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Scholarship Application
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Name
Date of Birth Nationality
Home address

Postcode
Term time
address
Postcode
Telephone: Mobile:
E-mail
What is your current status?
Applicant 1st Year 2nd Year 3rd Year 4th Year Postgraduate
UCAS Number (if applicable)
Student User ID (if applicable)
Course studying or applied for
Your Sport
Position or Discipline
Highest Ranking
PB/Handicap
Current Club
Current Coach
Please note this form can also be completed online at www.nusportcentral.com/team-northumbria/scholarships
Performance Guide 8
Sport Scholarship Application
Please give details of your most recent achievements in sport, specifying competition, age category, event and year achieved
(please see our minimum entry requirements before completing this section). Tell us about any recent* inclusion in Excel, National
or International squads or Regional and County squads. (*within two years)

Signature Date

Once completed, please send all applications to:
Senior Support Services Co-ordinator, Northumbria University, 6 North Street East, Newcastle upon Tyne, NE1 8ST
Alternatively email them to performancesport@northumbria.ac.uk
Applications for Undergraduate courses (BA/BSc or equivalent) close 1 February 2014
Applications for Postgraduates courses (MA/MSc/PhD or equivalent) close 1 September 2014
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If you miss the Sport Scholarship application deadline please contact performancesport@northumbria.ac.uk