2015 TALENT INSPIRATION PROGRAMME- TEAM MANAGER APPLICATION FORM

LOC/LCV & SCHOOL INFORMATION*

Local Organising Committee: Northamptonshire

Linked LCV School: Manor School

Lead Contact within LCV School: Hannah Hore

SGO: Matthew Peleszok

School of applicant:

School address:

School telephone number:

Name of teacher completing nomination form:

Role of teacher:

Teacher email address:

Teacher telephone number:

*It is expected that the nominations put forward are considered jointly between the local LCV School and the LOC however the LOC is responsible for submitting the nomination forms. YOUNG PERSON PERSONAL INFORMATION

Name:

Age on 1st September 2015:

Date of birth:

Gender:

Does the young person have a disability? Yes/no

If yes, please specify:

Visual Impairment:

Sensory:

Hearing Impairment:

Learning Disability:Physical Disability:

Other:

If yes is the young person a full time wheelchair user? Yes/no

If yes, will the young person be accompanied by a carer to the event? Yes/no

PARENT, CARER, GUARDIAN INFORMATION

Name:

Email address 1:

Email address 2:

Telephone number:

Home address:

Please confirm consent has been given by the parent/carer/guardian to submit this information and

they support the application of their child Yes/no

APPLICATION QUESTIONS

Pre-requisites Yes/No

Actively involved as a team manager within school or community sport

(please refer to the definition of Team Manager included in the guidance

notes)

Demonstrates potential as a Team Manager

Attends a school registered to the Sainsbury’s School Games

Committed to continuing to support school and/or community sport in a

Team Manager role beyond their TIP experience

1. Please list the young person’s previous Team Manager experience (incl. at which events

e.g. Northamptonshire Sport Level 3 School Games)

1

2

3

4

5

2. How does the nominated young person demonstrate the qualities listed in the person

specification listed below (250 word maximum)

Willingness to learn new skills and has a commitment to self-development

Ability to motivate and inspire others and is an excellent role model Ability to apply knowledge learnt through previous training to be a more

effective Team Manager Ability to work as part of a team to drive a great athlete experience for all athletes in

their team/sport An ongoing commitment to supporting school or community sport

3. Please write why you have nominated this individual for the programme (250 word maximum)

Please return completed application forms to: Gary Sheppard, Northamptonshire Sport, 8 – 10 the Lakes, Bedford Road, Northampton, NN4 7YD or email to gsheppard@northamptonshire.gov.uk tel number 01604 366257 by Wednesday 20th May.