Personal details Given name/s * Family name * Gender * Male Female Other Postcode * Preferred telephone * Email * 2. Study details 2.1 Student ID * 2.2 Student type * New domestic student Continuing domestic student New international student Continuing international student 3. Sport details 3.1 What is your Australian Sports Commission Sport? * 3.2 Club/association/team(s) * 3.3 Are you applying to the HPSA program as a Tier 1, Tier 2 or Tier 3 athlete? * Tier 1 athlete - International Olympic Sport and National Professional Sport (Open) Tier 2 athlete - International Olympic Sport and National Professional Sport (Junior) Tier 3 athlete - National Olympic Sport and State Professional Sport (Open and Junior) _inline1 3.4 Sporting achievements: Please provide a comprehensive list of your notable sporting achievements during the last 2 years, inc competition level and result (eg Olympic Games, Paralympic Games, Commonwealth Games, World championships, World Cup Events, National Championships, National League) Notable sporting achievements * 3.5 Are you currently part of a State or National Sporting Institute or organisation via scholarship or team selection? (eg AIS, QAS, Professional association) * Yes No Please provide further details 3.6 Are you currently receiving sport scholarship or sponsorship from any other sources? * Yes No Please provide details * _inline2 3.7 Please provide evidence that you are currently competing as a Tier 1, Tier 2 or Tier 3 athlete. Upload ONE piece of documentary evidence such as evidence of QAS sponsorship or scholarship, State or national squad membership, formal letter from coach stating your current inclusion in national level competitions. NOTE: Character references from coaches aren't sufficient, thank you Attachment * What events do you plan on competing in this year? * Please specify events and dates Coaches name Coaches contact How would you like us to contact them? Note: This is not complusory if your coaches would like to stay private 4. Student athlete goals 4.1 What are your future sporting aspirations and your plan for achieving them? * 4.2 What kind of professional development opportunities would you find useful while you are a student at USC (e.g. media training, sports nutrition, leadership, recovery techniques) * 5. Marketing How did you hear about the HPSA program? * Social media USC website Family or friend Coach or sporting organisation School Other (please specify below) Other Was the HPSA program a factor in your decision to study at USC? * Main factor Key factor Some factor No factor 6. Terms and conditions _inline5 Please read and confirm your agreement with the High Performance Student Athlete program terms and conditions I have read and agree to the terms and conditions * Yes security *
