Welcome to your Discover Your ParaPotential application form...
This form is for the Paralympic sports. To apply for Olympic sports please return to www.uksport.gov.uk/talent.

It is really important that you complete the entire application as fully and accurately as you can so that our team of coaches and sport scientists can fully consider your application.  Therefore please allow yourself enough time to complete the form, it should take no more than 20 minutes.

Questions marked with an asterisk (*) are required and you will not be able to submit your application if an answer is not provided.

You will be required to complete your application in one go, as there is no save function.  We require you to upload a full body photo of yourself in appropriate sports kit.  Please ensure we can see you from head to toe and that you have any impairment specific equipment on e.g. a running prosthetic. Where possible please can you take your picture in front of a door as this provides a reference for height.
Let's get started
 
Firstly, please confirm that you understand how your data might be used by reading the two statements below and clicking "I accept" if you agree.

 
I understand and agree that the information collected may be made available as considered necessary to National Governing Bodies, the English Institute of Sport and UK Sport *

     
 
I understand and agree that the information will be stored for a period of 8 years and that my anonymised data may be used for research and publication purposes *

     
 
In the first section we need to gather some basic personal details, please take your time to ensure they are correct as this will be our main method of contacting you.

 
First Name *

 
Surname *

 
Gender *


 
Date of Birth *

{{answer_MtHygdA4u4N1}}, when were you born?
 
Phone Number *

What is the best phone number to contact you on?  Were possible please provide a mobile phone number.
 
Address

If you have more than one address i.e. you live away for school or university, then please submit an address you will have the most access to so that you will receive important information about your application.
 
Address Line 1 *

 
Address Line 2

 
Town or City *

 
County *

 
Post Code *

 
Are you a British citizen? *

Discover Your Gold is for athletes who are eligible to compete for Great Britain only
     
 
Residence in the UK

Okay {{answer_MtHygdA4u4N1}}, you have indicated you are not a British citizen, please can you tell us how many years you have lived in the UK for?
 
Nationality

Please provide your nationality as it appears on your passport
 
Height *

We need to know how tall you are, please provide your height to the nearest centimeter (cm)
 
Weight *

Can you tell us how much you weigh, make sure you provide your weight to the nearest kilogram (kg)
 
Photo *

Thanks for those details {{answer_MtHygdA4u4N1}}, we have one last question in this section.  We require you to upload a full body photo of yourself in appropriate sports kit.  Please ensure we can see you from head to toe and that you have any impairment specific equipment on e.g. a running prosthetic.

Where possible please can you take your picture in front of a door as this provides a reference for height.
 
Thanks {{answer_MtHygdA4u4N1}} for filling your personal details out, in this next section we would like to know as much as possible about your impairment.

 
Your Primary Impairment

 
Your Impairment *

Firstly, please provide a brief description of your impairment. For example, the name and/or medical diagnosis of your impairment.
 
Day to day and Sporting Life *

Now we would like to know how your impairment affects you on a day to day basis and when you take part in sport.
 
Impairment Group *

Chose the impairment groups that are relevant to you within the below list.  If you don't know please chose "I am not sure".

 
Impairment Status *

Is your impairment stable or progressive?

 
Timing of Diagnosis *

Have you had your impairment from birth (congenital) or did you acquire your impairment due to illness or injury?

 
When did your acquired injury occur? *

As you have an acquired impairment we would like to know in what year it occurred. Please provide the full year for example 2012
 
Area of body affected *

We also need to know what areas of the body are affected by your impairment, please chose from the list below

 
Medical Diagnosis *

Do you have a confirmed diagnosis and supporting medical evidence for your impairment.  This is essential information if you are successful and is required for you to be classified in your sport.
     
 
Do you have a secondary impairment? *

     
 
Secondary Impairment

 
Your Impairment *

Please provide a brief description of your secondary impairment. For example, the name and/or medical diagnosis of your impairment.
 
Day to day and Sporting Life *

Now we would like to know how your secondary impairment affects you on a day to day basis and when you take part in sport.
 
Impairment Group *

Chose the impairment groups that are relevant to you within the below list.  If you don't know please chose "I am not sure".

 
Impairment Status *

Is your impairment stable or progressive?

 
Timing of Diagnosis *

Have you had your impairment from birth (congenital) or did you acquire your impairment due to illness or injury?

 
When did your acquired injury occur? *

As you have an acquired impairment we would like to know in what year it occurred. Please provide the full year for example 2012
 
Area of body affected *

We also need to know what areas of the body are affected by your impairment, please chose from the list below

 
Medical Diagnosis *

Do you have a confirmed diagnosis and supporting medical evidence for your impairment. This is essential information if you are successful and is required for you to be classified in your sport.
     
 
Locomotion *

The last question about your impairment is about how you get around every day, from the list below please chose your main method of getting about.

 
Now is your chance to tell us about your sporting history. We will first ask about any disability sport you take part in, you will then have the opportunity to tell us about any able body sport you may also have taken part in.

 
Do you take part in disability sport? *

     
 
Disability Sport

 
Disability Sport *

What is your main disability sport? This is the sport your family and friends would most associate you with. If we were to ask Jonnie Peacock he would say athletics.
 
Disability Sport - Main Event or Position

When participating in {{answer_NE3wURyVBJ2q}} what was the main event you compete in, or if you play a team sport what is your position?
 
Disability Sport - Classification

If you have ever been formally classified for {{answer_NE3wURyVBJ2q}}, please provide details of your classification?
 
Disability Sport - Additional Sport history

Please use the box below to highlight any additional information about your disability sporting history.

For example other sports you play, any further information about training or competition in your main disability sport.
 
Did or do you play able body sport?

     
 
Able Body Sport

 
Able Body Sport *

What was/is the main able body sport?
 
Able Body Sport - Main event or position *

When participating in {{answer_jubVSJbj8jm2}} what was/is the main event your competed in, or if you played a team sport what was/is your position?
 
Able Body Sport - Additional Sport history

Please use the box below to highlight any additional information about your able body sporting history.

For example other sports you play, any further information about training or competition in your main able body sport.
 
Swimming *

Can you swim?
     
 
In this section we would just like to know any basic medical information we may need to be aware of when inviting you to an assessment event.

 
Basic Medical Information *

Please indicate if you suffer/have suffered from any of the following medical conditions

 
Family History *

Has anyone in your immediate family died under the age of 55 from a heart or circulation disorder?
     
 
Additional Medical Information

Please provide any additional medical information you feel may be appropriate for us to know.
 
Eye Wear

 
Do you wear glasses or contact lenses? *

     
 
Can you read the top line of a sight chart whilst wearing your glasses/contact lenses?

     
 
You are nearly there, in the last section we just want to find out some additional information about yourself and your motivations for signing up to #DiscoverYour Para Potential

 
How did you hear about #DiscoverYour Para Potential *


 
Your Motivation *

Which of the following reasons would you describe as your biggest motivation for signing up to #DiscoverYour Para Potential

 
Sports you're interested in

We would like to know if there any sports that you have a particular interest in being tested for, please list these below.  We will assess your suitability for these sports and other sports based on your application.
 
Additional info

{{answer_MtHygdA4u4N1}}, this is the last question, and it is your opportunity to share any more facts about yourself that you think may be valuable to us.
Thank you {{answer_MtHygdA4u4N1}} for completing your application for Discover Your ParaPotential. We will contact you via email to inform you about your application. Please check the junk folder! If you don't hear from us by 31 May 2018 then please contact us on discoveryourgold@eis2win.co.uk

Don't forget to share #DiscoverYourGold on social media
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