Perago Trust
Funding Application
General details
Name
First Name
Last Name
Age and date of birth
Phone number
Email Address
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
New Zealand citizen
Yes
No
If under 18yo please include contact details for a parent or guardian.
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Funding details
Funding amount requested
How funding will be used
Overall budget for season/campaign
Sport information
Sport
Code/discipline (if applicable)
Club
Best result to date
Highest level of representation:
Local junior club
Local senior club
Regional age group rep team
Regional senior rep team
National age group team
National senior team
Performance goal in the next twelve months:
What is the pinnacle event of your sport?
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Education & work
Highest level of education:
Current employment status:
Seeking work
Working part time
Working full time
Student athlete
Professional athlete
Not actively seeing work or studying
Work and career aspirations:
Interests outside of sport:
Current support
Do you receive financial support or services from any of the following (tick all that apply):
Club
School Academy of Sport
Regional sporting organisation
Pathway to Podium
HPSNZ Carding
National sporting organisation
None
Other
Are you currently supported by any of the following (tick all that apply):
Local sports trust
Personal sponsors
Personal fundraising
Club fundraising
None
Other
Where does your biggest financial support come from?
Beside finances, are there any other barriers to you reaching your goals?
If your application is successful, you will be notified by email and the grant paid into your bank account. Please insert your bank details here.
*
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Connection to Cambridge
What are your connections to Cambridge (tick all that apply):
Grew up here
Went to/go to school here
Moved here for sport
Live elsewhere but have immediate family here
Other
How long have you lived in Cambridge?
Further information (if applicable):
Sponsorship proposal or profile
Proposals should include a purpose for funding and a budget, a letter of support from your National or regional sporting body, and evidence of your community connection to Cambridge. Preference is for the file to be in PDF format and a maximum of 2 pages long.
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