2026 Scholarship Application Form
Scholarship applications open on 1 December, and close on 31 January. For further information, please visit https://donnicaclarke.com.au/scholarships/
Personal Details
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Date of Birth
*
-
Month
-
Day
Year
Date
I am of Aboriginal or Torres Strait Islander descent:
Yes
No
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Shirt Size
*
XS - Mens
S - Mens
M - Mens
L - Mens
XL - Mens
XXL - Mens
Ladies 8
Ladies 10
Ladies 12
Ladies 14
Ladies 16
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Education & Employment
Current Education Institution / School (if applicable)
Current Year of Study
Current Employer (if applicable)
Current Position
What are your future aspirations outside of sport?
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Previous Scholarship Details
Have you previously received any other scholarships? (e.g. University, Academy of Sport, NSWIS, AIS, Government Grant, etc.)
Yes
No
If yes, please give details of the year the scholarship/s was/were received, name of organisation and the nature and benefits of the scholarship.
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Current & Past Sporting Performance
Please complete the following to provide the Foundation Selection Committee with a detailed summary of your sporting achievements to date. Please include details of the Competition, Events and Results.Additional information may be uploaded by must not exceed one page.
Sport(s) I participate in
*
School / Club Competition Results
District / Regional Competition Results
State Competition Results
National Competition Results
International Competition Results
Additional Information (Optional)
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Additional Information
Please provide a written statement of 300 words of less explaining your sporting and career goals for the future and how you think that a Donnica Clarke Foundation scholarship may help you pursue these goals. Include any other information not included in your Application Form that you feel the selection committee should be aware of.
The best piece of advice you have received (by a coach, teacher, parent, etc.)
Please upload a high resolution action shot of you playing your sport (please note this may be used on DCF social media and website should you be successful)
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If you have instagram, please include your instagram handle below:
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References
Please supply one sporting referee and one educational referee. The Donnica Clarke Foundation may make contact with your referees to assess your suitability for a scholarship.
Sport Reference:
Name
First Name
Last Name
Role
Organisation
Phone Number
Please enter a valid phone number.
Educational or Employment Reference:
Name
First Name
Last Name
Role
Organisation
Phone Number
Please enter a valid phone number.
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Declaration & Waiver
I wish to be considered for a Donnica Clarke Foundation scholarship and I declare that all information submitted on this application form is correct and complete. I understand that the Donnica Clarke Foundation reserves the right to vary or reverse any decision regarding awarding this scholarship on the basis of incorrect or incomplete information.I understand and agree that should this application be successful, the Donnica Clarke Foundation has unconditional rights to use at its sole discretion, photographic and/or video images of me and any other personal information in any form of media (e.g. TV, print, radio, website, magazine, other), art, advertising, trade, visual documentary, promotional material and merchandise or film coverage without any compensation or approval required by me.
Athlete Name
*
Name of Parent/Guardian (if under 18)
Declaration & Waiver
I understand and agree to the above conditions
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Should be Empty: