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: _____________________________ Year of Course: ___________
Course Duration: ___________ 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) PLEASE INCLUDE COPY OF ALL CERTIFICATES
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: _________________________, Date: ___________________
Role within Club: __________________
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 1/12/2017.
Scholarship Eligibility Criteria •
Must be a member of the Ladies Gaelic Football Association either in a playing, administrative or coaching capacity.
•
Must be a 2nd, 3rd, 4th year or subsequent year student at Third Level College.
•
Must be available to play/coach/ or hold administrative role for the college ladies football club.
•
At all times must abide by the Third Level College and Ladies Gaelic Football Rules.
•
Connacht Ladies welcome applications from eligible students in our province (Galway, Leitrim, Mayo, Roscommon and Sligo) regardless of the location of college they are attending.
•
Payment will be made in two x €500.00 instalments. Qualification for 2nd payment will depend on the applicant being available to assist Connacht LGFC on two out of four specified dates.
•
Nominate two persons as reference contacts, supplying name, address and phone number for each.
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: _____________________________ Year of Course: ___________
Course Duration: ___________ 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) PLEASE INCLUDE COPY OF ALL CERTIFICATES
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: _________________________, Date: ___________________
Role within Club: __________________
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 1/12/2017.
Scholarship Eligibility Criteria •
Must be a member of the Ladies Gaelic Football Association either in a playing, administrative or coaching capacity.
•
Must be a 2nd, 3rd, 4th year or subsequent year student at Third Level College.
•
Must be available to play/coach/ or hold administrative role for the college ladies football club.
•
At all times must abide by the Third Level College and Ladies Gaelic Football Rules.
•
Connacht Ladies welcome applications from eligible students in our province (Galway, Leitrim, Mayo, Roscommon and Sligo) regardless of the location of college they are attending.
•
Payment will be made in two x €500.00 instalments. Qualification for 2nd payment will depend on the applicant being available to assist Connacht LGFC on two out of four specified dates.
•
Nominate two persons as reference contacts, supplying name, address and phone number for each.
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.
