Connacht Ladies Gaelic Football Higher Education Bursary ...
Connacht Ladies Gaelic Football Higher Education Bursary Application Form Please affix passport sized photo here with your name printed clearly on the back
Name: ________________________________________
Address: ______________________________________ ______________________________________ ______________________________________
Home Telephone No. ____________________
Mobile: __________________
Email Address: __________________________________________ Date of Birth: ______________ Home Club: ___________________
Home County: _____________
NAME OF HIGHER EDUCATION COLLEGE YOU ATTEND
Course Name: _____________________________
Course Duration: ___________
Year of Course: ___________
Full Time Student: Yes
No
Student I.D. Number: _______________________
Are you in receipt of a Sports Scholarship/Bursary from any other body?
Yes
No
If Yes, please give details Bursary/Scholarship/Sponsorship Awarding Body: __________________________________ Date of Award :
__________________________________
Value of Award:
__________________________________
DETAILS OF PLAYING CAREER TO DATE Club
County
College
Other
Please list administrative or coaching roles undertaken in the Ladies Gaelic Football Association, including assisting in the coaching of underage teams Date
Role Undertaken
Level (Club, School, Co)
PLEASE LIST ANY COACHING QUALIFICATIONS YOU HAVE? (IF YES PLEASE STATE WHEN AND WHERE OBTAINED)
To be completed by College Registrar only: I wish to confirm that, ____________________________, is a registered full time student, in (name of applicant) ____________________. (name of college) I wish to confirm that the above named is a student in good standing of this Educational Institution and is enrolled in a fulltime higher education course (60 credits); I also confirm that the above named is not in receipt of a Bursary, Grant or any other form of financial support from this institution
Signature: ________________________________, (College Registrar) Date: _______________________ College Stamp
To be completed by College GAA Club: (to be completed by either, Club Chairman/Secretary or Games Development Officer) I wish to confirm that __________________, is not in receipt of a Sports Scholarship/Bursary (name of applicant) award from this college. I wish to confirm that _________________, is an active member of our college GAA Club. (name of applicant)
Signature: _________________________,
Role within Club: __________________
Date: ___________________
SIGNATURE ________________________
STUDENT APPLICANT
______________
DATE
All applications must be returned to: Postal Address: Ita C. Hannon, 21st Century, Moneen, Castlebar, Co. Mayo
Closing Date For Applications 2/12/2016.
Scholarship Eligibility Criteria
Must be a member of the Ladies Gaelic Football Association either in a playing or administrative capacity.
Must be a student at Third Level College.
Must be available to play/coach/ or hold administrative role for the college ladies football club.
Must abide (at all times) by the Third Level College and Ladies Gaelic Football Rules.
Connacht Ladies welcome applications from those students in our province (Galway, Leitrim, Mayo, Roscommon and Sligo) regardless whether their attendance is at college inside or outside of Connacht.
Connacht Ladies Gaelic Football Council reserves the right to alter the value of scholarships being awarded any year. Connacht Ladies Gaelic Football Executive holds the responsibility for the awarding of the scholarships. The committee’s decisions shall be final and binding and there will be no recourse to any form of arbitration by or on behalf of an unsuccessful applicant. All applicants will receive an email afterwards with notification of whether they were/not successful.
Name: ________________________________________
Address: ______________________________________ ______________________________________ ______________________________________
Home Telephone No. ____________________
Mobile: __________________
Email Address: __________________________________________ Date of Birth: ______________ Home Club: ___________________
Home County: _____________
NAME OF HIGHER EDUCATION COLLEGE YOU ATTEND
Course Name: _____________________________
Course Duration: ___________
Year of Course: ___________
Full Time Student: Yes
No
Student I.D. Number: _______________________
Are you in receipt of a Sports Scholarship/Bursary from any other body?
Yes
No
If Yes, please give details Bursary/Scholarship/Sponsorship Awarding Body: __________________________________ Date of Award :
__________________________________
Value of Award:
__________________________________
DETAILS OF PLAYING CAREER TO DATE Club
County
College
Other
Please list administrative or coaching roles undertaken in the Ladies Gaelic Football Association, including assisting in the coaching of underage teams Date
Role Undertaken
Level (Club, School, Co)
PLEASE LIST ANY COACHING QUALIFICATIONS YOU HAVE? (IF YES PLEASE STATE WHEN AND WHERE OBTAINED)
To be completed by College Registrar only: I wish to confirm that, ____________________________, is a registered full time student, in (name of applicant) ____________________. (name of college) I wish to confirm that the above named is a student in good standing of this Educational Institution and is enrolled in a fulltime higher education course (60 credits); I also confirm that the above named is not in receipt of a Bursary, Grant or any other form of financial support from this institution
Signature: ________________________________, (College Registrar) Date: _______________________ College Stamp
To be completed by College GAA Club: (to be completed by either, Club Chairman/Secretary or Games Development Officer) I wish to confirm that __________________, is not in receipt of a Sports Scholarship/Bursary (name of applicant) award from this college. I wish to confirm that _________________, is an active member of our college GAA Club. (name of applicant)
Signature: _________________________,
Role within Club: __________________
Date: ___________________
SIGNATURE ________________________
STUDENT APPLICANT
______________
DATE
All applications must be returned to: Postal Address: Ita C. Hannon, 21st Century, Moneen, Castlebar, Co. Mayo
Closing Date For Applications 2/12/2016.
Scholarship Eligibility Criteria
Must be a member of the Ladies Gaelic Football Association either in a playing or administrative capacity.
Must be a student at Third Level College.
Must be available to play/coach/ or hold administrative role for the college ladies football club.
Must abide (at all times) by the Third Level College and Ladies Gaelic Football Rules.
Connacht Ladies welcome applications from those students in our province (Galway, Leitrim, Mayo, Roscommon and Sligo) regardless whether their attendance is at college inside or outside of Connacht.
Connacht Ladies Gaelic Football Council reserves the right to alter the value of scholarships being awarded any year. Connacht Ladies Gaelic Football Executive holds the responsibility for the awarding of the scholarships. The committee’s decisions shall be final and binding and there will be no recourse to any form of arbitration by or on behalf of an unsuccessful applicant. All applicants will receive an email afterwards with notification of whether they were/not successful.
