Post on 24-Jul-2020
transcript
Player Portfolio: BA Sport and Exercise (GAA) CW807
This form is only to be completed by applicants for the above
programme
Name: ____________________________
Playing position: _________________
Please follow the instructions below carefully when completing the portfolio:
- Youmustcompleteallsectionsoftheform.AnysectionthatisnotapplicabletoyoupleasefillinN/A.Pleasecompleteinblockcapitalsandinblackink.
- Makesuretoattachacurrentpassportphotographofyourselftotheform.- Ifyouhaveanyofthefollowingattachacopybystaplingtotheform(pleasedo
notsubmitoriginalsofanyqualifications,thesewillnotbereturned)o FetacAwardresultsorequivalento CollegeorUniversityresults.
- Youmustgivefullcontactdetailsofallrefereesgiven.- MakesuretoreadandsigntheApplicantDeclaration.- PleasenoteallsuccessfulapplicantsarerequiredtohaveGardaVettingclearance
priortofullregistration.Thiswillbeinitiatedduringprogrammeinduction.- Theportfolioformmustbereturnedtoprogresstheapplicationprocess.- ThecompletedformMUSTbefullycompletedandreturnedto:
DepartmentofSportMediaandMarketing,ITCarlow,KilkennyRd,Carlow.
Attach passport photo securely here
Section A Personal Details
Personal Details: Surname: _______________________________________________ First Name: ______________________________________________ Home address: ______________________________________________ _______________________________________________________________ _______________________________________________________________ Date of Birth: _______________ County of Birth: ________________ Male: Female: Email: _______________________ Tel. No: ___________________ Mobile no: _____________________ You must include both of the following numbers. PPS No: CAO No
Section B Education Details If you are not doing the Leaving Certificate examination in the current year, please state the year you completed the Leaving Certificate: ___________________ List your leaving certificate subjects in the section below clearly and accurately. Include the grade achieved if you have already completed your leaving certificate. H = Honours O = Ordinary F = Foundation
School: _______________________________________________________
Post Leaving Cert and Third Level Education:
List all FAS, PLC (i.e. FETAC) and 3rd level education courses you have completed or are currently
completing.
College Attended
Course(s) Taken Date (From/To)
Result
SECTION C GAA
Sports Played (tick all that apply) Football Hurling Camogie Handball Other (list)______
GAA PLAYING HISTORY Underage – (U12s – U18s)
School involvement
Name of School
Highest Grade played
(Senior, Junior, Juvenile)
Competition
Grade (A,B,C, or D)
Playing Position
Approximate
number of games played
Year
Club involvement
Name of Club
Highest Grade played
(U14, U16, U18)
Competition
Grade (A,B,C, or D)
Playing Position
Approximate
number of games played
Year
Highest level of Underage County up to and including Minor:
Name of Team/ Squad Manager Approximate number of
games played
Year
GAA PLAYING HISTORY ADULT
Club Playing History
Name of Club ____________________________________
Grade played (U21, Junior,
Intermediate, Senior)
Playing Position
Approximate
number of games played
Year
Adult County:
County ____________________________________
Grade played (U21, Junior, Intermediate,
Senior)
Manager Playing Position Approximate number of games played
Year
NOW MOVE TO SECTION D COACHING
SECTION D COACHING
COACHING QUALIFICATIONS
List all coaching qualifications you have completed. Complete all sections.
Coaching Award/ Coaching Badge
Governing Body/ Awarding Body
Venue of Course Date Completed
e.g. Awards 1 GAA IT Carlow Oct 2013
Other sport and coaching related qualifications:
List other sport and coaching related qualifications you have completed, e.g. First Aid,
Referees, Club Development etc. Complete all sections.
Coaching Award/ Coaching Badge
Governing Body/ Awarding Body
Venue of Course Date Completed
e.g. Basic 1st Aid Order of Malta IT Carlow Nov 2014
COACHING EXPERIENCE
List any coaching and managerial positions you have held. Include all positions you
have held both voluntary and paid positions.
Name of Club/ Organisation (include age group and your
role)
From
Until
Name and number of contact at that club/
organisation e.g. IT Carlow Boys U12 Hurling B team (Asst Coach)
Aug 2014
May 2010
Ms. Marie Moore 087-11223344
SECTION E OTHER INFORMATION
CAREER GOALS AND ACADEMIC INTERESTS
1. Outline your long term career goals and how you think a place on the course will
help you achieve these goals.
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
2. What academic interests do you have and what course areas would you like to
pursue if you are successful in your application.
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
3. What do you believe to be your strengths and weaknesses as an individual?
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
SECTION F REFERENCES
REFERENCES
Give contact details of referees below. You should provide two references both in
relation to your sporting background / career.
Referee 1.
Forename: __________________ Surname: __________________________
Role: ______________________________________________________________
Current Postal Address:
______________________________________________________________________
________________________________________________________________
Ph: __________________________ Mob: ______________________________
Referee 2.
Forename: __________________ Surname: __________________________
Role: ______________________________________________________________
Current Postal Address:
______________________________________________________________________
______________________________________________________________________
_____________________________________________________________
Ph: __________________________ Mob: _____________________________
SECTION G APPLICANT DECLARATION
APPLICANT DECLARATION
I certify that the information provided in this application is complete and true to the best
of my knowledge. I agree to be bound by the regulations of IT Carlow and the GAA.
Applicant Signature: ______________________________________________
Date: ______________________________________________
Consent for digital recording of skills assessment element of the portfolio
application
As part of the skill assessment element of the portfolio application, it may be necessary to digitally record the session. For this, consent is required from you or (your parent/ guardian if under 18 years). Please sign below as an indication of your consent.
Applicant Signature: ______________________________________________
Parent/Guardian Signature (if applicant is under 18) __________________________
Date: ______________________________________________