TU Dublin Sport, City Campus Elite Athlete Academic Entry Scheme

 
 

All fields marked with an * are required fields:

TU Dublin Sport, City Campus Elite Athlete Academic Entry Scheme - Closing Date 01/06/2019

TU Dublin Sport, City Campus Elite Athlete Academic Entry Scheme
1: Personal Details
(in Kilos) (in Centimetres)
                       
   

2: Academic Details
Level 6  
Level 7  
Level 8  

3: Sports achievements

Select your sport

Upload an image of you in action

List your achievements in your main sport, e.g. representative honours, times, distances, scores etc .
:


Tick all that apply
Inter County (GAA Applicants Only)  
International  
Interprovincial  
National  
School  


4: References

References from two persons (eg. Sport Club Coach/Manager, School Coach, Regional or National Coach/ Manager) must be entered


Referee 1:


Referee 2:


5: Additional Information

6: Declaration
Privacy Statement

All the information collected by the TU Dublin Sport, City Campus is collected in accordance with the Data Protection Act 1988.
This information will not be disclosed to any unauthorised third parties without your consent. A copy of the Privacy Act can be obtained at
(www.dataprotection.ie)

Please tick the box below to indicate that you have read the Privacy Act and agree to its terms.



Declaration Statement

I wish to be considered for a place on the Athlete Support Programme, and I declare that all the information provided in this application
(including any supporting documentation) is correct and complete. I understand that the TU Dublin Sport, City Campus reserves the right to vary
or reserve any decision regarding awarding of scholarships made on the basis of incorrect or incomplete information provided in this application
and a copy of your information may be forwarded to the relevant National Governing Body to seek additional information.

Please indicate that you accept the Statement of Declaration below *