Appendix A1

JUNIOR SKATER SCHOLARSHIP FUNDING

APPLICATION

For ISU Members

This form is to be completed by the ISU Member of the Skater(s) applying for Scholarship funding.

Name(s) of
Skater(s) / Team:

Date(s) of birth

ISU Member

Discipline: ☐ Single Skating ☐ Short Track

☐ Pair Skating ☐ Speed Skating
☐ Ice Dance
☐ Synchronized Skating

Application ☐ CV, including a summary of Skating experience

Documents: ☐ a list of the Skater’s best results / scores / times in the last 2 seasons
☐ a statement of why financial support is needed
☐ a plan for the Skater(s) skating development over the next 2 years
and a detailed summary of the steps to fulfil the plan
OR
☐ a detailed proposal of the use of the Scholarship for a specific
purpose or expense
☐ a letter of support from the ISU Member

Requested ☐ Between US$ 500 and US$ 6’000 per individual Skater
Scholarship Amount: Specify amount: ______________________
☐ Between US$ 2’000 and US$ 7’200 per Pair/Couple
Specify amount: ______________________
☐ Between US$ 2’000 and US$ 7’200 per Synchronized Skating Team
Specify amount: ______________________

Previous Scholarship
Support
(specify year and amount)

Name of ISU Member President Signature of ISU Member President

Name of ISU Member General Secretary Signature of ISU Member General Secretary

Date:

E-mail simultaneously to:

ISU Development Commission ISU Secretariat
dvcommission@isu.ch development@isu.ch