Junior Athlete Development Program (JADP)

Junior Athlete Development Program (JADP) - Application Form
About

The Junior Athlete Development Program delivered by Flinders University Sport and Fitness is a sports training and athletic support program aimed to assist developing youth athletes balance their commitment to sport with high school or equivalent endeavours. This program provides coaching and strength and conditioning training otherwise not available to this age group, aiming to bridge the gap between recreational and elite sport for youth athletes.
Personal Details
Name*

First NameLast Name
Date of Birth *Note - Applicants must be born in/before 2010 to be eligible to apply**

MonthDayYear
Date
Pronoun*

He/HimHer/SheThey/Them
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
School*

Sport Specific Information
Main Sport*
Other Sports
How did you become aware of this program?*
At what level have you been involved with your sport?*

NationalStateClubSchool
Please identify significant achievements*
Please Identify if you have been awarded a scholarship at an institute or academy of sport and year awarded?*

AISSASIOtherN/A

Who do you currently compete for?
Club*
Level/Division*
Please provide contact details of a coach/other that can support your application and are prepared to be sporting referees on your behalf
Contact Referee 1:
Name*

First NameLast Name
Role*
Email*
example@example.com
Phone Number*
Please enter a valid phone number.

Athlete Statement
Please outline your sporting aims/goals.*
Preferred Option:*

1 x Session Per Week: $300 (10 Week Block)2 x Sessions Per Week: $500 (10 Week Block)
The Athlete agrees to:
1. Act in a sporting and professional manner whilst representing Flinders University.

2. Provide regular updates on competition schedules and results, as applicable.

3. At the conclusion of the year, provide a testimonial on the program.

4. Abide by Flinders University policies, procedures and guidelines.
Declaration Statement
I First Name* Last Name* wish to be considered for the Junior Athlete Development Program as indicated and declare that the information on this form is correct and complete. I am aware that the information provided in this statement is governed by the Privacy act 1988, and that it will not be disclosed to any third parties without my consent. I agree to the terms and conditions that are attached to receiving this scholarship.
Date*

DayMonthYear
Date
Applicant Signature*

Clear
Parent / Guardian Name*

First NameLast Name
Parent / Guardian Email*
example@example.com
Parent / Guardian Phone Number*
Please enter a valid phone number.
Date*

DayMonthYear
Date
Parent/Guardian Signature*

Clear
Should be Empty:

Junior Athlete Development Program (JADP) - Application Form