*

Sport Details

Which is the primary sport you compete within*

At which level do you compete*

County

National

International

Where possible please outline your best sporting performance. Ie 800m PB 1:50:00/ Current national ranking*

Outline your recent event performances. Where possible provide evidence of performance*

Your Motivations

Please provide a written personal statement (500 words). You should outline the purpose of the course you wish to study, your sporting aspirations, future career ambitions, the contribution you can make to the university community and how you believe the scholarship will aid towards this*

Referee Name/ Role

Referee contact email address*

Enter Email Confirm Email

Please provide a written reference (250 words) from a referee. This could be a coach or national governing body for your sport*

What are you looking for?

Courses

Events

Staff

Northampton Energy Elite Athlete Scholarship form

Course Details

Sport Details

Your Motivations