SV Scholarship/Grant Application

SV Scholarship/Grant Application

Swimming Victoria Members who are have been selected to represent Victoria* on a State or National Team and are seeking financial assistance may be eligible for a Swimming Victoria Scholarship/Grant to assist them in meeting the cost of participation. To submit your application please complete the following. All applications will be held in the strictest of confidence. *Selection on a Swimming Victoria or Swimming Australia Team, or selection on an Australian Team competing at an international competition. This does not include School Sport Victoria Team Vic selection.
- First Name*
- Last Name*
- Date of Birth*
  
  DayMonthYear
  Date
- Swimming Club*
- Parent/Guardian Name
  Parent/Guardian Name must be included if applicant aged under 18 years
- Email*
  Parent/Guardian email if applicant aged under 18 years
- Mobile Phone Number*
  Parent/Guardian phone if applicant aged under 18 yearsFormat: 0000 000 000.
- YesNo (You may not be eligible under this program)
- YesNo
- Swimming VictoriaSwimming AustraliaOther
- Name of event*
- Location of event*
- Date of event*
  
  DayMonthYear
  Enter first day of competition, participation or travel in/to event
- What is the total cost of the trip?*
- Please upload a copy of your letter/invoice showing participation contribution costs
  
  Not required if selected on Swimming Victoria Team
  Cancelof
- Please describe how the applicant will benefit from receiving a Scholarship/Grant*
- Are there any financial or challenging circumstances that we should be made aware of? If no answer then enter NONE*
  For example, loss of job, reduction of income, family illness or injury, single parent income
- NoYes
- NoCommonwealth Health Seniors CardEx Carer Allowance (Child) Health Care CardFoster Child Health Care CardLow Income Health Care CardPensioner Concession CardDepartment of Veterans Affairs Gold or WWhite CardRefugee/Special Humanitarian VisaTemporary Protection/Humanitarian Visa
- Single IncomeDual IncomeGovernment Income Support onlyOther
- Under $90,000$90,0001 - $100,000$100,001 - $110,000$110,001 - $120,000$120,001 and abovePrefer not to answer
- 01234 or More
- Has the applicant applied for/or received funds from another organisation for this trip/team selection? (Provide details or enter None)*
- By signing and submitting this application I acknowledge;
  
  that all information provided in the scholarship application is correct;
  
  that I may be contacted for further information to support my application;
  
  that submission of this application does not guarantee an offer of scholarship or a grant from Swimming Victoria, and;
  
  that this application and any offer made to me will be considered confidential by all parties involved.
- I/We agree with the above statement
- Athlete Signature*
  
  Clear
- Athlete Name*
- Parent/Guardian Signature*
  
  Clear
- Parent/Guardian Name*
- Date*
  
  DayMonthYear
  Date
- Should be Empty: