Scholarship sign up form

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What is your first name?

What is your surname?

What is your best contact email address?

What is your best contact number

Provide your phone number with no spaces to subscribe. For e.g +61405647345

So we can connect you with community members in your area, what suburb do you live in?

What postcode is that?

What state is that in?

ACT

New South Wales

Northern Territory

Queensland

South Australia

Tasmania

Victoria

Western Australia

We hate to be rude, but what is your date of birth?

dd-mm-yyyy

How do you describe your identity

Female

Non-binary

Prefer not to say

Other

Your sporting career

Now we know about your personal details, we are interested to hear about your sporting career.

What sporting club are you involved with?

In what capacity are your involved?

Board member

Club Administrator

Club volunteer

Coach

Player

Please choose all that apply or that your would like to be updated on.

Why this program?

Awesome! Now we would like to know about your interest in our program and your career.

Tell us a little more about why you are applying for a scholarship to this program?

Which of the following topics MOST interests you?

Leadership

Skill development

Mindset tools

Role models in sport

Mentoring

What is your current job title?

Are you interested in pursuing a career or opportunities in any of the following industries during or post your sporting career?

Accounting & Finance careers

Construction careers

Education & Training careers

Entrepreneurship careers

Healthcare careers

Not for profit careers

Other careers

Sports careers

Technology careers

Please select all that apply.

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