Mackay Sports Foundation Application Form

Congratulations on your selection for your national or international championship event!

Please complete all of the following details to submit for consideration for a travel grant to assist with attending your event.

TERMS AND CONDITIONS OF THIS APPLICATION

Applicant must be 21 years of age or under as of the closing date of the round they are applying for.

Applicant must reside within the Council boundaries of the Mackay, Whitsunday and Isaac regions.

Applicant must be living more than 250km from the event they are applying for.

Applicant must incur out of pocket expenses greater than the grant amount.

Applications can be submitted until 6 months after the event date, and proof of selection and attendance will be required as part of the consideration for a grant.

If an application is submitted for a future event date, the application will be held over for consideration in the next round after the event has been held, and once proof of attendance can be submitted.

A maximum of one grant will be given per applicant in one calendar year (across two funding rounds).

Eligible competitions are those for Queensland and Australian team selection only, not where applicants were selected in teams for other states or countries.

Non-officially sanctioned events, local or regional team selections, development, training squads, tours, invitational events, camps and similar are not eligible events for grant funding.

Registrations for each round close at 5pm on 1 September and 1 March each year. Registrations submitted after each of these closing dates will be held over for inclusion in the next round's consideration.

Submitting an application does not guarantee funding.

Incomplete applications will not be considered, so please follow all instructions and complete all sections as directed.

The Board reserves the right not to allocate grants at all, or conclude allocating grants, or only allocate partial funding amounts per applicant per representation level, when the Foundation becomes oversubscribed with applications at any certain period of time.

Please allow 4-6 weeks after a round closes for submissions to be assessed and outcomes to be notified.

I agree to these above Terms and Conditions as they apply to me and my application*

Yes

YOUR FULL NAME:*

Please input your full legal name

PREFERRED NAME (only if different):

Please input your full preferred name (if different)

Date of Birth*

DayMonthYear

Contact Email*

Please ensure this is correct as it will be the main form of communication with you for this application.

Contact Number*

Please enter a valid phone number.

Your Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Your Gender*

FemaleMalePrefer Not to Say

Do you identify as Aboriginal and/or Torres Strait Islander?*

Yes - bothYes - AboriginalYes - Torres Strait IslanderNo

Do you come from a culturally or linguistically diverse background?*

NoYes, please detail:

Do you have a disability?*

NoYes, please detail:

Your Bank Account Details (for payment of the grant):*

Account Name

BSB

Account Number

Emergency Contact Name*

First NameLast Name

Emergency Contact Number*

Please enter a valid phone number.

Emergency Contact's Relationship to you:*

In what sport will you be competing?*

Competition Full Title:*

Competition Date/s:*

Competition Location:*

In what role will you be attending this competition?*

PlayerCoachOfficial

Please upload a letter from your coach or team official (on official letterhead) detailing your selection and the costs associated.*

Please upload proof of your attendance at this event e.g. team photo, accommodation and/or flight information, official follow up/thank you letter from team management etc. Multiple uploads accepted.*

YOUR SIGNATURE:*

Date*

Date

PARENT/GUARDIAN SIGNATURE (if applicant is aged under 18):

Date