Cestrian Award Application 2017

The University of Chester Alumni Association sponsors two students or staff per year, to achieve their personal goals in sport or community initiatives where the ability to participate is inhibited by lack of funding. The Cestrian Alumni Awards aim to assist the individual and empower them to succeed in their chosen project.

Aspiring sportsmen or sportswomen may apply for this award, requiring personal financial assistance with sports activities at a high level (e.g. international representation).

Applications are welcomed for personal financial assistance in non-sporting activities, especially those which support the community. The fund will not be available as a direct donation to other charities.

I wish to apply for:

The Cestrian Sports Award – staff or students

The Cestrian Community Award – staff or students

Part 1: Your details

Name
Address
Mobile
Alt phone
Email
Course / Dept
Start date of project*
Type of activity, i.e. sports / community

*Please note that eligibility commences at the start of the academic year.

Part 2: What you plan to do

Tell us about your idea. What / When / Who / How / Why

Part 3: Outcomes

Why do you want to do this - what do you hope to achieve?

If you have any further information to support your application,please continue on a separate sheet.

Part 4: Funding

This funding, of up to £500.00 is to support you so that you can achieve your aims. What costs will you incur personally, in order to complete this project? E.g. travel, clothing, special equipment, CRB check etc.

Activity / Amount

Data Protection Act 1998: I consent that information provided in this form and any attachments may be held by the University and used for processing my application and monitoring and reporting purposes. If successful in my application, I consent to:

the submission of a report to the Alumni Association for publication in The Cestrian
the promotion of my achievements to the press*
the University reporting on my achievements;
taking part in promotional activities relating to the award, if requested to do so.
sporting applicants must represent a University of Chester sports team, be a registered CSU individual competitor, or coach a sports team.
Provision of all receipts relating to my application

Aggregate information on applications and awards may be made public, but individual details will not be made public without permission.

Signature
Print Name
Date of

Application

* You are welcome to contact the Alumni Office / Corporate Communications Office for assistance with contacting the press.

Applications close on 26 May 2017.

When you have completed the form please return to:

Mrs Fiona Roberts,

Alumni & Development Manager

University of Chester

Parkgate Road

Chester

CH1 4BJ

or email to:

If you have any questions, you are welcome to call Fiona on 01244 511078 / 1033 to discuss your application.

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