English Universities Netball Nomination Form

ENGLISH UNIVERSITIES NETBALL NOMINATION FORM 2008-2009

PLEASE TYPE THIS FORM OR WRITE IN BLOCK CAPITALS. Please make sure it is legible and that you use ink that will enable photocopying i.e. black. YOU MUST PROVIDE AN EMAIL ADDRESS.

Institution Subject

Course Start / End Date of Dates Birth

Playing Position 1st 2nd Choice Choice

Term Address Home Address

Home Tel Term Tel No No

Mobile Tel No Email

Availability – please Dec10-17 – which Final Trials/Training – Sun tick/circle days? Jan 25 Wed 10/Thurs 11/Fri 12/ Mon 15/Tues 16/Wed 17 Fixture – Sun 22 Feb

Please contact Jane Home Nations - 6-9 April Lomax if your availability changes Playing Honours Details – Names, ages, levels Dates Have you represented your Country Y/N at National Level? Have you played for any Y/N Super/Talent League Teams? Have you played for any Y / N development/talent squads? Have you played for Premier Club Y/N Have you played for club other than Y / N premier? Have you represented your County? Y / N

Are you a TASS athlete? Y / N Any other relevant experience not included above: PLEASE ATTACH IN A SEPARATE DOCUMENT ANY FURTHER INFORMATION YOU FEEL IS RELEVANT TO THIS FORM AND COPIES OF RELEVANT FIXTURES TO HELP THE SCREENING PROCESS

Signed Player: Date:

Continued on page 2.

REFERENCE BUCS GENERAL REGULATION 11.6 – Should an institution not be prepared to financially support an individual they are still required to sign Section A, players have the right to appeal to BUCS should an institution not be prepared to sign Section B.

SECTION A: I confirm that the above named individual meets the BUCS Eligibility (General Regulation 15)

Signed (AU Date: President)

SECTION B: I confirm that this institution agrees to financially support the above named individual in the BUCS representative programme.

RETURN TO [email protected] OR FAX TO 01243 816080. YOU CAN POST THE FORM TO FAO Jane Lomax, School of Physical Education, University of Chichester, College Lane, Chichester, West Sussex, PO19 6PE. HOWEVER PLEASE BE AWARE OF POSSIBLE POSTAL BACKLOGS.

THE FORM IS TO ARRIVE NO LATER THAN MIDDAY ON MONDAY 17 NOVEMBER 2008

NB: If emailing in your form it must come from a recognised Athletic Union email address as proof that your Institution has confirmed your eligibility.