UniSC Spartans high performance swim program application

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Full name *

Mobile *

Email *

Date of birth *

Are you under 18?

Yes

Parent / guardian details

If you are under 18, who should we contact to discuss your application?

Parent / Guardian name

Parent / Guardian mobile

Parent / Guardian email

Facebook

Instagram

Home street address *

Home suburb *

Home state *

Are you currently studying? *

Yes

School / University / TAFE name

Year level / Degree / Course name

Subject load

Full time

Do you wish to explore options at UniSC? *

Yes

What is your highest qualification at school, university or TAFE?

Home club *

Coach name *

Coach mobile *

Coach email *

Coach classification

Does the Coach know about your interest in moving to the UniSC Spartans? *

Yes

Top 3 events

Tell us about your best swimming events (top three only)

Are you an Olympic or Paralympic swimmer? *

Olympic

Paralympic

Event 1 *

Title of the event, eg 100m butterfly

Personal best - event 1 *

Date achieved - event 1 *

Event 1 classification

Para Class eg S9, S14

Event 2

Title of the event, eg 100m butterfly

Personal best - event 2

Date achieved - event 2

Event 2 classification

Para Class eg S9, S14

Event 3

Title of the event, eg 100m butterfly

Personal best - event 3

Date achieved - event 3

Event 3 classification

Para Class eg S9, S14

Why do you want to join the UniSC High performance swimming program?

Write a short paragraph explaining why you want to join the program based at the Hub

Consent for storing submitted data *

Yes, I give permission to store and process my data

Privacy Statement

Personal information is collected and managed by the University in accord with the Information Privacy Act 2009, and associated legislative requirements. Information may be disclosed to third party service providers for particular operational purposes, whom are bound by the University’s privacy and security requirements.

security *

UniSC Spartans high performance swim program application | UniSC | University of the Sunshine Coast, Queensland, Australia

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UniSC Spartans high performance swim program application