Application for Trainee Sponsorship

Application for Leeuwin Sponsorship
Please remember that our sponsorship does not cover the full amount of the voyage.

If you are unable to contribute the rest of the cost, we're happy to help you with ideas of potential supporters or fundraising strategies.
Name

First NameLast Name
Date of Birth

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Contact Email
example@example.com
Phone Number
Please enter a valid phone number. If entering a landline, please include the area code.Format: 0000 000 000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Gender
Do you identify as an Aboriginal or Torres Strait Islander person?
Current school/ university / place of employment
If applicable
What voyage are you looking to join?
Do you or your parent/carer have a concession card
What is your household income?
If you are able to contribute to your voyage cost, what is the amount?
Are you seeking any other forms of sponsorship (such as Lions Club, Rotary, other community grants, or self-fundraising) to help cover your voyage cost?
If your application to us for sponsorship is unsuccessful, what alternative options would you explore to support your participation in the voyage?
Would you still intend to participate if partial sponsorship from the Leeuwin was offered?
Please explain why you're unsure.
We'd love to learn more about you. Share your story and tell us about yourself.
What would a voyage on the Leeuwin mean to you?
Is there anything else that you would like to share that you feel may help with your Leeuwin Sponsorship application?
Signature - Trainee
Signature Date

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Should be Empty:

Application for Leeuwin Sponsorship