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Athlete Scholarship
Application Form

Please choose one *

I am applying as a new athlete

I am reapplying as a returning athlete

Applicant Details

* required

Shire of Residence

Applicants email address. Please note, this must be the athletes email address and not that of a parent as this will be used to correspond with the athlete and to gain access to the PRAS app.

Gender

Male

Female

Are you of Aboriginal or Torres Strait Islander origin? * Required

Yes

Are you from a culturally and linguistically diverse background? (ie. do you speak a language other than english at home or/ and were you born in another country other than Australia?)

Yes

What school do you attend?

Parent/Guardian Details - Only if applicant is under 18

Coaches Details and Contact Information

Uniform Shirt Size

Uniform Jumper Size

What is Your Nominated Sport?

What club or organisation do you represent in your nominated sport?

What level have you competed at in the past 12 months?

What is Your Best Sporting Result/Achievement in the past 12 months? Please demonstrate your state representation in the past 12 months

Please upload one image of you playing in your chosen sport that can be used as your profile picture on the PRAS website

Upload File

Upload supported file (Max 15MB)

Please provide a short 3-5 sentence sporting biography that can be used in your profile on the PRAS website

Do you have private health insurance that covers nutrition/ dietician services? * Required

Yes

How did you hear about the program?

I understand that if my application is successful I will be required to attend the PRAS induction evening on Tuesday 31st March.

I accept terms & conditions

The PRAS board will determine the number of athletes accepted based on their selection criteria. If you are successful you will then be sent the PRAS terms and conditions that must be adhered to at all times. If you have any questions please contact Chris Wing at chris.wing@sportshouse.net.au

Thanks for submitting!We will be in touch soon.

Website by Mandurah Website Design

Visit us: Suite 6/15 Dolphin Drive Mandurah WA

E-mail us: chris.wing@sportshouse.net.au

Call us: 0499702328

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Athlete Scholarship Application Form

Thanks for submitting!We will be in touch soon.

Athlete Scholarship
Application Form