International Pathway Athlete Nomination Form for September 2023 Intake

Please fill out this form to nominate yourself for the September 2023 International Pathway Intake. To be eligible you need to meet one of the below:

A. Invited to 2023 Age Group Team Trials (U19, U21, U23)

B. Fulfil two of the following three criteria -

2000m Erg (National Pathway threshold line between Oct 2022 - April 2023), 5000m Erg (National Pathway threshold line between Oct 2022 - April 2023), On Water (SICC - Prem 1X Top 4, Prem 2- Top 2, NICC - Snr 1 Top 4, Snr 2- Top 2, NZCC - Snr 1X Top 6, Snr 2- Top 3, NZSS Champs - U18 1X Top 4, U18 2- Top 2, NZ Uni Champs - Champ 1X Top 4, Champ 2- Top 2).

Coxswains - please fill out the form if you have previously been selected for any age group (U18, U19, U21 or U23) team or invited to an age group trial. If you don't meet this criteria please contact Fiona for further information.

Nomination forms close on 20 August, 2023.

If you have missed the deadline for this nomination form please email Fiona Bourke - fionab@rowingnz.kiwi

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* 1. Are you nominating as an Athlete or Coxswain?

Athlete

Coxswain

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* 2. Athlete details

Name

Gender

Date of birth

Address

City/Town

ZIP/Postal Code

Email Address

Phone Number

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* 3. University/College will you represent during the 2023-2024 season (September 2023-June 2024)

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* 4. University/College Coach details

Name

Email Address

Phone Number

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* 5. If you are a Freshman this Fall, what Regattas did you compete in during the 2022-2023 New Zealand summer season? Tick all that apply.

South Island Club Champs (SICC)

North Island Club Champs (NICC)

New Zealand Club Champs (NZCC)

New Zealand Secondary School Champs (NZSS Champs)

None of the above

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* 6. Were you selected for an NZ team trial in 2023?

Yes - Elite

Yes - U23

Yes - U21

Yes - U19

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* 7. Anthropometry

Height (cm)

Weight (kg)

Arm span (cm) (Not required for coxswains)

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* 8. Please enter information about your best 2km Erg Test between Oct 2022-April 2023 (not required for coxswains)

Best 2km erg time (mm.ss.00)

Best 2km erg average split

2km erg average rate

Date this erg test was completed

Witness by

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* 9. Please enter information about your best 5km/6km Erg test between Oct 2022-April 2023 (not required for coxswains)

5km erg time (mm.ss.00)

5km erg average split

5km erg average rate

Date this erg test was completed

Witness by

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* 10. Coxswains - please download a copy of your CV

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

Choose File

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* 11. Do you intend to nominate for the 2024 U23 Team?

Yes

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* 12. I confirm that all information provided in this nomination form is true and correct at the time of completion

Yes