Cumbria Canoeists BCU 4*Leader and 5*Leader Award Grants Grant Application form. Block Capitals please. – Please see details on SWEP grant flyer 1. Applicants Name: ………………………………………… Age (>16yrs): ……….. 2. Applicant Address: ………………………………………………………………………… ……………………………………………………………………………………………………….. ………………………………………… E-mail: ……………………………………………….. Tel No: ………………………………… Mobile: …………………………………………… 3. Club/Org: …………………………………….…. BCU Mem. No: ……………… 4. Please state how, by attending the course, you will (on a voluntary basis), be able to assist Canoeing in Cumbria – specifically within your club/org – to offer activities 1.……………………………………………………………………………………………. 2. …………………………………………………………………………………………… 3. …………………………………………………………………………………………… Please continue on a separate sheet if necessary. 5. I have attached a covering letter from my club in support of my application. Yes / No 6. Details of course you wish to attend (please circle train or ass and discipline) 4* training/assess ww K river surf ww OC1 river freestyle open canoe touring sea kayak (inc nav. and VHF radio) 5* training/assess ww K river surf ww OC1 river open canoe sea kayak (inc nav. and VHF radio) 7. Provider chosen: …………………………………… Dates of course: ……………… 8. Cost /fees £ ……….…… Grant applied is 50% £………....… (Please supply an invoice or bill if application is in retrospect) Nigel Timmins, Sheigra, Orchard Drive, Greystoke, Penrith, Cumbria, CA11 0UD nigel.timmins@canoe-england.org.uk – for advice: mikesunderland@tiscali.co.uk 9. Pre-requisites 4*: www.canoe-england.org.uk/tests-i-awards/leader-i-guide- i-helm-qualifications/-paddlesport-four-star-leader/ = for 4* training courses in most disciplines you are required to “ … paddle to the standard of the BCU 3* - you are not required to have a 3* award. See link above for specific details of different disciplines. Pre-requisites 5*: www.canoe-england.org.uk/tests-i-awards/leader-i-guide-i-helmqualifications/-paddlesport-five-star-leader/ = for 5* training courses in most disciplines you are required to “ … have the relevant 4* assessment, be over 18 yrs or be a level 3 coach or relevant APL, in the relevant discipline. Paddle to a grade 3-4 standard. See link above for specific details of different disciplines. 10. Please circle if you have: BCU 3* / 4* awards: ……………………………….……………………………..…….. BCU Lead Reg: Y N Valid 2 day 1st aid Y N WWSR: Y N Coastal Navigation: Y N VHF: Y N 11. Any BCU/UKCC Paddlesport coaching awards: …………………………………………. ………………………………………………………………………………………………………….. 12 Experience Log: briefly outline our experience, yrs of paddling, any coaching and paddling that matches the pre-requisites ……………………………………………………………………………………………………… ……………………………………………………………………………………………………… ……………………………………………………………………………………………………… ……………………………………………………………………………………………………… ……………………………………………………………………………………………………… ……………………………………………………………………………………………………… ……………………………………………………………………………………………………… ……………………………………………………………………………………………………… ……………………………………………………………………………………………………… Please continue on a separate sheet if necessary. 11. I declare that, to the best of my knowledge, the above information is correct, Signed: …………………………………………. Date: ……………….……… Club/Org Committee counter signature: ……………………………………………….. E-mail of Club/Org Committee : ……………………………………………………………. Nigel Timmins, Sheigra, Orchard Drive, Greystoke, Penrith, Cumbria, CA11 0UD nigel.timmins@canoe-england.org.uk – for advice: mikesunderland@tiscali.co.uk Please return this application with any additional paperwork to Nigel Timmins. FOR OFFICE USE ONLY Cumbria Canoeists BCU 4*Leader and 5*Leader Award Grants Application received: Consultation between: Notes: Please state how, by attending the course, you will (on a voluntary basis), be able to assist Canoeing in Cumbria – specifically within your club/org 1.……………………………………………………………………………………………. 2. …………………………………………………………………………………………… 3. …………………………………………………………………………………………… Grant awarded? Yes / No Amount of grant: £ Date Approved: Date cheque sent and to whom: Covering letter: Yes/ No Nigel Timmins, Sheigra, Orchard Drive, Greystoke, Penrith, Cumbria, CA11 0UD nigel.timmins@canoe-england.org.uk – for advice: mikesunderland@tiscali.co.uk