Cornwall Ambassadors Scheme The Cornwall Ambassadors Scheme has been developed to recognise and support individuals with true sporting talent in Cornwall who are working towards the highest levels of success in their chosen sport. What are the Benefits of the Scheme….? Individuals that have qualified to receive a Cornwall Ambassadors Card can benefit from: • FREE access to a number of county wide sports facilities to help support their training needs • Discounts on Sports specific treatments • Discounts on Sports equipment • Discounts on Sports nutrition • Potential access to support grant aid • Increased recognition and profile in the community as a County Ambassador Who is Eligible to be on the Scheme…? Individuals can apply for a Cornwall Ambassadors Card if: • You reside in Cornwall or have a home address in Cornwall. • You are above 12 years of age. • You can supply written evidence from your National Governing Body that you are ranked in the top 10 in Great Britain. and one of the following - • You can supply written evidence that you are in receipt of Sport England "World Class" "World Class Potential" or "World Class Start" support. • You can supply written evidence that you are involved in the DCMS ‘TASS’ scheme or you receive grant aid from Sports Aid South West. • You can supply written evidence that you are achieving consistent results/performances at South West levels or above from your National Governing Body or Regional / National coach. What is the Selection Process….? Applications will be reviewed by an Ambassadors selection panel on an individual basis. Applications will only be considered if all the relevant information has been supplied. If an application is sent in without the relevant information you will be notified via email and asked to submit the missing information. Your application will not be considered until this information has been received. What is the Application Process….? To apply to access the scheme, please complete the application form, together with 4 passport size photographs and return to: Cornwall Ambassadors Scheme Cornwall Sports Partnership Penweathers Centre, Tresawls Rd, Truro, Cornwall. TR1 3LD. Conditions All Ambassador Cardholders may be required to attend promotional events. Cardholders will be expected to act in a manner that will reflect positively on the image of the County and promote the Ambassadors scheme favourably during media opportunities. Cornwall Ambassadors Scheme Application Form Please use BLOCK capitals when completing this form and return to: Cornwall Ambassadors Scheme, Cornwall Sports Partnership, Penweathers Centre, Tresawls Rd, Truro TR1 3LD RENEWAL NEW APPLICATION Personal details First Name Surname Date of birth MALE / FEMALE Address in Cornwall Postcode Permanent home address if different to above Postcode Telephone Day: Evening: Mobile E-mail Sport Please provide a statement about yourself, your goals, ambitions, achievements to date. Maximum of 50 words. Name of National Governing Body Name and Position of National Governing Body Officer with Contact Details. Are you in receipt of any of the following? Date Evidence If Yes, then please provide evidence to support this. accepted provided Sport England "World Class" Sport England "World Class Potential" Sport England "World Class Start" Department of Culture Media and Sport "Talented Athlete Scholarship Scheme" (TASS) Sports Aid South West Please indicate which 3 centres you would wish to use and prioritise these from 1 to 3 - with 1 being the most commonly used: Leisure Centre Priority Liskeard – Lux Park Leisure Centre Callington Sport and Leisure Saltash Leisure Centre Torpoint Leisure Centre Falmouth – Ships and Castles Leisure Centre Truro Leisure Centre Carn Brea Leisure Centre Helston Sports Centre Bodmin – Dragon Leisure Centre Launceston – Phoenix Leisure Centre Wadebridge Leisure Centre Bude – Splash Leisure pool Bude – Budehaven Leisure Centre Camelford Leisure Centre St Ives Leisure Centre Penzance Leisure Centre St Just Sports Centre St Austell – Polkyth Leisure Centre Par Athletics Track Newquay – Water World Newquay - Sports Centre Further Ambassador Information Your Membership card will be sent direct to your Priority 1 centre You will be required to contact the Centre Manager in order to collect your Ambassador Membership card in order to go through the specific centre protocol and how to use it within the centre. Contact details of the Centres will be sent to you if you are successful. Checklist Have you completed all the relevant questions in the application form? Have you supplied 4 passport sized photos with your application? Have you obtained written confirmation from your NGB? Have you provided written proof of your competition results over the past 12 months? Have you prioritised your Centres? All of the above need confirming if you wish to be considered for the Cornwall Ambassadors Scheme. .