Application Form Background Information The Otago Academy of Sport Programmes include athletes from Otago, North Otago & Central Otago, and are coordinated and run by the Otago Academy of Sport. The programme is mainly funded by the Otago Community Trust and the Aotearoa Gaming Trust (formerly Southern Trust). The Academy provides a sport science support network including sports nutrition, athlete life and mental skills as well as a tailored strength and conditioning gym-based programme for regionally identified emerging athletes. The programmes are supported by Otago’s Regional Sporting Organisations (RSO’s), who assist us with identifying our emerging talent from podium and aspirational sports across the Otago regions. The Otago Academy of Sport This year athletes from the Otago region will be given the opportunity to be included in the Otago Academy of Sport Talent Development Programme for a two year period. The first year of the programme (The Foundation Year) offers athletes an introduction into what high performance sport is like, and includes the development of an Individual Performance Plan (IPP), workshops, physical movement screening, and a group-based gym training programme with a qualified strength and conditioning coach. There is also a weekend camp with the Southland Academy athletes which provides more support in public speaking, training and game recovery, media skills, broad life skills and fun activities including hot yoga, rock climbing and other sports which assess coachability. The second-year programme (The Leadership Year) builds on principles from year one, and includes one on one consults in athlete life, mental skills and nutrition, more in depth workshops as well as gym-based training. By selection only, the athletes can be offered further support in their third plus years and this will be at the discretion of the Programme Manager and how the athlete is tracking on their National Sporting Pathway and the HPSNZ End to End Pathway. Vision: “Nurture, support and educate talented Otago athletes to achieve excellence in sport.” Goal: “More Otago athletes achieving on the national and international stage.” Aims: Assist athletes on their performance pathway Offer resources, expertise and advice Enhance knowledge and involvement of Coaches/Providers Increase the number of nationally identified Pre-Elite Otago Athletes Add value to existing programmes Engage RSO’s and NSO’s 2. Eligibility Criteria: (“Otago” refers to the regions of North and Central Otago) Reside in Otago, and is a member of, or affiliated to an Otago, Club or Organisation, or represent Otago, Central Otago or North Otago at the date of this application. Submitted a completed application Minimum age of 16 (as of 1 January 2022) Aspiring to Junior/World Championship, Olympic, Paralympic and/or Commonwealth Games level of competition Currently performing at national age group level with potential to represent NZ in Open Status Should circumstances prevail, Otago Academy of Sport may choose to consider applicants that fall outside of the stated criteria. 3. Performance Services and Support: There are two main components to the service and support offered to athletes involved in the Academy Otago Development Programmes: Performance Related Workshops Group and Individual Services Most of the services offered in year one is centred on group services/workshops. These workshops focus on developing the athlete and coaches support service knowledge and increasing their understanding of the key principles of pre-elite and elite training and performance. Athletes and coaches will have the opportunity to gain greater insight into a wide range of services, ensuring the foundations of an elite performance pathway are in place. 4.Cost of the Programme The programme cost for each Otago and North Otago individual athlete is $300 plus GST/year. For Central Otago it is $200 plus GST/year. There is a gym membership fee which also covers the cost of paying a Strength and Conditioning coach to be in the gym each session. The athlete’s will train twice a week in the HPSNZ gym and will have the ability to do lunch time drop-ins. N.B.This payment needs to be made before the 20th of May 2022, however payment arrangements can be organised with the Programme Manager on a case by case basis. Group Services Workshops cover areas including Athlete Life, Mental Skills, Sports Nutrition and Strength and Conditioning, Drug Free Sport, Financial Skills, Emotional/Mental Health and Wellbeing. Topics covered include. Becoming a high-performance athlete: overview of the demands, expectations, requirements placed upon the elite athlete. Performance Lifestyle: Planning for the demands of sport, study and/or work (time management, goal setting, sponsorship etc). Fuel: Overview of sports nutrition and supplementation and a cooking workshop. Gaining the Mental Edge: Overview of Sports Psychology Principles of Training: Overview of different types of training (e.g. strength, power, endurance, speed, and recovery). Gym Sessions/Programming with a S&C coach. Individual Services All athletes will have individual access to the Performance Lifestyle Programme - Athlete Life. This programme assists athletes to manage their lives effectively in the pursuit of sporting excellence, supporting them with sport/life balance and ensuring they have a good healthy perspective, in addition to minimising sport-life barriers that can be challenging for aspiring athletes. 4. Athlete Requirements: By accepting the offer of Otago Academy of Sport services and support, an athlete agrees to: Optimise the services and support made available through the Academy Otago & Central Otago programmes Attend all scheduled workshops and individual consultations and communicate if you are unable to attend. Availability to attend a residential camp (Academy Otago only), and to prioritise this over competition and training. Camp dates TBC but are normally scheduled in May 2022. This might require a day’s leave from School, University or Work. Abstain from taking prohibited substances (knowingly or unknowingly). When required, cooperate with OAS in public relations and promotional activities. Commit to regular communication/correspondence with OAS. Maintain behaviour and personal standards conducive to sporting excellence. 5. Application Process: 5.1. Year One Athlete Application Forms must be completed in full by the athlete and then signed by the athlete (and their parent/guardian if under 18 years at time of application). The athlete must also ensure that their coach completes the Coach Support section included within the Application Form. Coach name and email contact details are a requirement. All applications must be received by Monday 28th February 2022. 5.2. OAS will contact RSO’s to grade all the athlete applicants. Close off date for RSO’s to submit their applications is 5.00pm, Monday 7thMarch 2022. All applications must be received by Otago Academy of Sport from RSO's by this date. Applicants will be informed by Friday 11th March 2022. 5.3. Application enquiries from RSO's, athletes and coaches should be directed to the Programme Manager on 0275713382 or 03 4790640. 6. Selection 6.1 Selection Process Applications will be assessed and prioritised by an Otago Academy of Sport assessment panel. The panel comprises representatives from OAS and the Academy Otago Programme Manager. National Sporting Organisations (NSO’s) may also be consulted during this process where a RSO doesn’t exist. The Selection Committee may request an interview with an applicant and/or the applicant’s coach as part of the selection process. 6.2 Selection Criteria All applications are evaluated against the following selection criteria: Athlete’s ability to represent New Zealand at Elite Junior level and/or Elite Senior ’Open’. Endorsement and ranking from RSO and/or NSO Athlete’s ability to become a nationally “identified” athlete Feedback from the athlete’s respective coach Relevance of athlete’s sport in relation to HPSNZ’s End to End Pathway including podium and aspirational sports. Application quality. 6.3 Selection Outcome Otago Academy of Sport will notify all applicants of the outcome of their application by Wednesday 16th March 2022. SECTION A – PERSONAL INFORMATION/COACH DETAILS 1. ATHLETE CONTACT DETAILSAthlete Name *Sport/Discipline *Date of Birth *Street Address *Apartment, suite, etcCityState/ProvinceZIP / Postal CodeCountry AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaAustraliaArubaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCabo VerdeCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGuernseyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauNorth MacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSaint HelenaSaint Pierre & MiquelonSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUS Minor Outlying IslandsUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemen Arab Rep.Yemen DemocraticZambiaZimbabwePhone *Email Address *2. EMPLOYMENT / EDUCATIONAL STATUSAre you employed?NoCasualPart TimeFull TimePlease give detailsHours/Days workingAre you studying? (Tertiary)NoPart TimeFull TimePlease give Course detailsAre you at school?3. COACH DETAILS:Coach NameCoach ContactCoach EmailAs coach of this athlete, I have read and fully understand the requirements of my athlete, as set out in the athlete requirements. In doing so I acknowledge that in the instance where Academy Otago, North Otago or Central Otago commitments coincide with athlete training and/or minor competition commitments, Academy Otago obligations will take priority. Attendance at major competitions, resulting in programme absence, will be negotiated and agreed with Otago Academy of Sport personnel, prior to the event. In signing, coaches of Academy athletes also commit to attending meetings with OAS providers, the Academy Otago Programme Co-ordinator and to commit to attending Academy Otago Coaches Workshops to ensure full programme integration.SECTION B – PERFORMANCE / COMPETITION INFORMATION 4: PERFORMANCE INFORMATION4.1 Please supply the following performance results where applicable New Zealand Open / Open NationalsNew Zealand Age GroupsNew Zealand Secondary SchoolsOtago/North Otago ChampionshipsCurrent NZ Open RankingCurrent Age Group RankingAny other performance results or relevant information from the past couple of years.4.2 2022 and beyond sporting goals/ambitions:Briefly outline your sport performance goals. Include any regional or national development groups you are selected for.What do you believe are your major strengths that will assist in achieving these goals?What do you believe are your weaknesses or barriers to achieving these goals?4.3 Performance PlanningBriefly outline your proposed competition plan for the next 12-24 months:What are the dates and length of your competitive season? Include both sports if you are involved in more than one sport.What are your in-season training commitments.SECTION C – PERFORMANCE SERVICES AND SUPPORTList any other awards and/or scholarships you are receiving, or have applied for to support your performance and training programme:SECTION D – ATHLETE DECLARATIONIn submitting this application, I certify that the information provided is accurate and complete.Consent *Your Privacy: Otago Academy of Sport will record the personal details that are provided on this application form in order to fully consider your application. This information may only be accessed by the OAS and Otago Academy personnel. You have the right to inspect and update your details at any time. Please contact OAS on (03) 4790640 or 0275713382.Send MessagePlease do not fill in this field.