2022 Total Computers Scholarship

Welcome to the Total Computers Scholarship application delivered in partnership with British Cycling.

Please refer to the video submission guidance here for instruction of what to include in your video application.

The information requested on this form will provide valuable background data for the selection panel to make informed decisions. All information will be kept strictly private and confidential and treated in accordance with British Cycling's Privacy Notice, which is available on our website at https://www.britishcycling.org.uk/article/Total-Computers-Scholarships-Privacy-Notice

1. Full name: *

2. Email: *

3. Phone number: *

4. Address *

Address 1	*
Address 2	*
Town/City	*
County	*
Postcode	*

5. Age *

Prefer not to say
Age

6. Gender *

7. Nationality: *

Prefer not to say
Nationality (please specify):

8. Which of the following ethnic groups would you say describes you best? *

9. Which of the following options best describes how you think of yourself? *

10. The Equality Act 2010 defines a disabled person as anyone with a “physical or mental impairment which has a substantial and long term adverse effect upon his/her ability to carry out normal day to day activities”.

Do you consider yourself to have a disability? *

Yes
No
Prefer not to say

11. Have you ever been convicted of a criminal offence which is not ‘spent’ under the Rehabilitation of Offenders Act 1974?

Please refer to http://www.justice.gov.uk/guidance/docs/rehabilitation-offenders.pdf if you require clarification on the above *

12. References *

	Referee 1	Referee 2
Name	Name Referee 1	Name Referee 2
Position	Position Referee 1	Position Referee 2
Company name	Company name Referee 1	Company name Referee 2
Company address	Company address Referee 1	Company address Referee 2
Phone	Phone Referee 1	Phone Referee 2
Email	Email Referee 1	Email Referee 2

13. Are you happy for us to contact your references once a scholarship offer is made? *

14. Are you actively involved with a cycling club or group? *

If yes, please state your role and the club or group name

15. Do you have any British Cycling qualifications already? *

If yes, please specify what qualifications these are

16. Please specify any relevant qualifications you have (A level or higher)

17. Please upload your video submission to YouTube, Vimeo or WeTransfer and paste the link here *

Terms & Conditions

By submitting this application, you acknowledge that you have read and agree to the following terms and conditions:

I understand that the information submitted via this form will be used to process and manage my application in accordance with British Cycling’s Privacy Notice, which is available at https://www.britishcycling.org.uk/article/Total-Computers-Scholarships-Privacy-Notice *

I confirm that all information provided is correct and complete and understand if false or misleading any scholarship offer may be withdrawn