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University of Cambridge Athlete Performance Programme (UCAPP) Application Form
Sport at Cambridge
Performance Sport
UCAPP
UCAPP Supported Athletes 2022/23
University of Cambridge Athlete Performance Programme (UCAPP) Application Form
TASS
Title
*
Mr
Miss
Ms
Other
First Name
*
Last Name
*
Date of Birth
*
Day
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Year
Year
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
Home Post Code
*
Home Address
*
Term Address
*
Term Post Code
*
Contact Number
*
Email Address
*
Alternative Email Address
Emergency Contact Name
*
Please provide details of an emergency contact
Emergency Contact Number
*
Relationship with Emergency Contact?
*
Do you consider yourself to have a disability?
*
Yes
No
Prefer not to say
If you would like to provide us with information about a disability, we will use this information to ensure we deliver a safe and appropriate service.
If yes
Health Condition/Long Term Illness
Hearing Impairment
Learning Disability
Physical Impairment/Mobility Issues
Visual Impairment
Other Type of Disability
Are you currently or have you recently suffered any injury which may affect your athletic performance?
*
Yes
No
Please give brief details below
College
*
Academic Details
Course
*
Faculty
*
Course Leader
*
Tutor
*
Course Length
*
1 Year
2 Years
3 Years
4 Years
5 Years
6 Years
Year of Study
*
1st
2nd
3rd
4th
5th
6th
Your Sport
*
Sport Details
Years in Sport
*
Current Club
Coaches Email
Coaches Contact Number
NGB Contact
Current Level
Current Training Hours per week - Sport Specific
*
Current Training Hours per week - Cross Training
*
Current Training Hours per week - Strength & Conditioning
*
Sporting achievements over the last 2 years (to include dates, levels)
Goals and Targets for the next year (to include both University and External clubs)
Are you committed and able to represent the University at all relevant training sessions, competitions and events?
*
Yes
No
Please list any coaching qualifications you currently hold (to include level and date qualified)
Do you currently receive any other financial support through sponsorship, NGB awards, grants or professional/semi-professional clubs?
*
Yes
No
If yes, please provide details
Reference 1 Name
*
Please provide the details of two referees who will support your application. (One reference must be your current coach or NGB contact)
Reference 1 Relationship
*
Reference 1 Address
*
Reference 1 Telephone
*
Reference 1 Email
Reference 2 Name
*
Reference 2 Relationship
*
Reference 2 Address
*
Reference 2 Telephone
*
Reference 2 Email
*
Please complete your supporting statement. In your own words, why do you wish to be considered for UCAPP?
*
This statement must be no longer than 500 words.
I understand that the University will hold my personal details on its secure database and that it may use them in case of an emergency or in case it needs to contact me; this may be by telephone, email or text message.
*
Yes
In general, we use your personal information in order to deliver our contractual obligations to you as a user of our service and to monitor sales and use of our facilities. We use any disability information you supply to monitor the use and safety of our service and you do not have to provide it to us. For more information about how we handle your personal information, and your rights under the data protection legislation, please see https://www.information-compliance.admin.cam.ac.uk/data-protection/general-data