MALTA SPORTS SCHOLARSHIPS Application Form 2014

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1 Ministry for Education & Employment Parliamentary Secretary for Research, Innovation, Youth & Sports Directorate for Lifelong Learning Kunsill Malti għall-isport (KMS) MALTA SPORTS SCHOLARSHIPS Application Form 2014 INSTRUCTIONS: Each applicant must complete this form (typewritten or written legibly in blue ink) and shall submit the following required documents stated in clause 10.2 of the 2014 Regulations. Application Requirements Sports Specialisation Scheme Professional & Vocational Qualification Scheme One (1) copy of the applicant s identity card One (1) copy of the applicants University/College Transcripts/MATSEC/SEC certificates (where applicable) One (1) copy of a signed nomination form by their respective National Sports Organisation or Club (where applicable) One (1) copy of a certificate as evidence that the applicant has participated in a Youth Development Scheme for a minimum period of three years (where applicable) Four (4) copies of a Sports Profile Report including a record of sports participation and achievements as per sample attached with the Application Form or on a DVD or both Four (4) copies of Sports Career Profile report showing evidence if any of work experience or voluntary service in Sport as per sample attached with the Application form. Any other documentation (four (4) copies) which may assist the SSSB to assess better the Applicant s Sport Merit. Signed Declaration by Parents/Guardians authorising Application to participate in the Scheme if the latter is under the age of 18 on Friday, 21 st June, 2014 Signed Declaration by Parents/Guardians confirming that Applicant will remain in compulsory education if the latter is under the age of 16 on Friday, 21 st June, 2014 If not submitted with this Application, the following shall be required by Friday, 25 th July One (1) copy of the Unconditional Letter of Acceptance from the Recognised Institution applied for; One (1) copy of MQRIC evaluation report (where applicable)

2 Section A: PERSONAL DETAILS (Please use BLOCK Letters) Name: Surname: Address: Post Code: Tel./Mob: Nationality: Residence in Malta for the last 5 years: Yes No Date of Birth: Age: ID Card No: Guardian s Name: Gender: Male Female Section B: TARGET OF PARTICIPATION (Please tick where applicable: A or B) The Sports Scholarship Scheme is intended to target students falling under two main categories:- A) Athletes who intend to pursue a professional qualification to specialise and / or improve their level of skill and performance in their chosen field of sport or to further their career in the coaching and training of other. or B) Students who intend to pursue an academic qualification in the field of sports with Recognised Higher Education Institution. Please mark ONE box with an X

3 Section C: COURSE DETAILS (Please use BLOCK Letters) Each Applicant may apply for up to three (3) different Institutions and Programme of Studies. Please note that at least one (1) valid Unconditional Letter of Acceptance shall be submitted by the Friday, 25 th of July 2014 from a Recognised Institution applied for. No changes to this Application Form shall be allowed after the closing date for Registration. ONE application form shall be accepted for each Applicant. If more than one Application Form is submitted, the last Application Form submitted shall be considered by the SSB Board. Name of Foreign Institution: Name of Foreign Institution: Name of Foreign Institution: Course Title: Course Title: Course Title: Level of Sport Experience/Studies: Level of Sport Experience/Studies: Level of Sport Experience/Studies: Course Modality: Course Modality: Course Modality: Is the Institution and Course applied for recognised by the Malta Qualifications Recognition Information Centre? Check list of recognised courses on Kindly attach a MQRIC evaluation report. YES NO In the absence of such report, kindly apply for it by downloading an on-line application form from Section D: OTHER INFORMATION Are you benefiting from other grants? Yes No Are you benefiting from any other forms of scholarship? Yes No If Yes, please specify:

4 Section D: OTHER INFORMATION (continued) Why are you applying for this course? Progressing to a /Sport Experience Progressing to an undergraduate Diploma (MQF Level 5) Progressing to a first degree level (MQF Level 6) Progressing to degree (MQF Level 7) Progressing to a Doctorate degree (MQF Level 8) Are you in possession of another degree? Yes No If Yes, kindly indicate the degree and area of specialisation: Are you presently engaged in employment? Yes No If Yes, kindly fill in the following details: 1. What type of employment is it? 2. Name of Employer: 3. Post Held: 4. Address of Employer: State number of hours of work per week: hrs. Section E: DECLARATION BY APPLICANT (read carefully) I declare that I am a citizen of (fill in country name); I declare that all the information I have included above is correct and complete. I am aware that the application will not be considered if the information given is incorrect or incomplete; I shall bind myself to repay Government the amount of money disbursed to me by the Authorities, should I for some reason (i) be absent from the course; (ii) fail to register satisfactory progress; (iii) discontinue my studies; (iv) have misled the Authorities through the information I have submitted and/or (v) fail to comply with any of the applicable conditions stipulated under the Regulations of Malta Sports Scholarship Scheme of 2014; I hereby give my consent to the Directorate for Lifelong Learning to make use of, process and publish any part of or all the personal information and image; I hereby give my consent that my personal information may be used to verify my employment status at any stage of my scholarship; I am not a holder of another Public Grant and/or Scholarship; This information shall not be used for any other purpose or for any other application I may decide to file in the future; Signature: Date: Data Protection: The MSS Scheme collects and processes information to carry out its functions under the Education Act. All data and images are collected and processed in accordance to the Data Protection Act 2001 and other subsidiary legislation.

5 Section F: SUBMISSION DETAILS OF APPLICATION The application form and a copy of all other required documents shall be submitted at the: Customer Care, Education Information Centre Education Building Great Siege Road Floriana VLT 2000 Tel / Free phone: Websites: sportsscholarships.mede@gov.mt The application deadline is Wednesday, 30 th April, 2014, at noon (Local Time). Section G: FOR OFFICIAL USE ONLY Customer Care Reference Number: This scheme is administered by Directorate for Lifelong Learning in collaboration with Kunsill Malti għall-isport (KMS).

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