Application Form - Team Please note a team manager or vouched professional can fill out this form on behalf of the team application.Eligibility Criteria - Aged 12-17 years. Applicants 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 team meets all the eligibility criteria(Required) Yes No Not sure I, the Team Manager agree to the program guidelines.(Required)YesNoI understand that the Eden Youth Sports Foundation receives a large number of applications and the grant cannot be guaranteed.(Required) Yes No Team DetailsTeam Name(Required)Sporting Organisation/Club(Required)Age Group(Required)Number of Players(Required)Average Age of Players(Required)Position (Coach, Manager, President etc)(Required)Does the team identify as an Aboriginal and/or Torres Strait Islander team? (If applicable)(Required)Please upload document with full team list including - Full Name, Sex, Date of Birth & Residential Suburb(Required) Drop files here or Select files Max. file size: 20 MB. Contact Details of Team ManagerYour Name(Required) First Name Surname Position (Coach, Manager, President etc)(Required)Mobile Number(Required)Your Email Address(Required) Email Address Confirm Email Address Club Address(Required) Street Address Address Line 2 State Postcode Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Postal Address(Required) Street Address Address Line 2 State Postcode Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Preferred Method of Contact(Required)EmailPhoneEvent DetailsEvent Name(Required)Organising Body(Required)Location & Date(Required)Event start date(Required) DD slash MM slash YYYY Event end date(Required) DD slash MM slash YYYY Competition Level(Required)Team Representing(Required)Frequency of Event(Required)What is the sport relevant to this application?(Required)Team ParticipationHow did the team qualify or gain entry?(Required)How long has the team competed together?(Required)Are the players selected or is the event open entry?(Required)Team PreparationWhat preparation has the team undertaken?(Required)How often does the team train?(Required)What coaching support does the team receive?(Required)Impact & GoalsWhat are the team's goals for this event?(Required)How will attending benefit the development of the team and its players?(Required)Are there future pathway opportunities for the players?(Required)Assessment CriteriaWhat achievements has the team attained?(Required)Has the team won any regional, state or national competitions?(Required)What level of competition does the team currently participate in?(Required)What evidence demonstrates the team's commitment and development?(Required)What makes this team stand out?(Required)Describe the team's culture and sportsmanship.(Required)In 250 words or less describe how this grant will make a difference and why.Your answer should demonstrate the outcomes and solutions you believe the grant will help you to achieve in sportConfirmation of Selection / Supporting EvidenceName of professional vouching for team application(Required) First Name Surname Position(Required)for example coach, team manager, school sports coordinator)Email Please upload your support letters. Please include any team selection letters, competition results, fixture ladders, coach endorsements, team photographs (optional)(Required) Drop files here or Select files Max. file size: 20 MB. Contact details of professional must be included in the support letterFinancial InformationTotal Team Cost(Required)Amount Requested(Required)Breakdown of travel, accommodation, entry fees, uniforms etc(Required)Other funding sources(Required)Bank Details of Team Manager (for payment of grant)Account Name(Required)BSB(Required)Account Number(Required)Working with Children's CheckTeam Manager must hold a current Working with Children's CheckTeam Manager's Full Name(Required) First Name Surname Date of Birth(Required)Working with Children's Check Number Certification, Privacy & Person InformationPersonal information submitted via the online application by the Eden Youth Sports Foundation for the purpose of considering applications and administering the grant program. p 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 Team Manager of the applicants agree to the program guidelines.(Required)YesNoI, understand that if successful the team’s name and photo will be published on the Eden Youth Sports Foundation website and Facebook page.(Required)YesNoI, certify that the information supplied in this application is true and correct. (Required)YesNoI have permission from all parents/guardians of all players to sign on their behalf. (Required)YesNoFinal 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