Grant Application for Talented Athletes | SURREY HEATH BOROUGH COUNCIL

This grant is available to support individuals living in Surrey Heath and competing at County level or above with the cost of high level competition. Grants can be used to cover a diverse range of costs including travel, coaching, equipment and memberships. The Sports Council recognise that every sport is unique and each application will be based on the evidence provided.

Applicant Name *

(NB. This is the name that cheques will be made payable to)

Club *

Sport *

Applicant Address

Country *

Address 1 *

Address 2

Town/City *

Postcode *

Telephone Number *

Email Address *

Please provide an overview of the standard achieved last year (or season) including notable competition achievements and national ranking if applicable (include details of any age group). Please enclose supporting documents. *

Amount of financial support (grant) you are requesting (max £250): *

Please provide a break-down of costs for which Surrey Heath Sports Council’s financial assistance is required:
Item Required	Number of items	Total Cost
Item Required	Number of items	Total Cost
Item Required	Number of items	Total Cost
Item Required	Number of items	Total Cost
Item Required	Number of items	Total Cost
Item Required	Number of items	Total Cost
Item Required	Number of items	Total Cost
Item Required	Number of items	Total Cost

Total *

Please give your estimated total annual expenditure (including equipment, venues, coaching, travel, entry fees/registration, memberships, physio etc: *

What are your targets/goals for the coming year? *

Have you approached any other organisations to assist with funding? Where applicable, were you successful and how much funding have you received?
Organisation Approached	Successful?	Funding Awarded
Organisation Approached	Successful?	Funding Awarded
Organisation Approached	Successful?	Funding Awarded
Organisation Approached	Successful?	Funding Awarded
Organisation Approached	Successful?	Funding Awarded
Organisation Approached	Successful?	Funding Awarded
Organisation Approached	Successful?	Funding Awarded
Organisation Approached	Successful?	Funding Awarded

Total *

Please attach supporting documents to evidence playing standard

Add a new file *

Files must be less than 32 MB.
Allowed file types: gif jpg jpeg png txt rtf pdf doc docx xls xlsx.

Declaration

Please note that the information provided in your application will be processed by Surrey Heath Borough Council officers and made available to the Committee of Surrey Heath Sports Council.

I declare that the information given above is, to the best of my knowledge, correct and I understand that any misleading statements or false information given during the application process may render the application invalid and any grant paid will be returned to Surrey Heath Sports Council.

I give permission for Surrey Heath Sports Council to publicise my grant should I receive one, and the following information may be put on the Surrey Heath Borough Council website: club, sport, club details and reason for grant (please delete any information you do not want to appear) . I understand that I may submit a photograph to be added.

I understand that submitting an application does not guarantee a grant award, and that all grants are made at the discretion of Surrey Heath Sports Council.

The information provided will only be used for the reasons outlined above. I understand that if I have any concerns in regards to the above, I should contact a member of the Surrey Heath Sports Council before signing.

Please tick to indicate that you agree with the declaration above: *

I Agree