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.
- Is the applicant an Australian Citizen or permanent resident of Australia?
- Is the applicant of Indigenous or Torres Strait Islander origin?
- Team Selection
  
  Other
- 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
- Does the applicant have a Government issued Health Care Card? (this does not include Medicare or Private Health)
- Does the applicant or the guardian hold any of the following cards?
- What best describes your household income?
  
  Other
- Combined Household Income (after tax)
- Number of additional dependants aged under 18 that you are financially responsible for
- 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.
- Please check the box below to confirm you understand and agree to the above statement
- Athlete Signature
- Athlete Name
- Parent/Guardian Signature
- Parent/Guardian Name
- Date
  
  DayMonthYear
  Date
- Should be Empty: