Please fill out fields below.
Name
Phone
Address
Email
Gender
FemaleI identify femaleOther, please specify:
Were you assigned female at birth? YesNo
Are you over 18 years of age? YesNo
Are you a resident of South Australia? YesNo
Describe applicant’s current position in sport and previous relevant experience (500 words) Enter your message here...
How will this opportunity contribute to the applicant’s development and career or volunteer aspirations in sport (500 words) Enter your message here...
Outline how the applicant’s participation in the program would benefit your organisation and the sport community (500 words) Enter your message here...
The Applicant has discussed the funding support required by my sport with the sport YesNo
Only complete if applying for Scholarship (Hardship) Funding Support
Please outline why the Applicant requires consideration for a Scholarship (500 words)
Enter your message here...
Upload written confirmation of working or volunteering in sport or evidence of a practical opportunity of a role in sport.
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I have been/I am:
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An athleteA coachAn officialAn administratorA board memberA media professionalOther, please specify:
The Applicant agrees to comply with the Program Participation Agreement as stated in the application form
YesNo