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Scholarship Application

Please make sure you have all the information available to complete this form in full. If you have any questions or require assistance with completing your application please call 01273 644104 or email r.nitman@brighton.ac.uk. For information of how we handle your data see our Privacy Notice: http://sport.brighton.ac.uk/privacy-notice

Section 1: Personal Details

Please enter your first name.

Please enter your surname.

/ / Please enter your date of birth

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Term time if known

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Non Term Time

Please enter a valid phone number

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Please select an option which is relevant to you in relation to your student status at the University of Brighton.

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Which academic course have you applied for/ are you undertaking?

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Please select the option that relates to your course.

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Detail what year of study will you be undertaking in the coming year

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Please detail the month and year of your course start and end dates.

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If known.

Section 2: Sport Information

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What is your sport?

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Please tick those that apply to you.

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Representative honours, competition/tournaments entered, position, trophys etc.

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(applications for Elite and Disability Athletes Squad should be returned before 30th June)

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Please detail the costs involved in your sport, itemising each component.

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If you would like to submit any further supporting information for your application then please upload files here or email r.nitman@brighton.ac.uk.

Section 3:Verification

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Please attach a sporting reference to support your application. If you would like to send this to us by post please send to: Sports Scholarship Co-ordinator, University of Brighton, Sports Centre, Falmer. BN1 9PH or email it to r.nitman@brighton.ac.uk.

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Confirmation

By submitting this form you are confirming that the above information is correct to the best of your knowledge.