Individual Application - Eden Sports & Recreation Club

Application Form - Individual

Please note a parent/guardian can fill out this form on behalf of the applicant.

Eligibility Criteria

- Aged 12-17 years. Applicant must be turning 12-17 the calendar year of the competition. Ages are applicable for both team and individual applications.

- Resident of Eden NSW locality.

- Have a demonstrated talent in sport

- Shows signs of progressing in chosen sport

I confirm that the applicant meets all the eligibility criteria(Required)

Yes

Not sure

I understand that the Eden Youth Sports Foundation receives a large number of applications and the grant cannot be guaranteed.(Required)

Yes

Personal Details of Applicant

Your Name(Required)

First Name Surname

Your Address(Required)

Street Address Address Line 2 City ZIP Code

Application Date of Birth (dd/mm/yyyy) you must be turning 12-17 years of age in the same calendar year as the nominated championships.(Required)

Do you identify as Aboriginal and/or Torres Strait Islander?(Required)

Yes

Sex(Required)

Male

Female

Event Details

What organisation are you representing?(Required)

Please enter the name of the school, club, state or national sporting organisation

What is the sport relevant to this application?(Required)

Name of the event?(Required)

Event start date(Required)

Event end date(Required)

Assessment Criteria

In 250 words or less describe how this grant will make a difference and why.(Required)

Your answer should demonstrate the outcomes and solutions you believe the grant will help you to achieve in sport

Confirmation of Selection

Name of professional vouching for applicant(Required)

First Name Surname

Position(Required)

for example coach, team manager, school sports coordinator)

Please upload your support letter(Required)

Drop files here or

Max. file size: 20 MB.

Contact details of professional must be included in the support letter

Bank Details of Parent/Guardian (for payment of grant)

Account Name(Required)

BSB(Required)

Account Number(Required)

Parent/Guardian Details

Parent/Guardian Name(Required)

First Name Surname

Relationship to applicant(Required)

Mobile Number(Required)

Email(Required)

Preferred Method of Contact(Required)

Certification, Privacy & Person Information

Personal information submitted via the online application by the Eden Youth Sports Foundation for the purpose of considering applications and administering the grant program.   The personal details of successful applicants, including: biographical information such as their name, suburb, sport, supporting organisation, and any photography or video footage of them produced in connection with the program; the value of the grant awarded; and a brief description of the purpose of the grant, may be released by the Eden Youth Sports Foundation to the public and the media, and may be placed on the Eden Youth Sports Foundation or other appropriate websites, including for promotional purposes and for the administration of the program. 

I, the Parent/Guardian of the applicant agree to the program guidelines(Required)

Understand that if successful the applicant’s name and photo will be published on the Eden Youth Sports Foundation website and Facebook page.(Required)

Certify that the information supplied in this application is true and correct. (Required)

Final Notes

- You must now submit your application.

- All questions are required to be answered. If you have missed an answer, you will be alerted when you try to submit.

- If you have successfully submitted your application, you will receive an automated email with a copy of your submission. If you do not receive an email please contact tourism@esrc.com.au