Individual Grants and Training and Education Grants Application

Before applying please ensure that you have read the accompanying Sporting Grant Scheme Application Guidance Notes to ensure that this application meets the award criteria. This application should take a maximum of 30 minutes to complete

Which grant are you applying for?*

Applicant information (must be the main contact for this application and over 16 years of age)

Title
Name*
Date of birth*
 / 
 / 
Daytime telephone number
Evening telephone number
Email address*
Home address*

Have you received any other grants or awards from SGBs, NGBs or any other agencies in respect of this application? Please detail who from, purpose and amounts below.

Other grants

Club or SGB Contact

Name of club that you regularly train with.*
Contact Name*
Position held in club/organisation*
Contact Telephone Number*
Contact email address*

About your application

What sport or activity will take place if you receive this grant?

Tell us how you will utilise your grant (maximum of 300 words)

Individual: Please give details of the competition/event/camp etc that this grant will support and the impact it will have on your performance as an athlete. *
Education and Training: Please describe how you will use this qualification and the impact it will have on your personal development and/or the development of your club.*
Please provide the date(s) of the course you have applied for. (please ensure this course takes place within the timeframe of - 3 months prior to the deadline and 3 months after the deadline submission date)*
Please detail the total cost of the activity/event/course. *
Please give the amount you are applying for from the Sporting Grants*
Individual Grant: Evidence of selection for a team competing at National, GB or International level*
Training and Education: Evidence of place on course or workshop*

Meeting our requirements and priorities

All information relating to the requirements of each category can be found in the application guidance notes.

Individual (please confirm that you meet the criteria by checking the boxes below).
Education and Training
Confirm here that you have attached the relevant evidence in your chosen category*

Finishing your application

You must read and then tick the box to below to confirm that you understand and agree to all the terms of this application.

You are authorised to apply for a grant from us on behalf of your club/organisation. If you make any seriously misleading statements (whether deliberate or accidental) at any stage during the application process, or knowlingly withhold any information, this could make your application invalid and and you could be liable to repay any funds to us. We will not make any decisions on the suitability of a grant if relevant sections of this application form have not been satisfactorily or supporting evidence is not provided e.g. bank statements; evidence of national selection/ evidence of course placement. We reserve the right to ask for additional information or evidence to help us to process your application. We will require evidence of expenditure for all awards. We will not release grant funding for Training or Education applications without evidence that the qualification has been attained.

Terms*

Please provide details of who the cheque should be made payable to, and where it should be sent, in the boxes below.  If your application is successful, a cheque will be raised and sent out as per the details submitted.  Please note, the amount awarded may differ from your application.

Cheque made payable to*
Cheque sent to*

Data Protection Statment

By checking confirm below, you agree to submit this application to West Lothian Council's Sporting grants Scheme. You also provide permission for the Sporting Grants Scheme panel to discuss your application with the relevant persons within your club or sport's governing body in addition to Active Schools and Community Sport Coordinators or any other West Lothian Council officer where appropriate. The personal details included in this application will be stored securely and will not be shared with any other organisation outside of West Lothian Council. The application, including personal details, will not be stored by West Lothian Council for any longer than necessary.

Full name of signatory*
Confirm signatory*