Bursary Application 2023

Bursary Application 2023

Please provide as much as information as possible when completing your application. We rely on your consent to process your application for a bursary. You can withdraw your consent for this at any time. However, we will be unable to process your application
Your contact information
name of cricket club/ organisation/ Community Programme*
Title
Primary contact Name*

First NameLast Name
Your Email address*
Primary email contact
Your telephone number*
Postal Address

Street Address

Street Address Line 2

Town / CityState / Province

Post Code
Gender

MaleFemalePrefer not to say

Bursary Application
Which Programme are you requesting a bursary for:*

ECB Support CoachECB Foundation CoachECB Core Coach
Which event are you planning to register for and attend?
Are you experiencing financial hardship:*

YesNoPrefer not say
Please provide additional information:
For example: you may be in receipt of universal credit, jobseekers allowance, employment and support allowance, have dependents that receive free school meals or other circumstances resulting in experiencing hardship.
Do you have any long-term health conditions, impairments or illnesses that have a substantial effect on your ability to do normal daily activities? (long-term means that they have lasted, or are expected to last, 12 months or more)*

YesNoPrefer not to say
Please provide additional information.
For example: Physical, medical, sensory, learning, social, behavioural or mental health conditions or impairments.
Ethnicity:*

Asian/Asian British: IndianAsian/Asian British: PakistaniAsian/Asian British: BangladeshiAsian/Asian British: Sri LankanAsian/Asian British: ChineseAsian/Asian British: OtherBlack/Black British: AfricanBlack/Black British: CaribbeanBlack/Black British: CaribbeanMixed: White & Black AfricanMixed: White & AsianMixed: White & Black CaribbeanMixed: OtherWhite: English, Welsh, Scottish, Northern Irish or BritishWhite: IrishWhite: Gypsy or Irish travellerWhite: RomaWhite: OtherPrefer not to say
Have you applied for - or received funding from - any other organisations towards the programme costs?*

Yes, I have received or will be receiving fundingYes, but I don't know if I have been successful yetNo
How will a bursary support your learning and development as a coach ?*
What impact will you have on cricket by receiving a bursary? *
TAGS
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Bursary Application 2023

Your contact information

Bursary Application