Sport NI Athlete Award Programme 2022-23 - Expression of Interest

The following form is an expression of interest to be considered for the Sport NI Athlete Award Programme 2022-23

All applications will be acknowledged. By filling out this expression of interest form, the athlete consents to having their information confidentially held on file by Cycling Ireland and passed on to Sport Northern Ireland for review. Furthermore the athlete accepts and acknowledges the Sport NI Athlete Awards Guidance 2022-23 document disclaimers 1-4 and the athlete certifies that they have read and understood the guidelines and criteria applicable to application for funds and agree to comply in full therewith.

Purpose

The purpose of this investment aims to enable athletes to train in order to maximise potential. Those applying will be required to demonstrate the significant commitment required that their circumstances have changed, or need to change significantly, to allow them to adequately prepare for competition or to train as part of a National High Performance Programme targeting success in major international competition.

During assessment athletes who are transitioning onto or through National Sport programmes will be considered favourably. The intention of the athlete award is not long term support but helping athletes at key times in the sporting pathway to enable their transition to the next level.

In the 2022-23 Athlete Award year Sport NI will have an additional focus on athletes who can deliver Medals and top 8 finishes at the 2022 Commonwealth Games

Please see the link below for further information;
http://www.sportni.net/funding/athlete-award-programme-202223/

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* 1. Athlete Surname

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* 2. Athlete Forename

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* 3. Contact Details

Address

Address 2

City/Town

Postal Code

Country

Email Address

Phone Number

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* 4. Athlete D.O.B (dd/mm/yyyy)

Date

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* 5. Please select your cycling disciplines

Road (Road Race)

Road (Time Trial)

Track Endurance

Track Sprint

Cyclo-cross

MTB Cross Country

MTB Downhill

MTB Enduro

BMX Racing

BMX Freestyle

Paracycling Road

Paracycling Track

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* 6. What is the name of your current racing team or club?

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* 7. Please list notable races you've competed in in 2021. Please include Race name, Race Location, Number of Competitors, Race Result including time from race winner. e.g. UCI Road Wold Championships / Ostend, Belgium / 200 / 20th place / (+02:45)

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* 8. Please indicate any notable International Championship results in your past career. Include Race name, Location, Date, Result e.g. 2021 UEC MTB DHI Elite European Championships / Maribor Slovenia / 08/08/21 / 5th place

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* 9. Please outline your planned race program for 2022. Please indicate which races you plan to compete in and your result target for these races

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* 10. Please indicate any key performance indicators or improvements you wish to make in the current 2022 season

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* 11. Please indicate your current employment status

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* 12. Please indicate your current education status

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* 13. What financial barriers do you currently face that negatively impact your development? (e.g. personal living costs, training and/or competition costs)

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* 14. How would you use this award to address these challenges and enhance your performance?

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* 15. Do you currently receive funding from Sport Ireland or UK Sport. Please select from drop-down

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* 16. For Athletes receiving Sport Ireland carding or UK APA funding please summarise the amount and how this is used

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* 17. Do you receive sponsorship / prize money or scholarship funds? If so how is this used?

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* 18. Do you wish to add any other relevant information to your application? Please add below

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* 19. Please indicate your requested level of award

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* 20. I declare that all the information that I have included in this application is true and accurate to the best of my knowledge.

Yes

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* 21. I understand that my application will be held on a protected Cycling Ireland server and I agree for my information to be passed on to Sport Northern Ireland for review as per the guidelines published on the Sport NI Athlete Awards website

Yes

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* 22. I understand that I can request my application to be deleted at any time.

Yes