The Sports and Cultural Council - City of Dublin VEC

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Niall Smyth Memorial Bursary

PDF Document [ SCC Bursary Application Form ] .PDF - Download and print off the application form, complete it fully and send it by post to James O Dea, Hon. Secretary SCC, Coláiste Dhúlaigh, Coolock, Dublin 17. Alternatively, you apply online below.

Online Application Form
Any information you supply is handled in strictest confidence and in accordance with our Privacy Policy. All sections must be completed. Uncompleted applications will be rejected by the SCC.

PERSONAL DETAILS
Name:
Date of Birth:
Course of Study:
Home Address :
School Name and Address:
Telephone - Home:
Telephone - Mobile:
Email:
SPORT / CULTURAL ACTIVITY DETAILS
Activity / Event:
Level Reached:
School / College:
Club Society:
County:
Provincial:
International:
Other Representative:
List of Achievements and Honours Gained
Programme of Tuition/Coaching/Training/Competition:
Details of costs for which you you seek assistance:
Any other relevant information:
How did you hear about the SCC?:
REFEREES
Please supply two referees. One from your school/college and one from your club or cultural activity director.
Name:
Address:
Telephone:
Email:
.
Name:
Address:
Telephone:
Email:
 
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