Expression of Interest for Cycling Ireland Athlete Development Programme 2020

Cycling Ireland Athlete Development Program 2020

The following form is an expression of interest to be considered for the Cycling Ireland Athlete Development Program 2020.

This programme is for Riders born between 1st Jan 2002 and 31st December 2003 only.

This application is only an expression of interest and does not guarantee any further part of the athlete development process.

This application does not guarantee a place on the Athlete Development Programme and that places will be strictly limited.

**Please note that all correspondence for applicants below the age of 18 will be through the parent or guardian included in this application.**

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* 1. Applicant's Name (Forename & Surname):

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* 2. Applicant's Date of Birth:

Date / Time

Date

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* 3. Applicant's age:

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* 4. Applicant's address:

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

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* 5. Applicant's parent/guardian's details:

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

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* 6. Please provide detail of your 2019 racing career.

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* 7. Please provide your goals and targets for 2020.

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* 8. Please upload any relevant training or power data you may have

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

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* 9. I understand that this application is only an expression of interest and does not guarantee any further part of the athlete development process.

Yes

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* 10. I understand that this application does not guarantee a place on the Athlete Development Programme and that places will be strictly limited.

Yes

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* 11. I declare that all the information that I have included in this application is true and accurate to the best of my knowledge.

Yes

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* 12. I understand that my application will be held on a protected Cycling Ireland server.

Yes

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* 13. I understand that this application process ends on the 20th of January 2020 and that any application made after this date will not be considered.

Yes

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* 14. Please upload the applicant's signature and the date of signing.

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.

Choose File

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* 15. Please upload the parent/guardian's signature and the date of signing.

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.

Choose File