2015-16 AEP Application Form - ASDC

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APPLICATION
2015-16 Athlete Enhancement Program
Fall Application Deadline: August 1, 2015 (Development & Advanced programs)
Spring Application Deadline: March 4, 2016 (Development program only)
The Athlete Enhancement Program (AEP) supports local athletes with integrated sport science support in the
areas of Strength & Conditioning, Sport Psychology, and Sport Nutrition. The AEP is developmentally
appropriate and prepares athletes for the demands for the next level of their sport. Both team sport and
individual sport athletes who are emerging to the provincial or national level are eligible to apply.
There are two AEP groups: developmental and advanced. Accepted applicants will be placed into a group upon
review of their application. See below for information about each group.
Eligible Applicants:
The Program supports emerging athletes (typically 13-18 years of age) who:
1. Show potential at the Provincial, National and/or International level in a sport recognized by Alberta
Sport Connection.
2. Take ownership and initiative in their learning and growth with exceptional commitment and work
ethic.
3. Have a desire to grow and develop further in their sport.
4. Would benefit from additional support to enhance their development and performance.
Application Tips

Point form answers encouraged

Provide clear, concise, and relevant information only
Application Completion Checklist
☐ Complete Application & written submission
☐ Clear, quality photo (s) of applicant engaged in their sport in .jpg format
☐ Coach Recommendation form on pg 4
☐ Local/Provincial/National sport organization recommendation form on pg 5 (recommended where
possible)
☐ Have read and understand the AEP Program Information & dates document that covers: program
structure, important dates, orientation, selection process, and important considerations.
APPLICANT INFORMATION
FULL LEGAL NAME OF APPLICANT
ADDRESS
POSTAL CODE
TELEPHONE
BIRTHDATE (dd/mm/yyyy)
GENDER
☐M ☐F
APPLICANT EMAIL
PRIMARY SPORT
EVENT
☐YES
☐NO
HAVE YOU BEEN IN AEP BEFORE?
IF YES, WHAT YEAR(S)? ☐14-15 ☐13-14 ☐12-13
T-SHIRT SIZE: (adult unisex)
☐ YM ☐ YL ☐ XS ☐ S ☐ M ☐ L ☐ XL ☐ XXL
Would you like to receive our monthly ASDCNW Enews?
☐ Yes please! ☐ No, thanks
PARENT/GUARDIAN INFORMATION
NAME(S)
PHONE (H)
PHONE (C)
PHONE (other)
EMAIL(S)
Would you like to receive our monthly ASDCNW Enews?
☐ Yes please! ☐ No, thanks
PRIMARY SPORT COACH INFORMATION
NAME
YEARS COACHING ATHLETE
PHONE (H)
PHONE (C)
PHONE (other)
EMAIL
APPLICATION COMPLETED BY
PRINT NAME
SIGNATURE
1. List your personal best(s) attained in your sport and the name of the event it occurred.
(ex. 3000m, 10:15:32, 2014 Alberta Schools Athletic Association Championships OR selected for the 2014 Basketball
Alberta U15 Provincial Basketball team that won gold at the 2014 Western Canadian Basketball Championships where I
was named tournament MVP.)
2. What is the highest level of competition you have competed at in your sport?
(ex. 2015 Canada Winter Games in Prince George for speed skating resulting in 4th overall in 1000m, 2014 Western
Canadian Basketball Championship in Calgary resulting in silver, 2015 Alberta Provincial Curling Championships in
Grande Prairie resulting in 5th overall, 2014 Athletics Canada National Cross-Country Championships in Vancouver
resulting in 8th overall)
3. Do you have a provincial or national ranking? ☐ Yes ☐ No
If yes, what is your ranking, level, and ranking organization?
(ex. I am ranked 12th nationally as a Junior Canadian Cross Country Skiier by Cross Country Ski Canada)
4. Are you part of a Provincial, Junior National, or National team? ☐ Yes ☐ No
lf yes, what is the name of the team?
5. Have you been scouted or identified by a team, post-secondary institution, or Provincial or National
Sport Organization? ☐ Yes ☐ No
If yes, by whom and for what level of play? When possible, a letter of support is recommended.
WRITTEN SUBMISSION
SUMMARY OF EXPERIENCES/ACCOMPLISHMENTS & PERSONAL BIO (Include a general bio telling ASDC
about yourself: interests, academics, other sport involvement/experience, awards/scholarships, etc)
__________________________________________________________________________________________________________ _
SUMMARY OF PRIMARY SPORT EXPERIENCE (Current level of competition, number of years competing,
award/scholarship history, recent results, etc. What is your upcoming/anticipated competition calendar?
__________________________________________________________________________________________________________ _
SUMMARY OF SPORT PERFORMANCE GOALS (What were your competition goals for the past season? Did
you achieve these goals or are you on target to achieve them? Explain. What would you like to achieve in the
next 8-12 months? 1-2 years? 3-5 years? What do you do to improve in your sport?)
________________________________________________________________________________________________________
EXPECTATIONS OF THIS PROGRAM (Reasons for applying: What do you expect from the program? What do
you hope to achieve? In what area will our support help you the most?)
________________________________________________________________________________________________________
TRAINING SCHEDULE (Outline your training schedule including number of training sessions/week, type of
training, number of practices/week, yearly calendar of your involvement in sport. How do you demonstrate
your commitment to training? Do you enjoy training?)
________________________________________________________________________________________________________
FINAL QUESTIONS Why do you do sport? What do you most enjoy about sport? What do you enjoy least about
sport? What do you think your areas to improve are? Please describe.
__________________________________________________________________________________________________
Complete applications can be mailed to or dropped off at:
Alberta Sport Development Centre Northwest c/o Wendy Moar
10726 - 106 Ave
Grande Prairie, AB T8V 4C4
For Office Use Only
Date Received: ____________
Athlete Enhancement Program Coach Recommendation
COACH NAME:
PHONE (H)
YEARS COACHING ATHLETE
PHONE (C)
PHONE (other)
EMAIL
SIGNATURE
1.
How long have you known the athlete? ☐ >1 yr ☐ 1 yr ☐ 2 yrs ☐ 3 yrs ☐ 4 yrs ☐ 5+ yrs
2. At what level(s) of competition have you coached the athlete?
3. What is the skill, talent base, and potential of the athlete?
4. How could the Athlete Enhancement Program assist this athlete’s performance?
5. How is the athlete ranked in their sport locally, provincially, and/or nationally (if applicable).
(Example: top 10 in province, region, zone, etc.)
6. Other Comments:
Athlete Enhancement Program Local / Provincial / National Sport
Organization Recommendation
REPRESENTATIVE NAME:
PHONE (H)
PHONE (C)
PHONE (other)
EMAIL
SIGNATURE
1.
How long have you known the athlete? ☐ >1 yr ☐ 1 yr ☐ 2 yrs ☐ 3 yrs ☐ 4 yrs ☐ 5+ yrs
2. How do you know the athlete and what is your relationship?
3. What is the skill, talent base, and potential of the athlete?
4. How could the Athlete Enhancement Program assist this athlete’s performance?
5. How is the athlete ranked in their sport locally, provincially, and/or nationally (if applicable).
(Example: top 10 in province, region, zone, etc.)
6. Other Comments:
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