Application for Funding
Name: ......
Address for Correspondence: ......
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Email Address:......
Contact Numbers: (Home) ...... (Mobile) ......
Date of Birth: ...... Date of Application: ......
Details of any previous funding received from this club or any other organisation:
...... Top Sporting
Achievements to date:......
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...... (Please scan or attach any additional supporting information) Amount of Funding Requested:......
How will Funding be Used: ......
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Recipients of Carillon Club funding are required to submit a written report on how funding was used and what was achieve at any events competed in.
Please sign this form to confirm you agree to do so.
Signature...... Date......
Carillon Club Committee C/- PO Box 3546 Wellington 6140
Or email to: [email protected]
We give young sporting people a lift through funding and acknowledging their achievements.
WHO WE ARE APPLYING FOR SUPPORT WHO WE HAVE SUPPORTED
The Carillon Club was formed in 1994 by a group of To receive support from the Club an athlete or team George Bridgewater 2005 world championship rowing gold medalist sports-minded Wellingtonians. Our objective is to must complete a simple application form, and attach
support talented young sportspeople in our region relevant papers to help us make a decision. Kate McIlroy and give them every encouragement to advance their 2005 world mountain running champion Application forms are available from schools, from sporting careers and achievements. Sport Wellington Region (113 Adelaide Rd, phone 04- Nick Willis Members of the Carillon Club are proud of 385 1333), or by contacting a committee member. 2006 Commonwealth Games 1500m gold medalist Wellington’s sporting history, but believe that the best • We aim to support local athletes or teams of people is yet to come. It is important to us that our Jodie Te Huna aged under 21 who have been selected to represent Silver Fern home-grown talent remains in the Wellington region to New Zealand or the Wellington region in any sport. build on history and take it to another level. We can Jerry Collins give our local talent a lift through funding and • Applicants must show us that they need funding 2006 All Black captain recognition of their achievements. support for sport-related expenses, such as travel, equipment, clothing or coaching. James Franklin The Club is run by an executive committee the A test hattrick for the Black Caps in 2005 members of which donate their time and energy. DB • We will not fund the full cost of any need. Applicants must show that they have contributed to the costs. Sam Mallard Breweries has supported the Club from our first days, NZ rep at world triathlon championships 2005 kindly providing administration assistance for the Most funding grants are for $500. From time to time we committee and support for our fundraising functions. will make major grants of $1500 to $2000 in special Cushla Hume-Merry World junior champion Laser sailing WHO WE SUPPORT cases of outstanding talent and need. Gareth Paddison The Carillon Club is an all-sports body. In our earlier The Club will also try to help athletes and teams in ways Won Victorian Golf Open 2004 years we’ve supported young achievers in over 20 other than funding if this is possible. sports, and we’ll continue to support talented Applicants must live in the Wellington region ie Kapiti Kelly Bently NZ breastroke record holder performers regardless of their sport. Coast, Wairarapa, Hutt Valley and Wellington. NZ rep at world championships 2005 As a priority we will support young people who have represented New Zealand in their sport. But we are also keen to offer support to athletes who may be on the edge of national honours. It is important that athletes demonstrate that the support they need relates directly to their sporting endeavors’.