<p> Clare College</p><p>Application to the Gordon Dickson Fund (Sport) 2013</p><p>Members of the College are eligible to apply for assistance towards the cost of playing sport for the University. The College considers all applications as a ‘gathered-field’ exercise in April, and hopes to make a contribution to the costs of those who have distinguished themselves in sport by playing at the University level. Closing date for applications: April 22 nd 2013.</p><p>Name:______</p><p>Subject:______Year:______</p><p>Email:______</p><p>Sport:______</p><p>Have you played for the University? YES / NO</p><p>At what level have you played (e.g. blue, first-team etc):______</p><p>______</p><p>Expenses (please provide details and amounts. Receipts should be attached where possible, otherwise proof of expenses may be requested later):</p><p>Travel...... £______</p><p>Equipment...... £______</p><p>Clothing...... £______</p><p>Other (specify)...... £______</p><p>Total: £______</p><p>Please give any further information here that you feel might be relevant to your application (please continue on the other side of the page if necessary): ______</p><p>______</p><p>Signature: Date:</p>