Coach bursary application

Supporting coaches, officials and volunteers is essential to providing an inspirational workforce to get people active. With the funding Hampshire County Council provides we are able to provide financial support towards coaching qualifications.

Take a look at the criteria before you get started. If you get stuck or have any questions please get in touch with Fraser: email fraser.ford@energiseme.org

If your application is successful and we provide you with financial support then we may require you to provide a case study to demonstrate the impact of the funding you receive.

This form collects personal data that we need to process your application. Take a look at our Privacy Policy for full details and tick the box below to confirm you are happy with how your data will be used.
*
- I've read the Privacy Policy and am happy that Energise Me will treat my information with care.
Type of Application*

Applicant or guardian contact details
If the applicant is under 18 this form must be completed by their parent or guardian.
Who is completing the form?*
- I am aged 18 or over and completing the form on my own behalf
- I am the parent or guardian of an applicant who is under 18
You must be aged 18 or over to apply on behalf of a club.
*
- I can confirm I am over 18
Applying on behalf of*
Please enter your own details in the fields below.
First Name*
Surname*
Email*
Contact Number*
Applicant Post Code*
Applicant Post Code*
Club Postcode*
Role*
Applicant's Role*
Club*

How would you describe your current coaching status?*
National Governing Body or equivalent(s) providing the training*
Training location(s)*
Estimated completion date(s)*
How will this (these) qualification(s) impact yourself as a coach, the club and your local community with getting more people active? Please provide as much details as possible and include information such as: The rough age of your participants? How they will benefit? How many new people will be enabled to join your club or organisation as a result of your qualification? How do you reach out into your local community to tell them about the activity you offer?*
Energise Me tackles the things that prevent active lifestyles, so everyone can improve their health and happiness by moving more. We have 5 main areas of focus: Creating positive early experiences, Opportunities that meet the needs of our local community, Places and travel routes where participants feel safe and are encouraged to be active, Supporting those that might be new to sport or physical activity, and Supporting our bold leaders to help create healthier and happier communities. Please tell us how your application will help support any of these areas of focus.*
Which of the following target groups will benefit from this (these) qualification(s)?*
- Women and Girls
- Children and Young People
- People with or at risk of a life-limiting illness or disability
- Other
If you selected "other" please specify*

Financial information
Total qualification/course fee(s)*
Will you personally be contributing financially to this course?*
How much?*
Will your club/organisation be financially contributing towards this course?*
How much?*
Will you recieve any other financial contribution from other organisation(s) (Not Energise Me)*
How much?*
Total funding you are requesting excluding any other possible contributions?*

Please note, we only cover a maximum of 75% or up to £500 of the total course costs

Benefits to club or individual
Have you undertaken relevant safeguarding training e.g. UK Coaching's Safeguarding and Protecting Children?*
- Yes
- No
Does your organisation have a safeguarding policy?*
- Yes
- No
Please upload your organisation's safeguarding policy*
Drop files here or

Max. file size: 50 MB, Max. files: 3.
Is this application part of your organisation’s/club’s coach development plan?*
- Yes
- No
Current coaching hours per week*
Projected coaching hours per week once qualification achieved*
Comments
This field is for validation purposes and should be left unchanged.

Coach, Official and Volunteers Bursary Application