Home / Application forms / HTAS Application

HTAS Application

Step 1 of 4

Thanks for applying for the Hampshire Talented Athlete Scheme (HTAS). We love supporting developing athletes to reach their goals and hope that our help goes a long way towards helping you achieve yours. Before we can offer you any support, we need to know a bit more about you and your sport.

Take a look at the Eligibility & Supported Sports notes before you get started. If you get stuck or have any questions please get in touch with Jake: email Jake.Hitchcock@energiseme.org

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.
Let's get started!
First Name*
Surname*
Gender*
DOB*
DD
MM
YYYY
Application Type
If you are under the age of 18 your parent should complete this section.
Parent/Guardian Name
Address*
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Local Authority
Telephone Number*
Mobile Number
Email Address*

All applicants are allowed to choose up to three locations for free leisure access, so select the most convenient locations for you below
Choice 1*
Choice 2*
Choice 3*
Please attach an appropriate headshot image of yourself so we can use it for your leisure pass*
Accepted file types: jpg, gif, png, pdf, tiff, jpeg, Max. file size: 50 MB.
If you would like to apply for physiotherapy cover for a one off fee of £60 please select your nearest physiotherapy centre. Please note: this is insurance cover for a 12 month period (commencing 1 month after payment) and cannot be used for existing injuries.*
Electronic document attachments are the quickest way for us to process your application (and a lot less fiddly). If you can’t scan originals and would like to post them, tell us in the documentation section and then send a paper copy into Energise Me, Athelstan House, St Clement Street, Winchester, SO23 9DR. Remember to put your name in the envelope so we know who it’s from!

We have a few Ts&Cs for you to read through before you go. If you are successfully awarded HTAS support, it would be great if you could agree to help us as shown below:

1. Complete a HTAS profile and provide an electronic photo so that we can create a profile of you that may be used on the Energise Me website and your local authority website.

2. If you win a medal at a large championship or event, or where funding and support is discussed during a press engagement, mentioning the support from Hampshire County Council and Energise Me is a great way of letting other athletes know we’re here to help them.

3. We’d like you to be available for a maximum of 4 public appearances if needed. These may include: awards evenings, school-based visits, community sports events etc.

4. Sometimes we might need you to give us information for interviews for the promotion of the scheme and yourselves. This information will always be requested by a member of the Energise Me team.

5. We need to share your personal information with key service providers who help to administer our support schemes (leisure access cards, physiotherapy care etc.). We will never share your data with any other third parties without your permission.

All decisions and subsequent awards are at the discretion of the panel/Sports Development Officer (Performance).
*
- I'm happy to help Energise Me as outlined in the Ts and Cs above.
We would also like to be able to share your name and achievements with local authorities for the purposes of their Sports Awards. We will only do this if you tick the box below to give your permission.
- I'm happy for you to share my details with my local authority for their Sports Awards.
That's it. Hit submit and you're done!</h
Phone
This field is for validation purposes and should be left unchanged.

HTAS Application

HTAS Application

Step 1 of 4

Let's get started!

About your sport & goals

That's it. Hit submit and you're done!</h

Our Partners

HTAS Application

HTAS Application

Step 1 of 4

Let's get started!

About your sport & goals

That's it. Hit submit and you're done!</h

Our Partners

Subscribe to our newsletter