UNE Sports Academy

1. First name *

2. Last name *

3. Please provide your email *

4. Mobile:

5. Please confirm your date of birth *

6. Please check the relevant answer: *

You must be studying at UNE to qualify for the UNE Sports Academy.

I am a current UNE student I plan to begin study at UNE in 2020 I am not currently a UNE student, but would consider enrolling if accepted in the UNE Sports Academy

7. What is your UNE student number? *

8. Name of sport(s) for which you would like a place in the UNE Sports Academy *

9. Have you been selected in one or more of the below teams? Select all that apply

National team State team Regional team

10. Are you part of a National Sporting Organisation (List of recognised NSO's can be found at https://www.ausport.gov.au/supporting/nso)

Yes No

11. In the sport for which you have applied, do you belong to a club? *

Yes, a UNE club Yes, a community or other club No

12. What is the name of the club?

13. Please provide a brief outline of achievements in your chosen sport

You should mention your highest representative achievements in your named sport, other representative honours you have achieved and/or sporting qualification obtained (eg coaching/refereeing certificates etc.). List year of achievement, team, category (eg U/18), as appropriate. (100 words or less) Any supporting documentation can be uploaded below.

14. Upload supporting documents.

15. What are your sporting goals? *

16. Please provide details of a coach/referee that may speak on your behalf *

If providing details, full name, position they hold and **a contact number is required**. Email is also desirable.

17. If selected into the UNE Sports Academy, would you be interested in applying for a UNE College Accommodation Scholarship, valued at up to $5,000? *

Note: UNE College allocation will be determined subject to availability

Yes No

18. Acknowledgement and consent: *

I acknowledge that my application to the UNE Sports Academy will be considered on the basis of criteria that includes my academic performance at UNE. By checking the box below, I provide my consent to UNE Student Success staff to provide a copy of my academic record to the UNE Sports Academy in support of my application. I understand that the supply of information to complete this application, is voluntary. I also understand that if the requested information is not supplied in full, my application may not be assessed. All personal information will be managed in accordance with the University’s [Privacy Management Rule][1]. All successful applications and supporting material will be stored securely in accordance with the University’s [Privacy Management Rule][2] . [1]: https://policies.une.edu.au/view.current.php?id=00130 [2]: https://policies.une.edu.au/view.current.php?id=00130

UNE Sports Academy - 2020 EOI